Live-in care for diabetes
Regular meals, medication prompts and someone close by to notice when something is not right, so your loved one can stay well at home.
Living safely at home with diabetes
Managing diabetes depends on routine: regular meals, medication on time and noticing when things change. For older people living alone, that can become hard to keep up.
Many older people live with type 2 diabetes alongside other conditions such as dementia, heart problems or reduced eyesight. Missed meals, forgotten tablets or a hypo with nobody there can quickly lead to a hospital admission.
A live-in carer brings routine back. They cook regular, balanced meals, prompt medication at the right times and know the warning signs your loved one’s diabetes team has asked you to look out for.
Our carers are not nurses. Clinical tasks, such as giving insulin injections or adjusting doses, stay with your loved one, their GP or practice nurse, and district nurses, unless a task has been formally delegated and the carer trained by a health professional.
How a live-in carer helps someone with diabetes
Regular meals
Balanced, home-cooked meals and snacks at regular times, following any dietary advice.
Medication prompts
Reminders to take tablets at the right times, so doses are not missed or doubled.
Noticing warning signs
Knowing the signs of blood sugar going too low or too high, and following the plan agreed with the diabetes team.
Foot care routines
Helping with washing and checking feet, and making sure any concerns reach the podiatrist or GP.
Staying active
Encouraging walks and gentle activity, which can help with blood sugar.
Appointments
Accompanying to diabetes reviews, eye screening and podiatry.
What diabetes care at home looks like
- Morning
- Breakfast at a regular time and medication prompts.
- Daytime
- Lunch and snacks on time, a walk, and appointments.
- Evening
- A balanced evening meal and medication prompts.
- Night
- The carer sleeps in, so help is there if your loved one feels unwell.
The carer needs a private bedroom and takes a two-hour break each day. We arrange cover for breaks and holidays.
What a live-in carer can and can't do
Our live-in carers are experienced, trained and checked, but they are carers, not nurses. They provide practical and personal support, and work alongside the GP, district nurses and other professionals who look after the clinical side.
A live-in carer can help with
- Cooking regular, balanced meals
- Medication prompts
- Noticing signs of high or low blood sugar
- Help with personal care and foot checks
- Shopping for the right foods
- Accompanying to appointments
- Housework and laundry
- Company and encouragement
A live-in carer doesn't
- Giving insulin injections, unless formally delegated and trained by a health professional
- Adjusting medication or insulin doses
- Clinical tasks such as wound care
- Working through the night as well as the day
Alongside the GP and diabetes team
Most older people with diabetes are supported by their GP practice, and some by district nurses or a specialist diabetes team. A live-in carer follows their plan and lets you know about any changes, such as a poor appetite or signs of infection.
If someone with diabetes becomes very drowsy, confused or unconscious, the carer will call 999 straight away.
- Diabetes UK: information and a helpline for people with diabetes and their families
- NHS: diabetes: symptoms, treatment and living with diabetes
How much does live-in diabetes care cost?
The exact cost depends on the support needed, including how often the carer is woken at night. We will give you a clear figure on the first call, with no obligation.
Help may be available from your local council, NHS Continuing Healthcare and Attendance Allowance. See the full cost breakdown → Ways to fund live-in care →
Live-in diabetes care across the South East
We arrange live-in diabetes care across Surrey, Kent, West Sussex and East Sussex. See the map of areas we cover →
Guides and related care
Diabetes care at home: your questions
Can a live-in carer give insulin injections?
Not as a routine part of the role. Insulin is usually given by the person themselves, with the carer prompting and helping to set up, or by a district nurse. In some cases a health professional can formally delegate the task to a named carer and train and check them, and we'll discuss this honestly with you. The carer will always follow the diabetes plan and tell the nurse or GP about any concerns.
What does the carer do if blood sugar is low?
They follow the hypo plan your loved one's diabetes team has given you, such as offering a sugary drink or glucose tablets, then a snack, and checking again as advised. If your loved one becomes drowsy, confused or unable to swallow, the carer calls 999. Every episode is recorded and shared with the family and diabetes nurse, so the plan can be reviewed and future hypos prevented.
How much does live-in care for diabetes cost?
Live-in care for diabetes starts from £1,090 a week paid to the carer, plus our weekly agency fee of £250, and a one-off registration fee of £250. The household also provides the carer's food and a private room. The exact weekly rate depends on how much help is needed, especially at night, and we confirm it after a free assessment call, with no long contracts. Our cost page and cost calculator show how live-in care compares with a care home.
Can the carer help with a special diet?
Yes. Carers cook to the dietary advice your loved one has been given, with regular balanced meals, sensible portions and healthy snacks, and help with shopping and planning so the right food is in the house. Regular mealtimes help keep blood sugar steady. If your loved one also has other conditions, such as kidney or heart problems, the carer follows all the dietary advice together.
Can the carer help with foot care?
Carers help with daily foot checks, washing and drying carefully between the toes, moisturising and making sure shoes fit well, because foot problems can develop quickly with diabetes. They report any cuts, colour changes, swelling or sores to the family and GP straight away. Nail cutting and treatment of foot problems are done by a podiatrist, and the carer can help arrange appointments.
Can the carer help with blood sugar monitoring?
Carers can remind and help your loved one to check their blood sugar or read their sensor, and keep a record for the diabetes team. Where a health professional has trained them, they can help with the monitoring itself. They don't change insulin or medication doses; any adjustments are made by the GP or diabetes nurse, who the carer will contact if readings are outside the agreed range.
Are you regulated by the CQC?
Medicare People currently provides introductory live-in care services. We have submitted our application to the Care Quality Commission (CQC) and intend to introduce a fully managed live-in care service following registration. As an introductory agency, we find, check and introduce self-employed live-in carers, and the family agrees the day-to-day care with the carer directly. Before any introduction we carry out right-to-work, DBS and reference checks and interview every carer. Our team stays in touch after the carer starts, arranges relief cover for breaks and holidays, and finds a replacement carer if the match isn't working.
Talk to us about diabetes care at home
Free, no-obligation advice. Monday to Friday, 8am to 8pm.
Not sure yet? Take our 2-minute check →
Medicare People currently provides introductory live-in care services. We have submitted our application to the Care Quality Commission (CQC) and intend to introduce a fully managed live-in care service following registration.