Reference no: EM133620850

A 6-year-old boy was diagnosed with type 1 diabetes last year and presents for his first follow-up. His single mother had to cancel his last two appointments. He lives with his mother and three siblings. His mother works full-time; he and his siblings are cared for by his aunt, with three of her own young children. His mother is tired and has forgotten to bring his blood sugar recordings. She thinks they sometimes range high, but she is not sure how to adjust his insulin dose, and this usually happens while she is at work. He has remained on the same dose of insulin since his hospital discharge. She says her sister sometimes forgets to check his blood sugar because two of her own children have special needs that take up much of her time. She says his appetite seems normal.