Most uncomplicated Type 2 diabetes can be managed appropriately at the GP or polyclinic level. A specialist review may be considered in the following clinical situations:
- Your HbA1c remains above your agreed target after standard oral medications have been tried at appropriate doses.
- You experience frequent or severe hypoglycaemia, especially overnight or unrecognised episodes.
- You are planning a pregnancy, are pregnant, or have been told you have gestational diabetes.
- You have been diagnosed with Type 1 diabetes, or your diabetes subtype is unclear.
- You are starting or already on insulin therapy and would like to optimise your regimen.
- You are interested in insulin pump therapy or continuous glucose monitoring.
- You have developed a complication of diabetes affecting your kidneys, eyes, nerves, feet or cardiovascular system.
- You have prediabetes alongside other features of insulin resistance such as fatty liver, polycystic ovary syndrome, or significant central weight gain.
- You have diabetes following pancreatic surgery, chronic pancreatitis, or another pancreatic condition (Type 3c).
In Singapore you do not require a GP referral to consult an endocrinologist privately. You may contact the clinic directly. If you have insurance, your insurer may have specific referral requirements, which our staff can assist you in clarifying.
