Medication Refills

Request medication refills at the time you make your appointment – requests may take 48 hours to complete.

When calling for a refill, include:

• your child’s name
• medication name and dosage
• pharmacy name and phone number
• prescriptions will not be refilled if you have not been seen in our clinic in the last six months

Patient Labs

Before your appointment: If labs were ordered for your child, please have them drawn 48-hours prior to your scheduled visit.

After your appointment: Allow two weeks for lab results. Normal lab results will be sent in writing and posted on MyNemours. Abnormal labs will be discussed by phone or at follow-up appointment with your doctor.

Diabetes Guides & Logs

• Flexible Insulin Log (FIT Glucose Log) (PDF)
• Sick Day Guidelines (PDF)
• Pump Log (PDF)

Diabetes Support & Camp Information

• Florida Diabetes Camp
• Southeastern Diabetes Education Services
• Mother of Children with Diabetes (MOD)

Your Child’s “Every Day” Checklist

Because an emergency can happen anywhere, being prepared is important. Depending on your child’s insulin regimen – injections or pump therapy – the following items should be part of your child’s “Every Day Pack” and carried by you and your child at all times:

• medic-alert bracelet (worn by your child always)
• glucagon emergency kit
• blood sugar meter and vial of test strips
• insulin pen or vial of insulin
• syringes and extra batteries and pump supplies (if using vials or insulin pump)
• alcohol wipes
• ketostix or blood ketone strips and meter
• emergency glucose sources: glucose tablets or gel, small juice box, bottled water, small box of raisins, or Lifesavers 
• portable snack – cheese crackers or granola bar
• current list of all insulin: carbohydrate ratios, correction factor
• extra batteries for your meter
• emergency phone numbers
• CalorieKing book
• calculator

Once your child has been evaluated by our pediatric endocrinologists and diagnosed with diabetes, you and your child will meet with members of our diabetes care specialists to develop the right diabetes care treatment plan for your child. These sessions will continue for as long as needed to help you and your child build the confidence to manage the disease.

Some of the educational topics we’ll discuss with you and your child will include:

• being prepared
• making some adjustments mainly with food choices
• proper care
• checking blood sugar levels throughout the day
• insulin therapy
• healthy snacking and meals
• talking to your friends, family, caregivers, and others about diabetes

Soon, you and your child will feel comfortable with incorporating diabetes care – learning what’s normal for their blood sugar levels, and most importantly, learning that living with diabetes is manageable.

At Nemours, our diabetes care for your child is ongoing. In addition to your child’s initial diabetes education and follow-up appointments, we offer:

• in-office hemoglobin A1c testing
• access to 24-hour, on-call support for diabetes emergencies
• convenient blood sugar reporting by fax or phone
• inpatient and outpatient diagnostic and therapeutic services
• information about the latest technologies and treatments
• individualized diabetes education from American Diabetes Association-accredited programs
• nutrition and weight management counseling
• links to support groups for children with diabetes and their families
• access to other Nemours specialists, if needed to care for your child’s condition

Requires a referral from your child's endocrinologist.

• New Onset Diabetes: designed for recently diabetes patients, and includes information on hypoglycemia, sick-day management, flexible insulin therapy
• Pattern Management: review blood glucose targets, Hemoglobin A1c goals by age in order to achieve long-term good health, and to review blood sugar trends so that insulin therapy can be adjusted to achieve more normal levels
• Carbohydrate Counting for Type 1 Diabetes: basic carbohydrate counting, including identifying carbohydrates, assessing labels, and measuring portions
• Carbohydrate Counting for Type 2 Diabetes: carbohydrate counting and portion control, healthy eating, and the importance of weight loss and exercise in managing Type 2 diabetes
• Pump Orientation: insulin pump therapy candidates have the opportunity to review different pumps, the infusion set, and learn about what is required of those on insulin pump therapy
• Advance Pump: required class for patients on insulin pump therapy which includes instruction on how to use basal therapy – insulin administered constantly to keep blood glucose from fluctuating, and bolus therapy – insulin that mimics the secretions of the pancreas in response to increases in blood glucose

Our pediatric diabetes program is an accredited Center of Excellence by the American Diabetes Association. This means our pediatric diabetes educators are providing high-quality information and care to children with diabetes and support to their families.

Some of the latest treatment therapies we offer to children with diabetes include:

Insulin Pump Therapy

A microcomputer designed to provide a constant supply of insulin, mimicking the job of the pancreas. It’s convenient, flexible, and accurate, and requires extensive training for your child with diabetes to learn how to use it properly and prevent complications. Both you and your child will be required to attend educational classes before being considered for insulin pump therapy.

Continuous Glucose Monitoring and I-Pro

Similar in size to a pager, these devices require a small, sensor to be inserted into the skin which measures blood sugars nearly continuously. They provide:

• “real-time” glucose readings
• alarms when blood sugar is approaching dangerously high or low levels
• information about blood glucose trends