About Diabetes

  • 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.

    Federal Government Subsidy For Continuous Glucose Monitoring 

    On April 1 2017 the Federal Government announced that continuous glucose monitoring (CGM) would be fully subsidised for many children and young adults up to 21 years of age (Press Release). There is specific criteria for the subsidy to apply (Criteria), however we anticipate that many of our patients will be eligible. 

    The RCH has received a lot of interest in CGM from our families. In order to accommodate requests for CGM we have been able to employ an extra nurse to assist with the CGM starts.  

    • All CGM starts will be done in order of initial expression of interest or request.
    • CGM starts will happen through a day admission via the Day Medical Unit.
    • Most children will share their CGM start with another child. Children are matched to CGM device, insulin system and age (where possible).
    • Prior to an admission date for CGM RCH sends the NDSS form to Canberra for processing. The time between faxing the NDSS for an approval can be up to 10 days.
    • NDSS then alerts the family and treating team to the approval. The device will then be sent by the supplier to the RCH. This can take up to 2 weeks from the time of approval.
    • When the device has arrived RCH contacts the relevant family regarding a suitable time for the CGM start here at RCH. We cannot advise a time until the device has already arrived because we have already had to delay some planned admissions as the device has not arrived in time.

    We know this is a slow process and we understand your desire to have a clearer time frame for your child’s CGM start.  If you are unsure about what CGM is or does, please review the information here, and look at the Webinars regarding CGM here.

    If you would like to apply for a CGM and have a NDSS eligibility form, please email us at diabetes@rch.org.au

    Important Notification To All Novo Nordisk NovoPen® Echo® Users

    Echo pen

    Please read the attached document from Novo Nordisk as part of a product recall here