Newly diagnosed diabetic

This chapter presents a detailed case scenario of Miley, six-year-old girl, who is in the pre-operational stage of cognitive development in question and answer type format. Taking a child, young person and family-centred approach, it offers a comprehensive and accessible discussion of care planning with continuous reference to core principles and nursing values. Miley is referred to the children's medical ward by her GP with a provisional diagnosis of diabetes mellitus (DM). On admission to the ward Miley's parents appear anxious, distressed and demanding answers to questions. Following further investigations in the children's ward, Miley's diagnosis of diabetes mellitus type 1 (DMT1) is confirmed with an HbA1c (111 mmol/mol) blood test that measures long-term blood glucose (normal non-diabetic HbA1c is 42 mmol/mol). In diabetes 48 mmol/mol is target (Diabetes UK), so treatment and management of disease need to be established.