Diabetes and Endocrinology

St Vincent’s Specialist Endocrinology and Diabetes Clinics are multidisciplinary. Care is delivered by diabetes educators, dietitians and podiatrists. We also deliver a retinal screening program. Current patients of St Vincent’s Diabetes Clinic receive diabetes education where necessary as part of their usual care.

Patients with diabetes must have an HbA1c result, electrolytes and fasting lipid profile available at the time of referral.

Established diabetes patients must have an HbA1C result.

The Diabetes Clinic only sees patients that have diabetes with a complication or that require complex management.

Our Team

Prof Richard MacIsaac
Director, Endocrinology / Diabetes
Tel: 9231 3568

A/Prof Glenn Ward
Deputy Director / Head of Clinic
Tel: 9231 3568

Dr Carmela Caputo
Endocrinologist
Tel: 9231 3568

A/Prof Alicia Jenkins
Endocrinologist
Tel: 9231 3568

Dr Caroline Jung
Endocrinologist
Tel: 9231 3568

Dr Bala Krishnamurthy
Endocrinologist
Tel: 9231 3568

Dr Sybil McAuley
Endocrinologist
Tel: 9231 3568

Dr Kylie McLachlan
Endocrinologist
Tel: 9231 3568

Dr Caroline Meyer
Endocrinologist
Tel: 9231 3568

A/Prof David O’Neal
Endocrinologist
Tel: 9231 3568

Dr Nirupa Sachithanandan
Endocrinologist
Tel: 9231 3568

Dr Geetha Theverkalam
Endocrinologist
Tel: 9231 3568

Dr Howard Zeimer
Endocrinologist
Tel: 9231 3568

Mr Stephen Farrell
Endocrine Surgeon
Tel: 9231 3976

Miss Christina Foley
Thyroid Surgeon
Tel: 9417 4666

Miss Jane Harding
Endocrine Surgeon
Tel: 8415 1655

Mr Jason Tan
Thyroid Surgeon
Tel: 9418 8162

Diabetes Education Services

Diabetes Educators provide diabetes self-management education, and support for people with diabetes. Specific services include:

Ambulatory insulin dose adjustment clinic (internal referrals only )
Continuous glucose monitoring service
Insulin pump service
General diabetes self –management education

Eligibility:

All patients with Type 1diabetes including new diagnosis, diabetic ketoacidosis or concerns with ability to self-manage
Type 2 diabetes with following criteria:
- Newly commenced on insulin
- Change to current insulin regimen
- Commenced on new oral medications
- Assessing competence and safety with self-management
- Ongoing hypoglycaemia

How to refer:

Internal referrals only

For enquiries please call the Diabetes Education Service during office hours 8.00am- 4.30pm, Monday-Friday, excluding public holidays, on (03) 9231 3675

Diabetes Educators

Mrs Katheleen Steele Grad Cert (Diab Ed & Mgmt) RN, CDE

Nurse Unit Manager | Credentialled Diabetes Educator | Diabetes Service | St Vincent’s Hospital Melbourne

Ms Charlotte Hurburgh RN, CDE GradCert (DiabEd&Mgmt), RN, CDE

Associate Nurse Unit Manager I Clinical Nurse Consultant | Credentialled Diabetes Educator | Diabetes Service | St Vincent’s Hospital Melbourne

Ms Margaret Loh GradCert (DiabEd&Mgmt), RN, CDE

Nurse Practioner I Credentialled Diabetes Educator | Diabetes Service | St Vincent’s Hospital Melbourne

Ms Lisa Iulianetti GradCert (DiabEd&Mgmt), RN, CDE

Clinical Nurse Consultant | Credentialled Diabetes Educator | Diabetes Service | St Vincent’s Hospital Melbourne

Ms Elizabeth Mulrooney GradCert (DiabEd&Mgmt), RN, CDE

Clinical Nurse Consultant| Credentialled Diabetes Educator | Diabetes Service | St Vincent’s Hospital Melbourne

Ms Rebecca Havranek GradCert (DiabEd&Mgmt), RN, CDE

Clinical Nurse Consultant| Credentialled Diabetes Educator | Diabetes Service | St Vincent’s Hospital Melbourne

Mr Christopher Uren GradCert (DiabEd&Mgmt), RN, CDE

Clinical Nurse Consultant| Credentialled Diabetes Educator | Diabetes Service | St Vincent’s Hospital Melbourne

Referral Information

Referral Forms and Guidelines

Referral Templates and Pre-Referral Guidelines.

Refer to the Specialist Clinics area

Statewide Referral Criteria for Specialist Clinics

To improve access and appropriateness of Endocrinology referrals to public hospitals, the Department of Health and Human Services (DHHS) has developed statewide referral criteria. These can be viewed at https://src.health.vic.gov.au/specialities

__________________________________________________

Endocrine Testing Area External Referral Guide

Endocrine Testing Area Nurse: Maresa

Availability: 4 days per week. Alternate Monday - Thursday / Tuesday - Friday

Time: 8am - 4.30pm

Phone Number: 03 9231 3595

Email personal: maresa.derbyshire@svha.org.au

Fax Number: 9231 3677 - (This is NOT the fax number for Endocrine or Diabetes clinic referrals, please see below)

Email (Referrals): SVHM.ETA-referrals@svha.org.au (This is NOT the email for Endocrine or Diabetes clinic referrals - please see below)

*Note all external referrals, from non St Vincent’s staff, will be discussed with a St Vincent's Endocrinologist prior to testing*

Referral Requirements:

All External Referrals must include the following information

*Referring Specialists name/ Provider Number
*Specialist Location (Hospital/Private)
*Specialist Contact email/ phone number

Patient Name
Patient contact phone number/email
Patient UR St Vincent’s (If available)
Patient Main Language (If not English)
Patient Test required (Please see list)
Patient Current Medications – relevant to the test
Patient Medical History
Imaging specific to the test requested

Tests Available: (* = script required)

*Aclasta Infusion (5mg/100ml)	Short Synacthen Test (SST)
Autogel Injection (Lanreotide) (60mg, 90mg, 120mg)	TRH Test
CRH Test	*Vitamin D Injection IM – (300,000iu OR 600,000iu)
Glucagon Test	Water Deprivation Test
Growth Hormone Sampling	Metyrapone Test
IV Dexamethasone Suppression Test (4mg Dexamethasone)	Mixed Meal Test
OGTT for Growth Hormone	Sandostatin LAR – (10mg, 20mg, 30mg)
Prolactin Sampling (15 or 30min)	*Forteo Enrollment
Other- please specify if your test is not on the current list

In-depth Tests:

The following tests are more in-depth tests. They require an attached referral letter, including pathology results, and confirmation their medical imaging (CT/MRI) has been complete.

Images can be T/F to St Vincent’s Public Hospital using the “MIX system – (Medical Imaging Exchange System)

Test	Medical Image required
Insulin Tolerance Test (ITT)	Nil image required
Saline Suppression Test	Nil image Please be aware specific medication need to be cease prior to this test. Please contact Endo Nurse for list if unsure
Adrenal Vein Sampling (AVS)	CT- Thin Slice Adrenals- Portal Vein (Contrast) 1mm thick Please be aware specific medication need to be cease prior to this test. Please contact Endo Nurse for list if unsure
Bilateral Inferior Petrosal Sinus Sampling (BIPSS)	MRI Pituitary - Contrast MRV
Parathyroid Venous Sampling	CT Thin Slice Neck and Chest- Venous Phase (Contrast)- 1mm thick
Ca+ Stimulation for Insulinoma Localization	CT this slice Abdo- Arterial Phase- 1mm thick
Ovarian/Adrenal Vein Sampling	CT- Thin Slice Abdo/Pelvis- Portal Vein (Contrast) 1mm thick

Clinics and Times

DAY	CLINIC	TIME		LOCATION
MONDAY	ETA Procedures	AM	2nd Monday/month	4^th floor Daly, D44
MONDAY	ETA DSA Review	PM
TUESDAY	Pituitary Review	AM	Fortnightly	Red Clinic, Daly
	PO Regional Medical Endo	PM	Weekly	6^th floor Daly
	YADS & Diabetes Tech	PM	1^st & 3^rd/month	Red Clinic, Daly
WEDNESDAY	MBS Diabetes	AM	Weekly	Red Clinic, Daly
	PO Thyroid surgery	PM	Weekly	6^th floor Daly
	PO Medical Endocrine	PM	Weekly	6^th floor Daly
	Rapid Access		As needed	4^th floor Daly, DE office
	High Risk Foot		As needed	Bolte Wing
THURSDAY	PO Islet Transplant	AM	Weekly	Blue Clinic, Daly
	MBS Type 1 Diabetes	PM	1^st & 3^rd /month	Blue Clinic, Daly
	MBS Annual Review	PM	2^nd & 4^th /month	Blue Clinic, Daly
	MBS Annual Review	AM	2^nd Thursday/month	6^th floor Daly
	PO Weight Management	AM	¾ /month	6^th floor Daly
	High Risk Foot	PM	2^nd Thursday	Blue Clinic, Daly
	MBS Endocrine Cancer	PM	Weekly	Blue Clinic, Daly
FRIDAY	PO Diabetes	AM	Fortnightly	6^th floor Daly
FRIDAY	PO Metabolic Bone	AM	Weekly	6^th floor Daly

Resources

Visit the Optometrists Association of Australia or Australian Podiatry Association websites to locate your nearest optometrist or podiatrist.

Useful links

Consumer Organisations (Non-Government Organisations)

Diabetes Australia: www.diabetesaustralia.com.au

Diabetes Victoria: www.diabetesvic.org.au

Diabetes Shop: www.diabetesshop.com

National Diabetes Services Scheme (NDSS): www.ndss.com.au

Juvenile Diabetes Research Foundation (JDRF): https://www.jdrf.org.au/home

Mental Health Support

‘This Way Up’ https://thiswayup.org.au/

Black dog Institute: https://www.blackdoginstitute.org.au/

SANE: https://www.sane.org/

Beyondblue: https://www.beyondblue.org.au/home

The Australian Centre for Behavioural Research in Diabetes: https://acbrd.org.au/

Health Professional Organisations

National Association of Diabetes Centres (NADC): http://nadc.net.au/

Australian Diabetes Educators Association (ADEA): https://www.adea.com.au/

Australian Diabetes Society (ADS): https://diabetessociety.com.au/

Dietitians Association of Australia (DAA): https://daa.asn.au/

Australian Podiatry Association (APA): https://www.podiatry.asn.au/

Exercise and Sports Science Australia (ESSA): https://www.essa.org.au/

The Society of Hospital Pharmacists of Ausralia: https://www.shpa.org.au/

The Pharmaceutical Society of Australia https://www.psa.org.au/

Australian Psychology Society (APS): https://www.psychology.org.au/

Contact Us

Patient Enquiries

Tel: (03) 9231 3475

GP Enquiries

Tel: (03) 9231 2898
Monday to Thursday: 8:30am to 4:30pm
Friday: 8:30am to 4:00pm, or please leave a message.
Fax referrals: (03) 9231 3489

CLINIC: Case Coordinator Nurse

Tel: (03) 9231 3431

Referral Officer

Tel: (03) 9231 3419

For advice from the Diabetes Educator:

Tel: (03) 9231 3675

HealthPathways Melbourne is an online portal designed to be used by general practice at the point of care to guide best practice assessment, management and referral of common clinical conditions.

Please Note:
This is a public outpatient service. All patients need to be referred to us by a GP. Please see your GP if you believe you would benefit from a referral to this clinic. Many doctors have private consulting suites as well as working in the public hospital system. This is entirely separate from St Vincent’s and our staff do not have any information about the private consulting practices of doctors.