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Type 1 Diabetes: How to Go to School?

Type 1 Diabetes: How to Go to School?

The diagnosis of diabetes in a child brings a world of concern to parents. From the most immediate: how do I apply insulin? How can I see if my child has hypoglycemia? What if the blood sugar goes up? Even less immediate, but not least important, concerns: Will he accept the diagnosis? And at school, how will it be?

This text is about the parents' doubts about school. Here is a step-by-step:

1) Plan with the school: The first step is a conversation with the school board about the diagnosis and treatment that the child is currently performing. Insulin doses, degree of diabetes control, if the child has hypoglycemia, how much time they need to feed ... finally, it is important that a routine of treatment, feeding and the conduits to be adopted in case of emergencies are passed to the school. Medical contacts and of course, parents must be passed so that they can be easily accessed if necessary. In case of severe hypoglycemia, it is important that an emergency kit with Glucagon be kept in school to be administered promptly. Here, it is important to adjust with the school that this important safety medication is available.

2) The child's preparation: there is no specific age for the child to pass through to take on some diabetes control tasks. There are children who, at an early age, five or six years old, are already comfortable with capillary glycemia (measure diabetes), while others will do it a little later. The first step is for her to begin to show interest and responsibility in controlling her own disease, from which she can with parental or responsible supervision, continue to measure diabetes, and then apply insulin at an adult-calculated dose. Adolescents, in general, already feel more responsible for calculating their own insulin dose adjustments.

3) What to take to school: One suggestion is to take the glucose meter with extra batteries, insulin (syringes or pens) , 70% alcohol antiseptic wipes, hypoglycaemic bullets and water - the hydration of the child with diabetes is always fundamental.

4) With an eye on the snack: the child with diabetes must be guided by his parents and teachers about their feeding in the intervals and the quality of these foods. Focus is on whole foods, fruits and teas. Avoiding the consumption of soft drinks, artificially sweetened drinks and snacks with high fat and simple carbohydrates (such as white flours).

5) Support network: Classmates, teachers and employees, all are a network of support to make the child feel safe in the school environment. Classmates themselves are often the first to notice episodes of hypoglycemia and therefore the suggestion is that they should receive guidance on immediately seeking the teacher or employee if they notice any changes in the friend with diabetes. The training of a teacher with diabetic support associations, or even the responsible physician, can solidify the process, whose goal is always to ensure the best possible development for this child.

With back to school, it is important that many routines within the school environment are reviewed and renewed. Addressing and welcoming the diabetic child better in the school environment is a fundamental issue that needs to be discussed and expanded. We hope for this! Good school year!


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