Table 1 Standard insulin start group content (control) and DIME

Session 1

• Introductions

• Introductions

• Ground rules

• Ground rules

• Initial questions

• Exploring perspectives

• Diabetes & the need for insulin

• Injection technique and checking blood glucose

• Safe insulin administration

• Activity 1: Decisional balancing tool

• Insulin storage

• Diabetes medication choice

• Self-injecting first dose

• What is diabetes and the need for insulin?

• Insulin dose titration

• Activity 2: What’s in it for you?

• Activity 1: Dose titration

• Hypoglycaemia

• Diabetes medications

• Dose titration

• Hypoglycaemia

• Activity 3: Dose titration

• Driving with insulin and employment

• Driving and insulin

• Blood glucose meter technique review

• Techniques for remembering diabetes medication

• Activity 4: Goal setting

Session 2

• Reflections & titration issues

• Introductions

• Activity 1: Quiz of last session

• Review of progress since last time

• Problems encountered

• Activity 1: Wheel of change

• Sick day rules

• Relapses

• Travel

• Feedback on blood glucose reading and goal setting

• Annual review & interpreting results

• Activity 2: Quiz of last session

• Next steps

• Complications

• Burning issues

• HbA1c targets

• Activity 3: Changes in blood glucose

• Activity 4: Exploring importance of insulin

• Sick day rules

• Diabetes technology

• Activity 5: Maintenance plan

Session 3

N/A

• Introductions

• Review of progress since last time

• Feedback on blood glucose readings and goal setting

• What are carbohydrates?

• Activity 1: Carb counting knowledge quiz

• Weight, insulin & diabetes

• Exercise and diabetes

• How many carbs?

• Types of carbs and glycaemic index

• Ways to improve blood glucose

• Activity 2: Thinking about carbs in our diet

• Time restricted eating

• Benefits of weight loss

• Insulin on holiday