WHO TO RING:
When you are newly diagnosed and need insulin doses:
Ring either your nurse or diabetes doctor.
When you need a prescription:
Contact your GP
When you are sick:
Your diabetes nurse
Your doctor (GP or specialist)
And follow the advice on the sick day management page
When you have lots of highs or lows:
Contact your diabetes nurse or specialist
In Capital & Coast District Health Board you will be seen in outpatients diabetes clinic approximately every 6-12 months, although when you are newly diagnosed it may be a bit more frequent to start with.
At clinic you will see the doctor, and sometimes a diabetes nurse. Usually clinic starts off with a general chat about how things are going in general, how things are going with your diabetes and any problems are discussed. You should bring your meter and logbook with you so that the meter can be downloaded and the results discussed with you. Any changes to the insulin will be made at this point.
The doctor may examine your injection sites, thyroid gland, abdomen and feet. Any referrals to allied services will also be discussed – dietitian, podiatrist, psychologist.
Finally a prescription will be written for you to take away. The doctor is very happy to discuss any issues. If you need any further prescriptions in between specialist clinic appointments, you need to go to your GP.
When you come to clinic the health care assistant will do a finger prick (you can use your own device) for an HbA1c blood test which indicates your blood glucose average for the last 3 months. Once a year, you will be asked to go to the community laboratory and have some bloods done (to check for related disorders) and a urine test. Every two years you will be referred to the optometrist and have a free photograph taken of your eye to check for any diabetes related eye problems.
Type 1 diabetes and an eating disorder is particularly challenging to live with – as the person and for those around you. Here is a fantastic NZ / Australian website with moving testimonies of people who have lived with this combo and are now flourishing, good resources and links for information, help and support. It’s www.deda.org.nz. Check it out!