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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 — Pituitary disorders.
Cat 1 · 30 days
appointment within 30 calendar days. - Evidence of mass effect on imaging - Clinical or imaging features suggestive of malignancy - Any obvious hormonal excess or deficiency (noting that suspected glucocorticoid deficiency should be referred for Emergency assessment)
Cat 2 · 90 days
appointment within 90 calendar days. - Incidental finding on imagining (>10mm) with no neurological or hormonal deficit - Known pituitary dysfunction or hyperfunction, or pituitary tumours on therapy
Cat 3 · 365 days
appointment within 365 calendar days. - Incidental finding on imaging (<10 mm) with no neurological or hormonal deficit
Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.
- History of illness (include details of symptoms of raised ICP, specific neurological deficits, seizures or visual disturbances) - History should include questions to assess for functionality, hypopituitarism and compressive symptoms. If the history is suggestive of a pituitary adenoma (PA) then questioning should include reference to potential familial pituitary disorders - Clinical examination results – which is predominantly focussed on looking for evidence of hormone hypersecretion, hormone hyposecretion, and compressive signs (visual deficits, cranial nerve deficits) - Details of all treatments offered and efficacy - Prolactin results - Morning (08:00 - 09:00) Cortisol, ACTH results - TSH, T4 results - LH and FSH - If male - morning testosterone and SHBG - If female - oestradiol - IGF1 - MRI pituitary scan reports (if performed previously) 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