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Tips For Managing Type 1 Diabetes at School

Lisa Feierstein Children's Health, Diabetes Leave a comment   , , ,

Back to School 3

 

The first day of school will be here before you know it. If your child has type 1 diabetes, there should be a few extra items on your back to school checklist to make sure that your child and their school are ready for the year ahead.

Here are a few important tips for an easy adjustment back to school:

1. Make a Diabetes Management Plan

Your child’s Diabetes Management Plan is an essential tool. Work with your doctor to draft a plan containing all important information concerning your child’s diabetes care. Include all medication details, symptoms of low blood sugar, target blood sugar range, and other important details those caring for your child should know.

2. Connect with the school nurse and other staff

Provide a copy of your child’s Diabetes Management Plan to the school nurse, administration, and all of your child’s teachers, coaches, and other supervising adults. If your child’s school does not have a full time nurse, figure out which staff members are best equipped to help if the nurse is not present.

All your child’s teachers should be aware of symptoms of low blood sugar, what your child needs to do to manage their blood sugar, and what help your child will need with those steps, if any.

In addition, your child should wear a medical notification bracelet or necklace that indicates their diabetes diagnosis. This guarantees that even substitutes or other rotating staff will be aware of your child’s condition in case of an emergency.

If needed, consider creating a 504 plan. A 504 plan is an official document that details the exact responsibilities of the school and ensures that your child has the same opportunities as all other students.

3. Pack their backpack with the essentials

Make sure your child has the tools they need for diabetes management during the school day. Build a compact kit full of testing supplies, antiseptic wipes, and backup insulin, as well as glucose tablets or other fast-acting snacks for raising blood sugar.

4. Get your child involved (as age appropriate)

As your child gets older, they should take on more responsibility for their diabetes care. Depending on the age of your child, help them identify their symptoms of low blood sugar. When your child has a greater understanding and more responsibility in their own care, they will have more confidence in the face of adversity at school and beyond.

Give your child the foundation they need to succeed in the New Year

With careful preparation, you can ensure that your child gets the most out of their school days, minimizing the stress from managing their diabetes.

Additional Resources

Tips for Managing Diabetes at School from the CDC
Monitoring Diabetes at School
Diabetic Tips: Making Sure It’s in the Bag


Back to School Tips for Kids with Asthma

Lisa Feierstein Asthma, Breathe EZ, Children's Health Leave a comment   , , ,

back to school 2It’s that time of year again. A fun summer has come and gone and it’s time to start thinking about back to school. While stocking up on school supplies, don’t forget to prepare your child’s asthma plan for the new school year.

The American Lung Association has published a “Back to School with Asthma Checklist” for a smooth adjustment back to school for children with asthma. With careful preparation, your child can focus on enjoying their school days without worrying about their asthma.

Here are some tips for making this school year a good one:

1. Schedule a checkup before school starts

Summer is the perfect time to fit in a doctor’s appointment, since your child’s schedule may be less busy. Be sure to bring any forms required by your child’s school so that you can be prepared for meeting with the school nurse (See Tip #2 below).

Discuss how your child’s asthma treatment plan has been working in the past year. In particular, make sure your child knows how to use their inhaler and spacer properly.

Review your child’s asthma triggers, and make a plan to help your child avoid exposure at school. A summer checkup is a great time to discuss any troubles with allergies, which are common in children with asthma.

2. Get the school nurse on board

If your child is starting a new school, or has a recent asthma diagnosis, make sure that the school nurse is part of your child’s asthma team. First, make sure all necessary forms documenting your children’s medication are submitted timely so they can be processed before school starts.

With the help of your child’s doctor, write an Asthma Action Plan and share it with the school nurse. If your child’s school does not have a full time nurse, include the receptionist or other staff members in the Asthma Action Plan as well.

3. Don’t forget after school activities

If your child participates in an after-school activity, make sure your child’s coach or activity leader has access to your child’s Asthma Action Plan. It’s very important that those supervising your child know what an asthma emergency looks like and how best to help your child.

Make back to school easy with these tips

After a fun summer, transitioning back to school can be hard for many kids. If your child has asthma, keeping these tips in mind can make it easier.

Additional Resources

Back to School with Asthma Checklist – American Lung Association
Does Back to School Mean Back to Allergies?


Monitoring Your Diabetes at School

Lisa Feierstein Children's Health, Diabetes Leave a comment   , , , , ,

Type 1 Diabetes requires continuous monitoring, regardless of the patient’s environment. In previous blogs, we’ve discussed carrying an emergency bag and other methods for managing your diabetes when away from home. However, one area we did not discuss is what to do at school.

Monitoring Diabetes at School - Communication is Key

Monitoring Diabetes at SchoolFirst and foremost, you cannot communicate enough with school staff including teachers, bus drivers, and health personnel about your child’s condition. Provide as much information as possible so they will know how to assist your child when the need arises.

A Diabetes Medical Management Plan (DMMP) should be completed and gone over with school administrators so everyone is on the same page. An example of this can be downloaded here.

This comprehensive and critical document should contain the following information:

  • Blood sugar target and testing times
  • Insulin schedule
  • List of supplies
  • Meal and snack plan
  • What aspects your child can handle on their own vs. what they might need help with
  • How to handle a low blood sugar or high blood sugar episode

ADA and IDEA

There are many laws that protect your diabetic child including the Americans with Disabilities Act (ADA) and the Individuals with Disabilities Education Act (IDEA). IDEA is a law that provides services to diabetic students. For more information about IDEA, click here. In addition, in a public school setting (or a private one that receives funding from the federal government), you are entitled to set up a Section 504 plan for your child.

This would require that the school make special accommodations for him or her including the following:

  • Allowing him or her to use the restroom and use the water fountain when they need to
  • Eating wherever and whenever necessary
  • Allowing extra absences
  • Scheduling exams at a time that will not cause your child to suffer from the hypo or hyperglycemia
  • Ensuring that a trained diabetes care personnel member be present during sports, extracurricular activities, and field trips

If your child is not currently using a Continuous Glucose Monitor (CGM) (more on this in our previous blog “The 411 on CGM”) or an insulin pump, the beginning of school is a great time to look into these options, as these devices provide peace of mind for the parent, school staff member, and child alike.


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