Diabetes at RCH

  • Welcome to the diabetes website of the Royal Children's Hospital, Melbourne. This site is an internet resource provided by the Department of Endocrinology and Diabetes. 

    Being diagnosed with diabetes is something that can affect the whole family and there are many uncertainties and fears that can emerge with this. Here at RCH, we have a large team of professionals that are here to help you. We care for infants, children and adolescents with all types of diabetes including

    • Type 1 diabetes
    • Type 2 diabetes
    • Cystic-Fibrosis related diabetes
    • Steroid induced diabetes
    • Rare genetic forms of diabetes

    Our team is dedicated to helping you and your family manage your diabetes effectively so that you can lead a fulfilling and healthy life. For the patients and families of the Royal Children's Hospital,  this website provides guidelines for managing your diabetes at home. The purpose of these resources is to help you be independent with everyday management of diabetes such as dose adjustment, managing sick days and pump management.

    If your child has type 1 diabetes and is unwell please see sick days

    If you need advice on adjusting your child's insulin doses please see dose adjustment

    If you require a school management plan for your child please click here 

    If you would like any further information, please call our diabetes office on 9345 6661 between 8.00am and 4.30pm, Monday-Friday.

    Newly diagnosed type 1 diabetes

    All young people with type 1 diabetes require injected insulin. Having type 1 diabetes means you or your child cannot make enough insulin. Insulin doses are determined by blood glucose testing.

    As a patient of the RCH, you will meet with a diabetes dietitian, a diabetes social worker and a diabetes nurse educator who will teach you how to care for you or your child’s diabetes. It is very important that the adults who live and care for your child on a daily basis are available for these education sessions. 

    If you have been admitted outside usual business hours (after 4pm Monday to Friday or the weekend) the diabetes educator will come and see you as soon as possible the next working day. In the meantime the ward nurses will support you with your child’s diabetes care.

    At diagnosis you will have specific diabetes self-care skills to learn:

    • How to give insulin
    • How to do a blood glucose test with a lancing device/finger pricker
    • How to keep a blood glucose record book
    • What to do for a low blood glucose reading (hypoglycaemia)
    • What are ketones? When and why we test of ketones?
    • Diabetes and healthy eating

    Once home you will be in contact with a diabetes nurse educator for BGL reviews and adjustment of insulin. Your calls will reduce in frequency as you gain confidence in day to day diabetes management and you begin to alter the insulin based on the record book yourself. We will support you in this process.

    You may return for further outpatient appointments with the Diabetes Allied Health team in the days/weeks to follow to complete initial education. Your first doctor’s appointment should be booked about 1-2 months after diagnosis; you will also see a diabetes nurse and dietitian. Thereafter an appointment will occur every 3-4 months until your child transitions to an adult diabetes service.

    If you would like any further information, please call our diabetes office on 9345 6661 between 8.00am and 4.30pm Monday-Friday.

    Upcoming Events 

    Please join us for the first ever diabetes webinar!

    Diabetes – Insulin Dose Adjustment: A General Review

    Tuesday 15th November at 7.30pm

    In this webinar we will introduce you to the world of webinars, discuss the RCH diabetes service and review the basics of regular insulin dose adjusting. Whether you or your child has had diabetes for days, months or years, this webinar will endeavor to refresh some of the key components of diabetes management and insulin dose adjustments.

    To register please click here. After registering, you will receive a confirmation email containing information about joining the webinar.

    If you have any questions or concerns, please email diabetes@rch.org.au