Taming T1D: 3 Simple Routines for Insulin, Meals and Blood Glucose Checks

A Type 1 diabetes (T1D) diagnosis can feel overwhelming, especially when it comes to managing insulin, meals and blood glucose (bg) checks. With simple, consistent routines, you can help your child, no matter their age, feel secure, confident and in control.

Creating a predictable schedule doesn’t just help manage diabetes- it also brings peace of mind for both you and your child. Let’s break it down into easy, manageable steps for each stage of childhood.

1. Making Insulin Injections or Pump Use Part of the Daily Routine

Insulin is life-saving, but the thought of daily injections or pump changes can be intimidating for children (and parents!). The key is to make it predictable and as stress-free as possible.

Toddlers (Ages 1-5): Keep it Quick & Gentle

• Use distraction- Sing a song, let them hold a favourite toy, or use a sticker chart as a reward.

• Stick to a routine- Give insulin at the same times each day (e.g., before meals and bedtime) to help them expect it.

• Offer simple reassurance- Say “This helps your body get energy!” in a happy, confident tone.

Kids (Ages 6-12): Let Them Have Some Control

• Give them choices- Let them pick which finger to poke or where to do their injection

• Use age-appropriate explanations- Compare insulin to a key unlocking energy in their body

• Make it routine, not a big deal- Pair insulin with normal activities: “First, we do insulin, then we eat breakfast!”

Teens (Ages 13+): Encourage Independence

• Teach them to track doses- Use a diabetes app or journal to help them take responsibility.

• Support their learning curve- Let them practice injections or pump changes under your guidance.

• Acknowledge their feelings- They may be frustrated- let them vent while still reinforcing the importance of insulin.

Parent Tip: If your child resists insulin, stay calm and matter-of-fact. The more normal you treat it, the more they will too!

2. Building balanced Meal Routines

Carbohydrates affect blood glucose, so planning meals and snacks with the right balance of carbs, protein and healthy fats help keep levels stable.

Toddlers (Ages 1-5): Keep It Simple & Structured

• Stick to a schedule- Offer meals and snacks at consistent times to prevent blood glucose spikes or dips.

• Serve familiar foods- No need for a special ‘diabetes diet’- just balanced meals with healthy carbs.

• Have backup options- If they refuse food, have a nutritious alternative ready to avoid low blood sugar.

Kids (Ages 6-12): Teach Healthy Choices

• Make carb counting fun- Turn it into a game. “How many carbs do you think are in this apple?”

• Let them help- Have them help pack their lunch or pick a healthy snack.

• Encourage consistency- Meals should include a good mix of protein, fibre and healthy fats to keep blood glucose stable

Teens (Ages 13+): Support Their Independence

• Teach them to estimate carbs- Show them how to read labels and use carb-counting apps

• Help them plan for social events- Talk about strategies for handling parties, dining out and late-night snacks.

• Encourage balance, not restriction-They can still enjoy treats- just with insulin adjustments!

Parent Tip: Keep quick, healthy snacks (like bread sticks, nuts or fruit) on hand for when blood sugar dips.

3. Establishing a Routine for Blood Glucose Checks

Checking blood glucose regularly helps your child stay in their target range and avoid highs and lows. Here’s how to make it part of their day.

Toddlers (Ages 1-5): Keep it Gentle & Predictable

• Make it routine- Check at the same times every day (before meals, bedtime and as needed).

• Use distractions- Let them watch a short video or sing a song during checks

• Reassure them- “We’re just checking how much energy you have!”

Kids (Ages 6-12): Get Them Involved

• Turn it into a habit- Link it with daily tasks: “Brush teeth, check blood glucose, eat breakfast!”

• Let them help- Have them press the meter button or record carbs for a pack lunch with your help.

• Celebrate good habits- Praise their effort, not just their numbers.

Teens (Ages 13+): Encourage Responsibility

• Help them set reminders- Use alarms or phone apps for regular checks.

• Let them take ownership- Ask, “What’s your level?” instead of checking for them.

• Teach them patterns- Help them notice trends so they can adjust meals, insulin or activity accordingly.

Parent Tip: If your child forgets or resists checking, avoid frustration- gently remind them how it helps them feel their best.

Creating a Routine That Works for Your Family

The best routine is the one that fits your child’s needs and your family’s lifestyle. Here are a few final tips:

• Start Small- Introduce one new habit at a time so it feels manageable.

• Be Flexible- Life happens! If a routine gets disrupted, just get back on track.

• Stay Positive- Praise effort, not perfection. Learning to manage diabetes takes time!

• Lean on Your Support System- Connect with other parents, doctors or diabetes groups for advice and encouragement.

Most importantly, you are doing an amazing job!

Diabetes management may feel overwhelming at first, but with time, these routines will become second nature. As your child grows, they’ll gain confidence in handling their own care- because of the solid foundation you’re building today.