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March 5, 2013

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Question from Chanhassen, Minnesota, USA:

My son has his three month check-up after diagnosis. What are some questions that I should be asking at this point? I want to be an informed patient and his advocate.

Answer:

From: DTeam Staff

The first few months of diabetes can be a “big blur” for many people. Before your appointment, sit down and write out the questions that you and your family have, and what your needs are.

At this appointment, the clinician will assess how your child is growing (careful attention to weight and height) as well as how you are coping as a family with diabetes and the new routine in your life and school. He or she will assess your child’s insulin requirements and blood glucose results, how often low glucose happens. (Hopefully you have been in contact to do some of this already). Blood work may be done, such as measuring the A1c, which will be a good way for you to assess your child’s overall glucose range during the past few months.

It is a good opportunity to meet with dietitian and nurse educator and continue to learn about diabetes care and what to expect. For example, during the first months to year or so of diabetes, your child’s insulin needs may change due to the “honeymoon period.” Continuing to learn about how to adjust diabetes care for exercise, illness and food, etc. will help you and your family smoothly integrate diabetes care into your routine.,

Ask about resources in your area such as support groups and summer camps and also take advantage of the wonderful on-line communities that now exist.

LM