Does chronic disease review treat type 1 diabetes?

Type 1 diabetes requires insulin because the body cannot make enough of its own. A chronic disease review may discuss glucose patterns, insulin doses, injections or pump use, food, activity, illness planning and episodes of low or high glucose. The clinician can also check whether screening and support for eyes, feet, kidneys, blood pressure and emotional wellbeing are up to date.

The appointment is a chance to identify barriers, review device data when available and coordinate specialist diabetes care. It does not provide a substitute for your usual glucose checks, insulin plan or urgent sick-day advice.

Bring your insulin names and doses, glucose meter or sensor information, and notes about lows, highs, exercise, illness and missed doses. Mention problems with injection sites, supplies, eating, sleep or remembering treatment. Never stop insulin because you are eating less or feel unwell unless your diabetes team gives you a specific plan.

Ask for a written sick-day plan, advice about treating low glucose and guidance on when to check for ketones if that applies to your treatment. Confirm how prescriptions, equipment and specialist follow-up will be managed.

Seek emergency care for severe difficulty breathing, deep or rapid breathing, repeated vomiting, severe abdominal pain, marked drowsiness, confusion or inability to keep fluids down, especially with high glucose or ketones. Get urgent help for a severe low-glucose episode, seizure or loss of consciousness. Follow your personal diabetes sick-day plan while arranging medical help.

Are my glucose patterns suggesting a change in insulin timing or dose? What should I do during illness? When should I check ketones? Are my eye, foot and kidney checks current? Who should I contact about sensor, pump or prescription problems?