The Type 1 Diabetes Self-Advocacy Planner

Your Blood Sugar Tells a Story.
This Planner Helps You Tell It to Your Care Team.

16 fillable PDF forms built specifically for Type 1 diabetes patients, so you can track every dose adjustment, glucose pattern, and lab result, and walk into every appointment with the full picture already in hand.

Get Instant Access →

One-time purchase • $27 • Instant PDF download • Print or use digitally

The Type 1 Diabetes Self-Advocacy Planner - 16 fillable PDF forms shown as a product preview

You are not imagining this

Does This Sound Familiar?

Managing Type 1 diabetes is a full-time job that follows you into every fifteen-minute appointment, often with no good way to share what you've actually been living between visits.

Your endocrinologist asked how your numbers have been, and you pulled up your CGM app, but two weeks of data compressed into a percentage doesn't capture what you've actually been navigating.
You've had a pattern of lows every afternoon for a month, and you suspect it's tied to your basal rate or a specific activity, but you've never had it laid out clearly enough to show anyone.
Your insulin-to-carb ratio changed at your last visit, and now you're not sure whether the adjustment helped, made things worse, or needs to be dialed in further because nothing was written down at the time.
A new provider asked about your DKA history, and you realized you couldn't recall the details clearly enough to give them a useful answer.
You've been feeling burned out and exhausted by constant management, but that part of living with T1D rarely gets brought up in a clinical appointment, and you haven't had a way to put words to it.
You left your last appointment with a head full of dosing instructions and adjustments, and by the time you got home you weren't sure you had it all right.

You Are Managing More Than Numbers. This Planner Helps You Track What That Actually Looks Like.

The Type 1 Diabetes Self-Advocacy Planner is a complete set of 16 fillable PDF forms designed from the ground up for the day-to-day and long-term realities of T1D. From blood sugar patterns and insulin adjustments to mental health and care team coordination, every form exists to capture the information that actually shapes your care, in a format your healthcare team can use.

Everything included

16 Forms. Every Layer of Your Care.

The forms are grouped into five areas so you can find what's useful right now, whether you're preparing for an appointment, tracking patterns, or trying to catch something your CGM data alone doesn't explain.

Getting Organized

Your medical story, your providers, and your reference information in one place.

01

Diagnosis & Medical History

A complete overview of your T1D history, including diagnosis details, hospitalizations, complication history, and related autoimmune conditions, so any new provider can get the full picture quickly.

02

Appointment Prep Sheet

A place to gather your questions, recent concerns, and things you want to flag before each visit, so you leave with the answers you came for and nothing important gets left unsaid.

14

Doctor & Diabetes Care Team Directory

Contact details and roles for every member of your care team, from your endocrinologist and CDE to your eye doctor and pharmacy, so you always know who to call and when.

15

Lab Reference Ranges & BG Target Guide

A quick-reference page for your key lab values, blood glucose targets, time-in-range goals, and DKA warning signs, to keep nearby when results come in or numbers start moving in a concerning direction.

Tracking Blood Sugar Day to Day

Catching the patterns a quarterly A1C can't show you.

03

Blood Sugar Log

A structured daily log for recording glucose readings, meals, and context, including space for notes on what might have influenced the numbers. Useful whether you use a CGM, finger sticks, or both.

04

A1C & Labs Tracker

A running record of your A1C, eGFR, lipids, thyroid labs, and other key results so you can see how your markers are trending over time, not just where you landed at your last visit.

06

CGM Summary & Time-in-Range Log

A monthly summary page for your CGM data, including time in range, time below range, time above range, sensor wear rate, and notes on what was driving the trends that month.

Insulin, Devices & Treatment Decisions

Documenting your regimen, your adjustments, and what came of them.

05

Insulin Log & Dose Adjustment Record

A detailed log for tracking your current basal rates, insulin-to-carb ratios, correction factors, and dose changes over time, so adjustments are documented and their effects can actually be evaluated.

10

Pump & Device Settings Record

A reference sheet for your current pump or closed-loop system settings, including all basal rates by time of day, sensitivity factors, and device-specific configurations, updated each time something changes.

11

Carb Counting & Meal Planning Notes

A practical reference for your usual meals, their carb counts, and how your blood sugar typically responds, so you're not recalculating from scratch every time or second-guessing a ratio that used to work.

Safety & Crisis Tracking

A record of the moments that matter most when you're talking to a new provider.

07

Hypoglycemia Episode Log

A detailed log for recording low blood sugar events, including the glucose value, time of day, symptoms, likely cause, treatment used, and how quickly you recovered. Useful for spotting low patterns your care team needs to know about.

08

Hyperglycemia Episode Log

A record of significant high blood sugar events, including what was happening, how you corrected, how long it took to come down, and whether ketones were present, so you can show your care team the full picture of how highs are playing out.

09

DKA Warning Signs & History Log

A checklist of DKA warning symptoms alongside a log for recording past DKA episodes with context, so you can share your personal history clearly with any provider, and recognize early signs before a crisis develops.

12

Exercise & Activity Log

A log for tracking physical activity alongside glucose response before, during, and after exercise, so you can work with your care team to build a strategy that keeps you active without unpredictable highs and lows derailing your plans.

Mental Health & Reflection

Room for the parts of T1D that don't show up in your CGM data.

13

Mental Health & Diabetes Distress Check-in

A structured self-check for mood, energy, sleep, and diabetes-related distress, including a brief screening tool. Helps you track how the emotional weight of T1D management is affecting you and gives you a way to bring it up with your care team.

16

Notes & Reflections Pages

Open journal pages with gentle prompts for processing what it's like to live with T1D, including what's working, what's challenging, and what you want to remember, in a space that's yours alone.

+

Guide & Instructions PDF

An 8-page companion covering how to use the planner, a guide to all 16 forms, appointment tips, a T1D glossary, and a disclaimer, so you and your care team are on the same page from the start.

What changes

Imagine Walking Into Your Next Appointment Prepared.

Is this right for you?

This Planner Is Built For You If…

This is a great fit if you…

  • Have been diagnosed with Type 1 diabetes or are in the diagnostic process
  • Are adjusting to a new insulin regimen, pump, or CGM system
  • Struggle to communicate your blood sugar patterns to your care team in appointments
  • Want a way to track the emotional and mental health side of T1D management
  • See multiple providers and are tired of re-explaining your history at each visit
  • Are a parent or caregiver supporting a child or young adult with T1D
  • Want a printed or digital record that doesn't rely on your CGM app alone

This may not be for you if…

  • You're looking for a medical protocol or insulin dosing guide (this is a tracking tool, not medical advice)
  • You prefer a fully app-based digital experience over printable or fillable PDF tools
  • You have Type 2 diabetes rather than Type 1 (some forms may still be useful, but this planner was built for T1D specifically)

What patients are saying

Real Patients. Real Appointments.

This product is brand new! If you've tried it and it's helped you, please contact us to let us know and we'll add your testimonial here. Contact Us!
★★★★★

YOUR TESTIMONIAL HERE!
Has our planner helped improve your interactions with your doctor? We’d love to feature your testimonial here!

[First + Last Initials]

T1D Patient

★★★★★

YOUR TESTIMONIAL HERE!
Has our planner helped improve your interactions with your doctor? We’d love to feature your testimonial here!

[First + Last Initials]

T1D Patient

★★★★★

YOUR TESTIMONIAL HERE!
Has our planner helped improve your interactions with your doctor? We’d love to feature your testimonial here!

[First + Last Initials]

T1D Patient

Questions answered

Things You Might Be Wondering

Is this a physical product? Will something be mailed to me?

No physical product is mailed. This is a digital download. After purchase you'll receive instant access to all 17 PDF files (16 forms plus the Guide & Instructions). You can fill them in digitally on your computer or tablet, or print them at home. No waiting, no shipping.

Do I need special software to use the fillable PDFs?

No. The forms work with any free PDF viewer, including Adobe Acrobat Reader (free download), Preview on Mac, or even your browser. If you'd rather print and handwrite, every form is designed to work beautifully on paper too. You don't need anything special.

I already use a CGM and an app to track my data. Why do I need this?

CGM apps are excellent for real-time data, but they stay on your device and can be hard to share meaningfully in a clinical setting. A filled-in PDF binder comes with you into the exam room, can be printed and handed to a provider, and gives context that raw numbers alone don't capture. The forms here were designed around what T1D patients actually need to communicate, including insulin adjustment history, low episode patterns, device settings, and the emotional weight of management, which general CGM apps simply don't address.

Is this just a generic diabetes planner with a T1D label on it?

Not at all. Every form was built around the specific realities of Type 1 diabetes. The Lab Reference Guide includes T1D-relevant labs like C-peptide alongside standard metabolic panels. The DKA Warning Signs Log reflects the elevated DKA risk that's specific to T1D. The Insulin Log is designed for complex insulin regimens rather than a single daily dose. The Device Settings Record supports pump and closed-loop system configurations. This was built from the ground up for people living with T1D.

I was just diagnosed and don't have much history yet. Is this still useful?

Starting now may be the best possible time. The earlier you begin tracking, especially around your initial insulin regimen, your first CGM data, and how your body responds to early adjustments, the clearer your picture becomes as things evolve. Starting with a blank Medical History and Blood Sugar Log and building your record from the beginning is far easier than trying to reconstruct that history later.

Can I use this for a child with Type 1 diabetes?

Yes. Parents and caregivers frequently find tracking tools like this especially valuable, since they're the ones collecting and carrying all the information between appointments. The forms work for adults managing their own care and for caregivers managing on behalf of a child or young adult with T1D.

How do I receive the files after purchase?

Immediately after completing your purchase, you'll receive a download link by email. All 17 PDF files are included. Save them somewhere accessible on your device so you can return to them any time.

What is your refund policy?

Because this is a digital product that is delivered instantly upon purchase, all sales are final. We are not able to offer refunds once the files have been downloaded. Please read the product description carefully before purchasing. If you have questions about whether this planner is right for you, feel free to contact us at [email protected] before buying.

Can I share this with a friend or family member who also has Type 1 diabetes?

This planner is licensed for personal use. If someone in your life would benefit from it, the kindest thing you can do is point them to this page so they can get their own copy. At $27, it's priced to be accessible, and their purchase helps support the continued work at AutoimmuneArchive.

Start Your Next Appointment Prepared

Everything you need to track, understand, and advocate through every stage of your Type 1 diabetes journey.

  • 16 fillable PDF tracking and reference forms
  • 8-page Guide & Instructions PDF with form-by-form walkthrough and T1D glossary
  • Instant download – access in under a minute
  • Print as many copies as you need, forever
  • Works digitally or on paper
  • Designed specifically for Type 1 diabetes patients
$27
One-time purchase. No subscription. Yours to keep.
Get Instant Access →

Digital download. PDF format. Compatible with any device or printer.

Due to the instant-access nature of digital products, all sales are final. No refunds.