| Category A Local Expertise | Category B Consider discussion with Maternal Medicine Centre (MMC) | Category C Care led by Maternal Medicine Centre |
|---|---|---|
| Gestational diabetes mellitus | Diabetes mellitus with: •Cardiovascular disease (see Heart •CGM/CSIl/Closed loop if support not available at local centre | Diabetic nephropathy: CKD 4/5 OR rapid |
| Type I and Il diabetes mellitus including diabetic retinopathy | Monogenic diabetes | |
| Hypothyroidism | Thyroid hormone resistance | Large goitre with obstructive symptoms |
| Hyperthyroidism and gestational hyperthyroidism | Active thyrotoxicosis | Active thyrotoxicosis not responding adequately to antithyroid medication |
| Thyroid nodules | Previously treated thyroid cancer | Current thyroid malignancy |
| Pituitary disease or previous pituitary surgery on hormone replacement therapy | Acromegaly | |
| Microprolactinoma | Macroprolactinoma | Pituitary lesion with visual loss on perimetry |
| New hypopituitarism | ||
| Pituitary apoplexy | ||
| Diabetes insipidus | ||
| Nelson's syndrome | ||
| Vitamin D deficiency | Hypercalcaemia (corrected Ca > 2.8 mmol/L) | Primary hyperparathyroidism |
| Hypoparathyroidism | ||
| Addison's disease | Primary or secondary hyper-aldosteronism | |
| Congenital adrenal hyperplasia | Current or previous phaeochromocytoma or paraganglioma |
|
| Active Cushing's disease or syndrome | ||
| Inherited dyslipidaemia without complications | Inherited dyslipidaemia with previous pancreatitis or ischaemic heart disease |
|
| New hypertriglyceridaemia (TG >10mmol/L) |
||
| Bartter's /Gitelman's syndrome | ||
| Dumping syndrome post bariatric surgery |
