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Virtual Visits

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Do you have questions about getting ready for your virtual visit appointment? Need a refresher on the steps you should complete before your visit? Check out our comprehensive guide below and feel free to share this page with other patients in your community who may need assistance.

If you have any questions that are not addressed here, please contact our clinic so we can guide you through the process.

Clinic Virtual Visits

To comply with social distancing and public health guidelines, Michigan Medicine has restricted the number of patients that can be present in waiting rooms and be seen in-person in our clinic. Because of these restrictions, we are encouraging interested patients to see us by video visits. We appreciate your patience and cooperation as we all work together through this new process.

To make the transition to telemedicine video visits, follow the 3 steps below. These steps can also be found in our 
Telemedicine Video Visit Initiation Guide, along with detailed information on how to ensure your video visits are covered by your insurance. We have assembled several guides to assist you in signing up for the U-M Patient Portal and uploading your diabetes data to a data platform. Please be sure to read the materials carefully before calling the clinic for assistance to help prevent high call volumes. For more information, check out the U-M Virtual Care FAQ section here.

Patients should click the "Visits" button in the Patient Portal app to see a list of upcoming video appointments.

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1. Signing up for the Patient Portal (MyUofMHealth.org)

If you have not already signed up for the U-M Patient Portal, you will need to set up an account using the instructions in these Patient Portal Sign-Up instructions. The Patient Portal will allow you to check your child's lab results, view and pay bills, and directly message your diabetes care team whenever you need help. If you have any questions regarding the Patient Portal, you can call the help desk at 734-615-0872. 

2. Connecting your diabetes devices to a diabetes data platform

To participate in a virtual visit, you will need to download your blood glucose data from the last 14 days to a diabetes data platform. If you need help determining which diabetes data platform to use, instructions on how to sign up, or information on how to share your data with the U-M Pediatric Diabetes clinic, check out our Patient Data Download guide.

3. Sending a message through the Patient Portal

Once you have signed up for the Patient Portal and downloaded your diabetes data to the data platform that works for you, you'll need to send a Portal Message to your diabetes care team to let them know you're ready for your visit. You can see detailed instructions on how to send a Portal Message on page 15 of the Patient Data Download guide.

4. Download the Zoom application for your smartphone or computer

When it is time for your video visit, you will need to access the visit through the MyUofMHealth mobile app from your smartphone or tablet. You can also access the visit on a computer with a webcam and microphone at: www.myuofmhealth.org​ using Google Chrome or Safari as your browser.

Regardless of the device you plan to use, all video visits will require patients to download Zoom on their device. You will need to complete e-check in and applicable questionnaires before being able to connect to the visit. When you click "Begin Video Visit," the Zoom application will launch.

Please share these instructions with others in the T1D community who may need help getting set up with a virtual visit at our clinic.

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  • What do I need to do to go back to school?
    Going back to school after a new diabetes diagnosis can be stressful. It is important that you are prepared to make the transition as smooth as possible. Be sure you have your supplies and tell the school what to do in case of emergencies, like extremely low blood sugars. Talk to your diabetes care team about developing a Diabetes Medical Management Plan (DMMP) and set up a meeting to create a 504 plan with your school administrators. If you have any questions about your child’s health, do not hesitate to ask us.
  • What is a school plan (DMMP)?
    A Diabetes Medical Management Plan (DMMP) outlines the specific care your child needs at school. Diabetes management is different for everyone. Some students inject insulin with a syringe and vial, some use insulin pens, and some use pumps and CGMs (continuous glucose monitors). Students often have different carb ratios at different times of the day and require different amounts of insulin. Some students manage their diabetes independently, and some younger or newly diagnosed students may need help with all aspects of their diabetes care. Your pediatric endocrinologist's orders will be specific for your child's health and well-being. Drafting a DMMP takes place between you and your care team. This is typically done in the summer months before your child returns to school. Please do not hesitate until school is about to start to bring this issue to our care team, as we typically have higher volumes of forms to complete at this time.
  • What is a 504 Plan? Do I need one?
    A 504 plan is a formal, legal action plan made with your child’s school that outlines the school's responsibilities in managing your child’s diabetes. For a sample 504 plan, click here. ​ It is a good idea for you to come up with a Diabetes Medical Management Plan (DMMP) with the school before each school year. The U-M Pediatric Diabetes care team can help facilitate this conversation if you would like. The 504 plan can help reinforce the commitments made in the DMMP. Remember, the school staff are likely not medical professionals; be patient and remember that you are a team in taking care of your child's health and well-being.
  • What is an IEP? Do I need one?
    If a student with diabetes has special education needs that qualify under the Individuals with Disabilities in Education Act (IDEA), an Individualized Education Plan (IEP) may be needed instead of a 504 plan. An IEP is a document that outlines what the school is going to do to meet the child's individual education needs. To qualify for an IEP, a child must have an impairment that affects his or her academic performance.
  • My child's school won't let my child attend because they do not have a school nurse. What can I do?
    It is not legal for your child to be barred entry to any public or private school that receives federal funding because of a T1D diagnosis. Even if your school does not have a nurse, all schools that receive public funds are required to train a responsible adult to carry out the Diabetes Medical Management Plan (DMMP). They cannot exclude a child from school because of type 1 diabetes or force parents to come to school to handle the diabetes care activities. It is important to remember, the school staff are likely not medical professionals; be patient and remember that you are a team in taking care of your child's health and well-being. ​ If you continue to have trouble with establishing the school's role in your child's care, you may contact us about creating a 504 plan.
  • My child's school wants me to come in and perform blood glucose checks and insulin injections. What can I do?
    You are not required to leave work or disrupt your schedule to perform routine care for your child's diabetes while they are at school. Even if your school does not have a nurse, all schools that receive public funds are required to train a responsible adult to carry out the Diabetes Medical Management Plan (DMMP). They cannot exclude a child from school because of type 1 diabetes or force parents to come to school to handle the diabetes care activities. It is important to remember, the school staff are likely not medical professionals; be patient and remember that you are a team in taking care of your child's health and well-being. ​ If you continue to have trouble with establishing the school's role in your child's care, you may contact us about creating a 504 plan.
  • What supplies should I take to school?
    Your Diabetes School Kit should include: Extra glucose meter Blood glucose test strips Juice boxes, glucose tablets, and/or glucose gel Glucagon Granola bars or other small snack Ketone strips Bottled water (if your child won’t drink school water) ​Your child should always have access to something to treat a low blood sugar. Snacks or glucose tablets should be kept with the student, in case of a fire drill/lock-down/shelter in place, as well as in classroom, in the locker room, and on the school bus. For younger children, ask the teacher to keep juice boxes or glucose tabs in their desk. Be sure any substitute teachers, including substitute bus drivers and office staff, also know about this arrangement. Older children should carry supplies in their backpacks or in their pockets.
  • Where should I keep my glucagon at school?
    It is very important that your glucagon is kept somewhere accessible where others can find it in case of emergency. If you leave your glucagon in your school's office, you need to have a plan in place for someone to retrieve and administer the shot. It is advisable that you leave your glucagon on your person, possibly in a backpack or handbag.
  • What if my child gets low at school?
    Highs and lows will happen at school, at home, and in many areas of your child’s life. Good diabetes management means responding quickly and calmly to correct blood sugar levels until they are back in target range. If your child is low at school, they should have access to a quick carb snack or glucose tablets or gel. Make sure your child’s teacher understands the need to have these supplies on hand and what to look for when your child is acting low. If your child loses consciousness, your child’s teacher or a responsive faculty member should have access to the child’s glucagon kit and be aware of how to give the injection. It is recommended that you review these steps with anyone who will be helping your child with their diabetes as a part of their T1D training.
  • What should I do during a test?
    By establishing a 504 plan with your school, patients are allowed special accommodations during Michigan state tests such as M-STEP/PSAT/SAT/ACT. If you need a snack, you are allowed to have one present during the exam. You may have permission to use a cell phone to monitor CGM values, but you must receive approval for all test accommodations with the test proctor and the school staff ahead of time. For certain tests, a letter from your clinician must be provided to the College Board in order to receive these accommodations. The College Board approval process may take up to 8 weeks, so be sure to plan ahead. A good reminder is to discuss standardized testing dates during the fall at the same time you are reviewing your 504 with the school. Please contact the clinic if you have questions about these issues.
  • How do I tell my friends about my diabetes?
    Talking about T1D with friends, family, and strangers can be difficult. Even if you are successful in managing your diabetes, it can be stressful discussing this personal information with new people in your life. JDRF offers a free PDF on how to talk about T1D with friends, family, coworkers, and in a variety of situations here.
  • Who needs to know about my child’s T1D at school?
    You and the school staff are partners in your child’s education and well-being. Strong and clear communication is crucial to the success of your child’s health. Staff you should consider educating about T1D include: Principal Nurse Guidance counselor Teachers P.E. teacher Latchkey / after-school program supervisors Cafeteria staff Coaches or extracurricular supervisors Bus drivers JDRF offers a free PDF that may help you in facilitating a relationship with your school here.
  • Are there scholarships for my college student with T1D?
    There are several scholarships just for teens with type 1! Click below to learn more about the College Diabetes Network (CDN) and other scholarship opportunities. College Diabetes Network (CDN) Diabetes Scholars Foundation Novo Nordisk Donnelly Awards (for teen tennis players with type 1) Seefred Trust Scholarship (Ohio residents only) ​Please note: These opportunities are typically open January-April. Check the Off to College (Teens) page for other opportunities.
  • How should I prepare for college life with T1D?
    Moving away from home with T1D can be a scary thought, but it is very possible to have a happy and healthy experience at college with T1D. To prepare you for this new chapter in your life, please check out our Off to College (Teens) and Off to College (Parents) pages. Please also feel free to check out College Diabetes Network's "Off to College" booklets on their website and request a physical copy in clinic.

Telemedicina para Pacientes con Diabetes

Debido a la situación actual del COVID-19 (Coronavirus), con el fin de continuar el tratamiento de nuestros pacientes, la Clínica de Diabetes Pediátrica de U-M está haciendo los esfuerzos necesarios para transferir todos los pacientes elegibles a visitas por medio de vídeo (telemedicina).

 

Para realizar una transición exitosa a telemedicina, por favor siga los siguientes 3 pasos. Hemos creado una serie de guías útiles para asistirle en el registro en el “Portal” del paciente de U-M (MyUofMHealth), así como guiarlo(a) en como descargar la información de su diabetes en una plataforma de información. Con el fin de evitar un alto volumen de llamadas, por favor lea los materiales con cuidado antes de solicitar asistencia.

1. ¿Cómo registrarse en el “Portal” del paciente de U-M (MyUofMHealth.org)?

Si aún no se ha registrado en el “Portal” del paciente de U-M (MyUofMHealth), deberá de crear una cuenta para su hijo(a) usando las instrucciones que encontrará en el Registro “Portal” del paciente. El “Portal” le permitirá ver los resultados de los exámenes de laboratorio de su hijo(a), ver y pagar facturas, así como mandar mensajes a su equipo de atención de diabetes cuando necesita ayuda.

2. ¿Cómo conecto mis dispositivos de mi diabetes a una plataforma de datos?

Para poder participar en una visita virtual (Telemedicina por Vídeo), deberá descargar los datos de sus dispositivos de diabetes de los últimos 14 días a la plataforma de datos correspondiente.

 

Si necesita ayuda para determinar cuál plataforma de datos de diabetes tiene que usar, instrucciones sobre cómo registrarse o información sobre cómo compartir sus datos con la clínica de diabetes pediátrica de U-M, consulte nuestra Guía de descarga de datos del paciente.

3. ¿Cómo envío un mensaje a través del “Portal” del paciente?

Una vez que se haya registrado en el “Portal” del paciente y haya descargado los datos de los dispositivos para el manejo de su diabetes en la plataforma correspondiente, deberá de mandar un mensaje a través del “Portal” a su equipo de diabetes para informarles que están listos para realizar la visita de telemedicina por vídeo. Para instrucciones detalladas de como enviar este mensaje a través del “Portal” favor revise la página 15 de la Guía de descarga de datos del paciente.

  • What do I need to do to go back to school?
    Going back to school after a new diabetes diagnosis can be stressful. It is important that you are prepared to make the transition as smooth as possible. Be sure you have your supplies and tell the school what to do in case of emergencies, like extremely low blood sugars. Talk to your diabetes care team about developing a Diabetes Medical Management Plan (DMMP) and set up a meeting to create a 504 plan with your school administrators. If you have any questions about your child’s health, do not hesitate to ask us.
  • What is a school plan (DMMP)?
    A Diabetes Medical Management Plan (DMMP) outlines the specific care your child needs at school. Diabetes management is different for everyone. Some students inject insulin with a syringe and vial, some use insulin pens, and some use pumps and CGMs (continuous glucose monitors). Students often have different carb ratios at different times of the day and require different amounts of insulin. Some students manage their diabetes independently, and some younger or newly diagnosed students may need help with all aspects of their diabetes care. Your pediatric endocrinologist's orders will be specific for your child's health and well-being. Drafting a DMMP takes place between you and your care team. This is typically done in the summer months before your child returns to school. Please do not hesitate until school is about to start to bring this issue to our care team, as we typically have higher volumes of forms to complete at this time.
  • What is a 504 Plan? Do I need one?
    A 504 plan is a formal, legal action plan made with your child’s school that outlines the school's responsibilities in managing your child’s diabetes. For a sample 504 plan, click here. ​ It is a good idea for you to come up with a Diabetes Medical Management Plan (DMMP) with the school before each school year. The U-M Pediatric Diabetes care team can help facilitate this conversation if you would like. The 504 plan can help reinforce the commitments made in the DMMP. Remember, the school staff are likely not medical professionals; be patient and remember that you are a team in taking care of your child's health and well-being.
  • What is an IEP? Do I need one?
    If a student with diabetes has special education needs that qualify under the Individuals with Disabilities in Education Act (IDEA), an Individualized Education Plan (IEP) may be needed instead of a 504 plan. An IEP is a document that outlines what the school is going to do to meet the child's individual education needs. To qualify for an IEP, a child must have an impairment that affects his or her academic performance.
  • My child's school won't let my child attend because they do not have a school nurse. What can I do?
    It is not legal for your child to be barred entry to any public or private school that receives federal funding because of a T1D diagnosis. Even if your school does not have a nurse, all schools that receive public funds are required to train a responsible adult to carry out the Diabetes Medical Management Plan (DMMP). They cannot exclude a child from school because of type 1 diabetes or force parents to come to school to handle the diabetes care activities. It is important to remember, the school staff are likely not medical professionals; be patient and remember that you are a team in taking care of your child's health and well-being. ​ If you continue to have trouble with establishing the school's role in your child's care, you may contact us about creating a 504 plan.
  • My child's school wants me to come in and perform blood glucose checks and insulin injections. What can I do?
    You are not required to leave work or disrupt your schedule to perform routine care for your child's diabetes while they are at school. Even if your school does not have a nurse, all schools that receive public funds are required to train a responsible adult to carry out the Diabetes Medical Management Plan (DMMP). They cannot exclude a child from school because of type 1 diabetes or force parents to come to school to handle the diabetes care activities. It is important to remember, the school staff are likely not medical professionals; be patient and remember that you are a team in taking care of your child's health and well-being. ​ If you continue to have trouble with establishing the school's role in your child's care, you may contact us about creating a 504 plan.
  • What supplies should I take to school?
    Your Diabetes School Kit should include: Extra glucose meter Blood glucose test strips Juice boxes, glucose tablets, and/or glucose gel Glucagon Granola bars or other small snack Ketone strips Bottled water (if your child won’t drink school water) ​Your child should always have access to something to treat a low blood sugar. Snacks or glucose tablets should be kept with the student, in case of a fire drill/lock-down/shelter in place, as well as in classroom, in the locker room, and on the school bus. For younger children, ask the teacher to keep juice boxes or glucose tabs in their desk. Be sure any substitute teachers, including substitute bus drivers and office staff, also know about this arrangement. Older children should carry supplies in their backpacks or in their pockets.
  • Where should I keep my glucagon at school?
    It is very important that your glucagon is kept somewhere accessible where others can find it in case of emergency. If you leave your glucagon in your school's office, you need to have a plan in place for someone to retrieve and administer the shot. It is advisable that you leave your glucagon on your person, possibly in a backpack or handbag.
  • What if my child gets low at school?
    Highs and lows will happen at school, at home, and in many areas of your child’s life. Good diabetes management means responding quickly and calmly to correct blood sugar levels until they are back in target range. If your child is low at school, they should have access to a quick carb snack or glucose tablets or gel. Make sure your child’s teacher understands the need to have these supplies on hand and what to look for when your child is acting low. If your child loses consciousness, your child’s teacher or a responsive faculty member should have access to the child’s glucagon kit and be aware of how to give the injection. It is recommended that you review these steps with anyone who will be helping your child with their diabetes as a part of their T1D training.
  • What should I do during a test?
    By establishing a 504 plan with your school, patients are allowed special accommodations during Michigan state tests such as M-STEP/PSAT/SAT/ACT. If you need a snack, you are allowed to have one present during the exam. You may have permission to use a cell phone to monitor CGM values, but you must receive approval for all test accommodations with the test proctor and the school staff ahead of time. For certain tests, a letter from your clinician must be provided to the College Board in order to receive these accommodations. The College Board approval process may take up to 8 weeks, so be sure to plan ahead. A good reminder is to discuss standardized testing dates during the fall at the same time you are reviewing your 504 with the school. Please contact the clinic if you have questions about these issues.
  • How do I tell my friends about my diabetes?
    Talking about T1D with friends, family, and strangers can be difficult. Even if you are successful in managing your diabetes, it can be stressful discussing this personal information with new people in your life. JDRF offers a free PDF on how to talk about T1D with friends, family, coworkers, and in a variety of situations here.
  • Who needs to know about my child’s T1D at school?
    You and the school staff are partners in your child’s education and well-being. Strong and clear communication is crucial to the success of your child’s health. Staff you should consider educating about T1D include: Principal Nurse Guidance counselor Teachers P.E. teacher Latchkey / after-school program supervisors Cafeteria staff Coaches or extracurricular supervisors Bus drivers JDRF offers a free PDF that may help you in facilitating a relationship with your school here.
  • Are there scholarships for my college student with T1D?
    There are several scholarships just for teens with type 1! Click below to learn more about the College Diabetes Network (CDN) and other scholarship opportunities. College Diabetes Network (CDN) Diabetes Scholars Foundation Novo Nordisk Donnelly Awards (for teen tennis players with type 1) Seefred Trust Scholarship (Ohio residents only) ​Please note: These opportunities are typically open January-April. Check the Off to College (Teens) page for other opportunities.
  • How should I prepare for college life with T1D?
    Moving away from home with T1D can be a scary thought, but it is very possible to have a happy and healthy experience at college with T1D. To prepare you for this new chapter in your life, please check out our Off to College (Teens) and Off to College (Parents) pages. Please also feel free to check out College Diabetes Network's "Off to College" booklets on their website and request a physical copy in clinic.
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