Question 24
When the child needs help.
Tick varies, as it will do at times of illness, activity etc.
In the ‘tell us’ box provide as much detail as possible, further detail can be given on a separate sheet of paper or in question 63 if need be. Include information about treating highs/lows, how treatment changes when ill or before or after exercise. Include pump set changes and any problems which may occur with a pump such as bubbles/kinks in the tubing. This should also detail any additional testing which may be required at these times. Remember to include checking for ketones when levels are high or your child is unwell.
Questions 25–31
These questions relate to mobility problems. This is not usually relevant to a child with diabetes, but if relevant to your child, complete as appropriate.
Question 32
Do they need guidance or supervision most of the time when outdoors?
If your child has hypos, tick ‘yes’. Tick all boxes that apply to your child when hypo.
Question 33
Do they fall due to their disability?
If your child falls due to their diabetes, (when hypo for example), then tick ‘yes’ and provide details as asked in the question. If not, tick ‘no’.
Question 34
This is space to elaborate on mobility needs or supervision your child requires outdoors. Use this to explain the help needed when your child is hypo and the dangers of not treating this.
Questions 35 & 36
Fill in as relevant to your child, if they have mobility needs.
Question 37
Help to settle or get in/get out of bed.
Tick ‘yes’ if applicable to your child.
This refers to times when the rest of the household is awake. So getting up in the morning or going to bed at night. Not all children with diabetes will need this help. You may wish to consider things such as getting up in the morning following a night time hypo and the effects this has on your child, if any. You can elaborate in the box given, providing information relating to bed time routines, such as blood glucose monitoring and snacking/injecting as needed.
Question 38
Help going to the toilet during the day.
This usually does not apply to children with diabetes, tick the ‘no’ box.