Question 50
Help with development.
Diabetes does not effect development. Tick the 'no' box.
Question 51
Do they need encouragement or physical help at school or nursery?
Fill this in for the help they need not the help they receive. Tick 'yes'.
Tick, 'eat meals' and 'take medicine or do therapy'.
Explain in the box provided what help they need. Consider: blood glucose monitoring and prompting/physical help to do so; help with injecting; help with delivering bolus doses. As well as physical help, consider help with calculating doses and carbohydrate counting. Also include help to make the right food choices (if applicable). Provide details of assistance in treating hypos.
Question 52
Help and encouragement taking part in hobbies etc.
Tick 'yes' or 'no' as appropriate for your child.
The details here are likely to be very similar as for school.
For more physical hobbies, consider and detail here any changes to insulin doses; additional testing or snacks; setting temporary basal rates on a pump; disconnecting a pump for relevant activities.
Again this is help they need even if they do not get this help.
Question 53
Night-time help.
Tick ‘yes’ if your child needs help.
Fill in the 'have treatment' box; you may also need to tick 'settle'. Also tick the box 'are unaware of danger……..' When completing this think about testing, hypo treatment, correction doses and visual checks.
Elaborate on this in the box provided. Include the difficulty in getting a sleepy child to treat a hypo/inject or deliver correction bolus. Include details of what you are observing if doing visual checks. Provide details of any further blood glucose checks to ensure treatment has worked. Also consider whether it is hard to settle your child after providing help during the night. If your child bed wets due to high levels, give details of this here also and remember ketone checking.