Trigger points for a GP referral to a chiropractor

• When a patient presents with type 2 diabetes or may be at risk of developing it
• When a patient needs advice and/or treatment for assistance with mobility, balance or pain management
• Present history of joint receptors inhibition/fixation and/or degeneration requiring modulation
• Spinal pain, injury, dysfunction, degeneration, coordination/balance
• Poor spinal mechanics; poor posture, spinal motion restriction
• Musculoskeletal effects of diabetes, including muscle cramps, complex regional pain syndrome, calcific tendonitis, diabetic stiff hand syndrome, neuropathic arthropathy, carpal tunnel syndrome, frozen shoulder, tenosynovitis and Dupuytrens' contracture
• Need for management of balance and mobilityu to assist in capacity to exercise

Trigger points for a chiropractor referral to a GP

• Weight change for possible modification of insulin
• Development of clinical depression associated with chronic illness
• Signs and symptoms of poor management of blood glucose levels
• Signs and symptoms of progression and worsening of diabetes such as neurological, vascular and ocular symptoms, poor wound healing 
• Intermittent reassessment of overall case picture such as blood pressure, blood testing, vision testing etc.