Your life. Your plan.
Getting help with diabetes
Use the prompts that are helpful to you. You can write, draw, or ask someone to record your own words.
You can type your answers below. You can leave any box blank.
Your answers stay in this open browser tab. Clearer does not receive them.
Download your answers to keep a copy. Closing or reloading this page removes the answers from the page.
Choose who you share your completed copy with. On a shared device, clear your answers when you finish.
Your printout may use more than one page. Choose Larger text for bigger writing.
What I want to understand
What questions do I have about diabetes? What feels difficult or worrying?
How to explain things to me
What words, pictures, demonstrations, communication aids or time help me?
What matters in my everyday life
Record important meals, activities, work, learning, relationships and routines to discuss with the team.
What I do and help I want
Which tasks do I manage? What help do I want? Who needs practical teaching from the clinical team?
Where my clinical instructions are kept
Record the location and date of the official medicine, monitoring, hypo and sick-day instructions. Do not use this page to create doses or treatment thresholds.
Checks and appointments to ask about
Which checks are due? Who will explain them and arrange accessible appointments?
Supplies and support away from home
Who arranges prescriptions and equipment? What needs discussing for outings, work, respite or hospital?
Questions about urgent help
Ask the team to explain warning signs and its emergency instructions. Record where the current contact list is kept.
Agreed follow-up
What will happen next, who will do it and when? Who will check that I understand the answer?