Screen Reader Mode Icon
Depending on the age of your child, it may be possible for your child to complete this with you. We would encourage you to do this together where appropriate.

Question Title

* 1. Please tick if you are completing this:

Question Title

* 2. What is your child/young person’s age?

Question Title

* 3. Is your child/young person:

Question Title

* 4. What age was your child/young person diagnosed with Type I Diabetes?

Question Title

* 5. How many other children live in your household?

Question Title

* 6. Because my child/young person has diabetes I give a lot more attention to meal content and timings than if my child/young person did not have diabetes

Question Title

* 7. Mealtimes are stressful due to diabetes factors

Question Title

* 8. My child/young person’s portions vary depending on their appetite

Question Title

* 9. I have been advised to completely avoid giving my child/young person certain foods/drinks because of their diabetes. If so, please say which foods/drinks and who advised

Question Title

* 10. I have been told exactly how much carbohydrates my child/young person should have

Question Title

* 11. I think about how many carbohydrates my child/young person is eating more than his/her appetite

Question Title

* 12. I tell my child/young person that they can’t have certain foods/drinks because of their diabetes. Please say which foods/drinks

Question Title

* 13. Since diagnosis, it is more difficult for my child/young person to eat spontaneously (what they like, when they like)

Question Title

* 14. My child/young person eats to keep their blood sugar levels up, even when they are not hungry

Question Title

* 15. My child/young person avoids certain foods because they make his/her blood sugar levels spike. If so, please say which foods

Question Title

* 16. As a family we find carbohydrate counting easy

Question Title

* 17. I use convenience foods in preference to home-made foods as this makes carbohydrate counting easier

Question Title

* 18. My child/young person sometimes takes food without my knowing to avoid taking insulin

Question Title

* 19. I am constantly thinking about my child/young person’s next meal/snack

Question Title

* 20. I make sure my child/young person finishes all their food, as I am worried that they could go hypo if they don’t eat it all

Question Title

* 21. I am nervous about offering my child/young person new foods in case they don’t eat them, as this could affect their blood sugars

Question Title

* 22. My child/young person has become fussier about what they will eat since diagnosis

Question Title

* 23. I am confused by dietary messages. If so, please give examples.

Question Title

* 24. I would have liked my child/young person to have school dinners, but chose packed lunch as the carbohydrate counting is easier

Question Title

* 25. My child/young person wants to snack all the time

Question Title

* 26. I sometimes insist that my child/young person eats because of their diabetes

Question Title

* 27. My child/young person avoids carbohydrates or eating to avoid insulin injections

Question Title

* 28. My child/young person avoids taking insulin for other reasons. If so, please say why and how often

Question Title

* 29. There is conflict in the home because siblings can eat differently

Question Title

* 30. As a family we limit our carbohydrate intake. If so, please give more detail.

Question Title

* 31. My family eats more healthily since my child/young person was diagnosed with Type 1 Diabetes

Question Title

* 32. My child/young person craves sweet foods/drinks

Question Title

* 33. My child/young person feels restricted in what and when they can eat/drink

Question Title

* 34. I feel guilty when my child/young person has sweet foods/drinks

Question Title

* 35. My child/young person feels guilty when they have sweet foods/drinks

Question Title

* 36. The Diabetes Team expects perfect blood sugar management

Question Title

* 37. My child/young person is concerned about their weight/body shape

Question Title

* 38. I am concerned about my child/young person’s weight / body shape

Question Title

* 39. My child/young person has to eat more than they want to, because they need to eat all the carbohydrate foods

Question Title

* 40. My child/young person has a very limited diet but this helps manage their blood glucose levels

Question Title

* 41. My child/young person is happy to have their weight/height measured in clinic every 3 months

Question Title

* 42. My child/young person was upset by his/her weight changing a lot around the time of diagnosis

Question Title

* 43. I worry about what my child/young person eats/drinks when they are out of the house

Question Title

* 44. It is easy to involve my child/young person in carbohydrate counting

Question Title

* 45. I am confident in teaching my child/young person how to carbohydrate count

Question Title

* 46. I am confident in carbohydrate counting being managed well when my child/young person eats outside of the house

Question Title

* 47. I feel confident in the way I feed my child/young person

Question Title

* 48. The Diabetes Team expects my child/young person to eat healthily all the time

Question Title

* 49. I feel able to ask the Diabetes Team for support around what my child/young person eats

Question Title

* 50. My child/young person is more concerned about their weight than their diabetes

Question Title

* 51. My family’s relationship with food has changed for the better since diagnosis

Question Title

* 52. Other parents/carers understand what my child/young person can eat if there is a party/sleep over etc

Question Title

* 53. Please write any other comments here about your child/young person/family’s relationship with food whilst living with diabetes

0 of 53 answered
 

T