Cat 1 · 30 days
appointment within 30 calendar days. - Suspected or confirmed Cushing’s syndrome
Home · Diabetes and Endocrinology · Condition
Diabetes and Endocrinology · Refer Your Patient
Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Glucocorticoid excess (Cushing’s syndrome).
Cat 1 · 30 days
appointment within 30 calendar days. - Suspected or confirmed Cushing’s syndrome
Cat 2 · 90 days
appointment within 90 calendar days. - Low risk of Cushing’s syndrome
Cat 3 · 365 days
appointment within 365 calendar days. - No category 3 criteria
Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.
- Detailed history including: central obesity, hypertension, osteoporosis, muscle weakness, diabetes mellitus, emotional lability - Please include a full list of medications (especially COCP and anti-epileptic drugs, and any steriod containing inhaled or topical treatment) - ELFTs - Glucose - ACTH and cortisol - 24-hour urine free cortisol and/or, 1mg overnight dexamethasone suppression test If a specific test result cannot be obtained due to access, financial, religious, cultural or consent reasons a clinical override may be requested. This reason must be clearly articulated in the body of the referral.
The following conditions are out of scope for this service: - Pre-diabetes - Stable, well-controlled type 2 diabetes - Newly diagnosed type 2 diabetes and not acutely unwell - Referrals where the primary problem requiring attention is not directly related to the diabetes and should be directed to another speciality service e.g. chest pain for investigation should go to cardiology - Dietary advice for weight reduction, high cholesterol, hypertension or CVD in patients with diabetes - Newly diagnosed primary hypothyroidism, including subclinical hypothyroidism – Note: in women of child bearing age who are pregnant or wishing to become pregnant or not using contraception, thyroxine should be commenced and titrated, aiming for a TSH less than 2.5 - Positive thyroid antibodies with normal thyroid function - Osteopaenia - Routine uncomplicated osteoporosis
Parent service: Diabetes and Endocrinology
Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au