Being diagnosed with type 1 diabetes in hospital

Most of the young people we talked to spent some time in hospital while the diagnosis was being confirmed and their blood glucose levels stabilised. The length of time spent in hospital varied from a few days to a couple of weeks.

She describes being in hospital, her high blood glucose levels and what it was like to be given…

Age at interview 18

Gender Female

Age at diagnosis 18

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Many young people attended an A&E department as soon as their diabetes was diagnosed and were admitted to either a children’s or an adult ward. Most of the young people we talked to said that their hospital stay was fine, that everybody had been really helpful and supportive and explained things to them clearly. Young people think that easy-to-understand explanations are really important at this stage. They remembered having to have lots of blood tests to find out their blood glucose levels before being given any insulin.

Robert arrived at A&E and had to wait two days for confirmation of his diagnosis. He was very impressed with the care he received while in hospital

Age at interview 21

Gender Male

Age at diagnosis 20

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He says that being given good information in hospital was very important because it helped him…

Age at interview 20

Gender Male

Age at diagnosis 10

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Everything was explained really well to him in hospital and though nobody expected him to do his…

Age at interview 17

Gender Male

Age at diagnosis 11

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She felt she couldn’t absorb all the information she was given by staff on the children’s ward…

Age at interview 21

Gender Female

Age at diagnosis 15

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Being put on an adult diabetes ward

Sometimes, diabetes can lead to complications, and some young people were upset by seeing people with complications of diabetes having to have surgical treatment: one 18-year-old woman recently diagnosed told us she would have preferred to be treated on a young people’s ward.

Remembers how upset she was on the adult ward when she realised that an older patient had had her…

Age at interview 18

Gender Female

Age at diagnosis 18

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Communication with doctors and nurses

Most young people thought that the nurses were great and that they did their best to make staying in hospital a positive experience. Some remember that hospital nurses started the teaching process of managing diabetes such as showing them how to do injections and finger pricking. Many praised nurses for their support, friendliness and patience, but a few said they had found it difficult to get nurses to communicate with them and didn’t like having to ask questions to find things out. Several people felt that nurses on different shifts didn’t always communicate that well with each other. Some found doctors gave good support and explained things well, but others didn’t appreciate being ignored or overlooked while doctors talked to their parents. (See also ‘What makes a good consultation with the care team’.)

She praises the nurses but found that doctors talked to her parents rather than her and felt that…

Age at interview 22

Gender Female

Age at diagnosis 9

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She found that nurses working on different shifts didn’t communicate with each other very well.

Age at interview 18

Gender Female

Age at diagnosis 18

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Specialist diabetes nurses

Lots of people told us that they were introduced to their diabetes specialist nurse in hospital and started the process of learning to manage diabetes with them. They described how one specific specialist nurse stayed with them and continued to visit them at home. Specialist nurses showed them and/or their parents how to do insulin injections and helped build up their confidence. Those old enough to remember say that they first practiced on an orange and some were allowed to inject a nurse, a doctor or one of their parents.

Learning to cope with needles

In hospital they were also taught about doing blood glucose tests (finger-pricking). A few ‘hated’ needles and hated the thought of having to inject or do glucose tests everyday for the rest of their lives. Many found the thought of injecting a bit scary. Others say that they just accepted the fact that they would have to inject and do ‘finger-pricking’. Some were amazed and relieved to find out how quickly their symptoms disappeared after they started injecting insulin. (See also ‘Insulin: doing injections everyday’.)

She describes how much better she felt after being put on insulin but how she dreaded having to…

Age at interview 19

Gender Female

Age at diagnosis 17

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He thought the injections were going to be a lot worse than they actually turned out to be.

Age at interview 19

Gender Male

Age at diagnosis 14

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Young people told us that they left hospital with ‘a bag full of medicines’ and a ‘mountain’ of advice and information about diet, insulin, glucose meters, what do to in case of hypos and highs. (See also ‘What makes a good consultation with the care team’‘Information about diabetes‘ and ‘Children, transition and young adult clinics’.)

Young people said that life with diabetes is a gradual learning experience and that the key is to learn what works and what doesn’t work for you.

Symptoms of type 1 diabetes

Type 1 diabetes tends to start when people are under 25, although it can be diagnosed later in life. With type 1 diabetes (also called...

Information about type 1 diabetes

Above all else, the young people we talked to wanted to know how to manage their diabetes so that they could get on with their...