Outline of the CASCADE program (as set out in the manual)
| The teaching plan | Session activities, objectives, time guides, and resources including key information essential for the educator, learning objective for the family, and brief descriptions of each activity |
| Each module starts with a review of, and since, the previous session, creating an opportunity for families to highlight any changes that have taken place and to congratulate young people on successes | |
| Module 1 | Focuses on the relationship between food, insulin, and BG (eg, considering the pros and cons of matching insulin to food to attain better glycemic control) |
| Module 2 | Reviews BG testing and factors influencing BG fluctuation (eg, identifying factors that cause BG to rise and fall and explore hypoglycemia definitions, reviewing symptoms according to severity) |
| Module 3 | Looks at the pros and cons of adjusting insulin (eg, a brainstorming session considers when, how, and who to contact for help managing hyperglycemia) |
| Module 4 | Addresses aspects of living with diabetes, including managing BG levels and exercise (eg, young people and families complete a ‘blueprint for success’. This marks the end of the sessions and acknowledges the steps into the future the young person has already made) |
| Homework tasks are given to families to consolidate learning after each module | |
BG, blood glucose; CASCADE, Child and Adolescent Structured Competencies Approach to Diabetes Education.