Our daughter now attends public school that has a full time nurse. Each month we get the next month's calendar for lunches served each day at school. We sit down with Samantha (who is 7 and was just diagnosed this year - 2005) and go through the entire calendar and try to pick out what she would like to have each day. On days that she doesn't see anything she likes, we make those "take your lunch" day. Then, using both the school's carbohydrate counting system and our own personal carb count notebook, I calculate the carbohydrate's for each day. I do all of this on an electronic calendar and make any notes regarding her food intakes at the bottom. I send the electronic file to them through email and send one to school with Samantha. We also send a month's worth of supplies at the beginning of each month and when they need more they send an email and/or a note home in her back pack.
Anytime there are special occasions in the class (like birthdays or parties) the teacher emails/calls me to get the carbohydrate counts so Samantha can also enjoy the treats after a bolus.
We have also taken all of the information we could get our hands on and put them together in a word note card file. We printed this off and placed all of the information in some note card note books for the teacher, nurse, grandparents, and anyone else who is interested could have should they ever have Samantha with them.
My daughter, Hannah, will start her pump in December but we have a really great way to communicate with the school nurse. Hannah is in PreK and goes from 12:30-3:30 daily so she must eat lunch at school. I e-mail the nurse how many carbs are in her lunch for the day and her carb ratio - just as a reminder. Also, at 3pm Hannah has her blood sugar checked and the nurse e-mails me to let me know the number as well as how Hannah's sugar was at lunch and how much insulin she was given. This has worked very well. This line of communication is great, any extra supplies the nurse needs she just drops an e-mail. This way my 5 year old won't have to remember what the nurse needs nor has the opportunity to loose a take home note. Even when Hannah starts the pump, I am going to have the nurse e-mail me Hannah's sugars as well as how much insulin the pump is giving Hannah for lunch.
Hannah is so excited about her pump. We ordered 3 pump packs and she wants to wear them now. Thanks so much for your products, it helps these little ones have fun coping with their disease.
Be your school nurses champion by giving all the support that is needed at school
Stock nurses office well with supplies
Check status of supplies on a regular basis, inform nurse when you have basals changes, or change in coverage, in writing
Stay up to date on battery changes,
Be grateful for whatever help the nurse gives your child, remember that the school nurse has hundreds of childhood diseases to worry about, and perhaps hundreds of other children as well.
Make efforts to reduce nurses stress over you childs diabetes needs.
Always remember that you are both on the same team, the team to help make school a safe and happy place for your child to learn.
At the beginning of the school year I find out how many classes my child has to travel to. I then go out and purchase the approprate number of those plastic pencil boxes I fill each box with the following:
- Test strips (my daughter always runs out and forgets to put a new vial in her bag)
- A cake gel (for emergencies it's easy for a teacher to administer)
- A drink box
- A tube of gluco tabs
The outside of each box has my daughters name, my name and phone number and her doctor name and number.
We have found this to work out great, the teachers are happy to know they have the needed necessities readily available and my daughter knows if she needs a quick drink box and doesn't have one on her there is one in the classroom.
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The opinions and recommendations found in these pages are simply recommendations and ideas that others have found helpful. They should in no way be construed as medical advice and all questions pertaining to your own personal care should be brought to your medical team.