nursery school.

Have you or your diabetes nurse communicated clearly to the staff how to manage your daughter's diabetes when she's in their care? Do they know how to do a finger prick test and more importantly how to act on the result of that reading? Do they know what signs to look out for which might tell them your daughter is experiencing a hypo. It is important that there are some clearly written instructions for them to follow in case of your daughter experiencing a hypo. I printed off some step by step instructions and had them laminated. They are displayed as a poster on the wall where Jess' diabetes box is kept and another set of the instructions are kept inside the diabetes box. Make sure every staff member who will be working with your daughter knows how to act on a hypo and what signs to look out for to spot a hypo.

In our diabetes hypo box (which is a large clip seal container) at school we have:

1 mini can of coke (not diet) with a couple of straws (it's easier to suck through a straw if she's very low), you could use lucozade rather or any sugary drink.
1 small roll of digestive biscuits (I put these inside a zip lock bag to avoid crumbs getting everywhere inside the hypo box)
2 tubes of glucose tablets
Glucogel (we've never used it but it's there incase)
Blood glucose test (if you only have one ask your diabetes nurse to provide you with a second meter to leave at school)
Spare box of testing strips
Spare lancets
Spare batteries for test meter
Information sheet on Jess diabetes management, my contact numbers for emergencies, what to do in case of a hypo, what signs to look out for to detect a hypo

We also have insulin pens, needles etc. but you won't need that as your daughter doesn't need an injection done at nursery.

Hi Mini-M - we send our daughter to school with a few cartons of apple juice, if her sugar level is low she has one of those. TBH, I would have thought your diabetic nurse should have given you written instructions to pass to them, ours did and has visited the school to make sure they are up to speed.

I hope all goes well for you and your daughter. xx

hi i'm nic, Mum to Jazmin who is also 3.
she started nursery in September so just thought i'd share my experience with you. Firstly I cant fault my diabetes team as they were in school everyday for a couple of weeks ensuring every menber of staff was all trained and fully understood what diabetes is and how this affects Jazmin on a daily basis (she is there all day so they had to be trained to give her insulin 2).
Jazmins diabetes box has full sugar fruit shoots and a pack of buiscuits for hypos, they have the glucogel too but havent had to use this. My little girl wont drink coke and wont go anywhere near lucozade tablets she says they are yukky!
I also have to take a snack in for jazmin, usually some grapes or a banana as the other kids are given fruit but quite often its carrots or tomatoes. As jazmin is very active this means that her blood stays at a good level as before I started taking these in she was having hypos everyday!
Also for the first week or so Jazmins blood sugars were quite high in school because she was anxious. Hope this helps x

It would be best to follow the guidelines provided by your child’s diabetes nurse. By informing the nursery school staff these guidelines they will become aware what first aid if they can do for your child if she has hypo.

Hi I'm Christine mum to Abbie, she is 2 and a half started nursery in Sept. She was diagnosed in Feb 2012 and is now on insulin pump. I can't fault her diabetic team they have been 2 the nursery a few times but I feel they are very reluctant in dealing wit her type 1. They don't want 2 do anything 2 do wit the pump and still not even testing her blood sugars so I am still sitting in the nursey. Am hoping this will change soon wha

What can I do please help xxx