Diabetes Management as an NDIS HIDPA

From February 2025, the NDIS High Intensity Support Skills Descriptors were updated to explicitly include diabetes management and insulin administration under the subcutaneous injections descriptor. This means that any support worker assisting a participant with blood glucose monitoring or insulin delivery requires an RN-developed care plan and a formal documented delegation — not just general diabetes training.

What TrustCare Delivers

• Participant-specific diabetes management plans — developed by our AHPRA-registered RN, aligned to the participant's treating team
• RN-administered insulin injections — for participants with complex, unstable diabetes or where self-administration is not safe
• Blood glucose monitoring — clinical oversight and documentation
• Hypoglycaemia management — participant-specific protocol with blood glucose thresholds, response steps, and 000 triggers
• Support worker training and formal delegation — documented training in blood glucose monitoring and insulin pen/pump assistance, per worker per participant
• Annual competency review of all delegated workers
• Liaison with GP, diabetes team, and treating specialists

The RN Delegation Model

Under the NDIS framework, a support worker can only assist with insulin or blood glucose monitoring after being formally trained and delegated by a Registered Nurse. The delegation must be documented, participant-specific, and reviewed annually. TrustCare provides this delegation framework as part of every diabetes management engagement.

Support workers cannot independently adjust insulin doses, interpret unusual blood glucose readings, or make clinical decisions about diabetes management — these remain the RN's responsibility.

Who Can Refer

Registered NDIS providers, support coordinators, and plan managers. We do not accept direct participant referrals — all referrals must be through a registered provider.

NDIS Funding for Diabetes Nursing

• Community Nursing Care — Registered Nurse (Group 0114): $123.65/hr weekday daytime (2025-26) — RN-delivered insulin and care planning
• High Intensity Daily Personal Activities (Group 0107): $76.09/hr weekday daytime — delegated support worker assistance

Insulin medications and CGM devices are covered by PBS and NDSS respectively — not NDIS. The NDIS funds the nursing oversight and support worker assistance components only.