• Cross site guidance

• Multidisciplinary management of paediatric patients newly diagnosed with type 1 diabetes

This is a controlled document. If you are using a printed copy, check it against the version on the intranet to ensure you are using the latest edition.

Abbreviations

• Newly diagnosed bloods to be taken by medical team

• Ward nursing staff to collect a newly diagnosed bag from the diabetes office

• Ward nursing staff to set up the ‘My Life’ app and start using Accu-Chek Instant blood glucose meter

• Type 1 diabetes pack to be given both electronically and as a hard copy

• PDSN to begin education with child/adolescent and both parents

• Dietitian to start education as per their individual protocol

• Administrator to link the ‘My Life’ app with Glooko via the cloud

• Blood glucose diary to be given and explain how to input data and highlight highs and lows

• School visit to be arranged

• OPA within first 2 weeks to be arranged

• Home visit by PDSN to be arranged within the first 2 weeks

• GP letter to be sent informing of diagnosis, advising of medication/supplies required to be added to repeat prescription

• Diabetologist to review child/adolescent

• Daily discussion with the child’s/adolescents designated ward staff nurse

• Administrator to send to team informing of child/adolescent diagnosis

• Obtain contact details for entire family

• Research information leaflet to be given

• PDSN home visit to review BG diary, continue education, ensure they have all necessary contact details and check all the medication and supplies from GP

• Provide School education, diabetes pack and diabetes school care plan

• Dietitian to carry out home visit to continue education

• Daily Inpatient review by diabetes team and then email/phone contact daily

• Telephone or e-mail contact from PDSN

• OPA with Consultant:

  • Child/adolescent to bring type 1 diabetes pack to clinic

  • PDSN to take them through the clinic process

  • HbA1c to be taken

  • Newly diagnosed 1^st clinic appointment proforma to be completed

  • Meet research nurse

  • Dietetic review

  • Consultant to review blood results and take action as necessary

  • Download to be reviewed by family and consultant, acknowledging average BG and recapping ‘Top Ten Tips’

  • Meet Psychologist

  • Family tree to be completed

• Child/adolescent/parent/school to review data weekly for first month and 2 weekly there after informing the diabetes team of any problems

• Telephone/E-mail contact with PDSN weekly for first month and then 2 weekly thereafter to:

  • discuss data and offer support and advice (family to advise where they feel changes need to be made before PDSN offers their advice)

• If average BG 8.5mmol/L or above on download:

• inform entire team,

• PDSN and Dietitian to review education in all areas,

• Psychologist to be informed,

• revert back to weekly contacts

• consider school support

• 6 weekly clinic appointment

• Clinic appointment 2 months after 1^st appointment and then 3 monthly thereafter