
Back to School
Backpacks, folders, calculators, and summer reading assignments are typical back-to-school must-haves. For children with Type 1 diabetes, and their families, there’s a bit more involved with necessities to return to school. You’ve probably already talked with your child’s diabetes care provider and school staff, but there are still important steps to take to keep your child safe and supported at school.
Make sure that you have an up-to-date Diabetes Medical Management Plan (DMMP) or Individual School Health Plan (ISHP).
Collaborate with your child’s diabetes care provider to develop a plan detailing the diabetes management routine at school. Important questions to address include: What are the child’s common signs of hypoglycemia? Which snacks does the child use to manage low blood sugar? Is the child able to administer their own injections?
These 504 documents outline the information from the DMMP and clarify the school's responsibilities. They are designed to safeguard your child's rights under applicable federal laws. One aspect covered by the plan is identifying who else should be trained to perform diabetes care tasks for your child when the school nurse is unavailable, such as the school bus driver, teachers, and any individuals responsible during after-school activities or field trips.
Write up a 504 Plan or Individualized Education Program (IEP).
Lunch & Snack Resources
Don’t forget the lows
Keep a “low box” with snacks and glucagon with your child, in the classroom, and in the nurse’s office, as your care plan says. Give your child glucose sources (like tablets or gels) they are comfortable using.
Build your kid’s confidence.
Letting kids take more responsibility at home, such as learning to check their own blood sugar when they're ready, helps them feel confident they can care for themselves when you're not around.
Hear and comfort
Going back to school after summer can be emotional for everyone; it's hard to say goodbye and adapt to a new schedule. Expect your child to feel nervous. Tell your child that you have talked to the school staff and they are safe.

Ready to go back to School?
Step 1.
Have your nurse or doctor complete the physician authorization form
Step 2.
Call the school and set up an appointment with the school nurse to develop an ISHP (Individualized School Health Plan)
Bring the following with you to the school nurse.
Physicians authorization form (filled out and signed)
Hypoglycemia/hyperglycemia chart (can be laminated with your child’s photo)
Diabetes supplies for school
Glucose meter for school, extra strips, alcohol wipes, lanced device and lancets
Insulin supplies that are only for school (insulin and syringes)
Glucose tabs
Keytone strips
Glucagon or insta-glucose
Snacks: 6 juice boxes (15 carbs each) 6 cheese and cracker packs (15 carbs each) and water bottles.