Policies and Procedures for the Pediatric Program
Welcome to the Naomi Berrie Diabetes Center. We are proud to be caring for your child. Please carefully read our policies, and important information on what to do if your child is sick.
There will be a $100.00 charge for new visits or pump starts not cancelled with 24 hours’ notice. There will be a $50.00 charge for follow up visits with doctors or educators not cancelled with 24 hours’ notice. The same policy applies for virtual visits.
Late Arrival Policy
Please arrive 15 minutes prior to your appointment time so that we can ensure we have enough time to review your blood sugars, answer questions, and complete forms. Please note: If you are more than 20 minutes late to your scheduled appointment or class, your appointment or class may need to be rescheduled.
Prior to Your Visit
In preparation for your appointment please upload your insulin pump and continuous glucose monitor (CGM) information at home. Doing so will minimize time in the lab and maximize time in your visit. Please visit the Diabetes Technology section of our website for instructions on how to access your personal diabetes management data at home.
Use of Email
Please email firstname.lastname@example.org for all simple questions and blood sugar review. Email is only for non-urgent questions. Emails should be brief in nature. Please allow 24-48 hours for a response. For more complex questions, please call or schedule an appointment, we are here to help you.
EVERY YEAR new school and/or camp forms are required. Please fill out our school/camp request form that is available on our website http://nbdiabetes.org/forms-patients and fax it to us at 212-851-5493, or email Kindra Matthews at email@example.com.
Be prepared and request your forms early, there is a 2 week turnaround time for all forms. If you need a form filled out within 48 hours there will be a $25.00 fee.
Forms will not be filled out if your child has not had a visit within the last year.
Emergency phone calls and After Hours Policy
We are available 24 hours a day 7 days a week for true emergencies that need immediate attention (212-851-5494). Between 9am and 5pm you will be transferred to a doctor or educator. After-hours you will receive a call back within 15 minutes (if you do not get a call back in 15 minutes please call again). Please do not call between after-hours or on the weekend for routine questions, review of blood sugars, or prescription refills.
Examples of Emergency Situations are:
- Vomiting/ill appearing child
- Moderate to large ketones in the urine/blood
- Error in insulin dosing
- Insulin pump failure
- Low blood sugars that are not responding to glucose tabs, juice, or if glucagon is needed
Vomiting and Type 1 Diabetes
Vomiting in a patient with type 1 diabetes is a MEDICAL EMERGENCY
Vomiting can be sign of diabetic ketoacidosis (DKA) which is a very serious complication of type 1 diabetes and occurs from not getting adequate insulin leading to a buildup of acid (ketones) in the blood that can lead to serious consequences if not treated properly.
In DKA usually the blood sugar is over 200 mg/dl and there may be a “fruity” smell to the breath.
Causes of diabetic ketoacidosis include:
- Not taking proper insulin doses
- Pump failure
- Infections or other illness
If vomiting and the blood sugar is over 200 mg/dl please dip urine for ketones.
If ketones/abdominal pain/vomiting are present please call us immediately so that we can help manage the situation with you and determine if your child needs to go to the hospital.
Even if the blood sugar is normal but your child does not look well, is vomiting, can’t keep any liquids down please call us.
WHEN YOU ARE SICK YOU STILL NEED INSULIN – NEVER SKIP GIVING INSULIN WITHOUT TALKING TO US.
Requesting Prescriptions at the Berrie Center
- Prescription refills are done Monday through Friday 9 am to 5 pm
- Please allow 72 hours for your prescription refill to be processed. Prior authorization or additional insurance questions can take 1 to 2 weeks.
- It is your responsibility to have adequate supplies so please plan ahead.
- Please do not call for refills over the weekend unless it is an emergency. Only a 1-month supply will be called in. No prior authorizations can be done over the weekend.
- Please use the dedicated Rx email or phone line above for all prescriptions, not your doctor or educator’s email. Please do not cc them on the emails.
Include the following information:
- Name and date of birth
- Pharmacy name, address, and phone number
- Brand of insulin and how it is delivered (vial, pen or cartridge)
- Needles (syringes vs pen needles) size and gauge
- Exact brand and type of test strip and lancets
- Other supplies needed
- Quantities being requested
- 30 or 90 day supply
- If the refill is for an oral medication exact dosage taken daily