I'm asking for help for a friend of mine. Her daughter has type 1, diagnosed in May. The little girl will be 4 in November, and is enrolled in Universal (Public) Pre-Kindergarten.
I've had type 1 for 25 years, but so many things have changed since then I'm not able to be much help to her when it comes to diabetes and school.
The little girl is on a pump and just got a CGM. She is in school Monday thru Friday from 9:00-11:30 am. No meals are served while she is at school, but they do have a snack, and holidays are celebrated. At this point, the child goes to the nurse's office after eating and tells what she has had, and the nurse enters the carb count into her pump. She checks her blood sugar in the office and checks for ketones when necessary.
They have run into a couple of problems so far this year. First, there are 18 students in the class and because of how young they are they need to have a teacher and an aide in the classroom. If the child needs to go to the nurse's office, one of them needs to leave the class to go with her. The mom is worried that because they don't want to get in trouble for not having the correct ratio of adults to students in the room, so they might not be taking her daughter to the nurse's office as often as they should. Also, the mom was called to the school twice today. Once, her daughter's pump was "beeping" and they didn't know what was wrong. Her CGM needed to be calibrated and they didn't push yes to send the result of her meter reading to the pump. The other time the nurse "wasn't comfortable" giving a correction bolus to offset a high reading. Although the mom is happy to help, she is wondering how much she can expect of the school personnel.
I know there are laws protecting kids with diabetes, but I don't know how she can go about setting procedures in place to make sure her daughter is taken care of. Because of the child's age, she is unable to do a lot of the things that most kids can do by themselves in school.
Any help would be appreciated. Thank you!