heart01 said:
thx she is 4 yrs old and will need to inject at school..................
As she's 4 years old and newly diagnosed I hope you aren't expecting her to do this all on her own! Make sure you speak to the head teacher, class teacher and teaching assistants
before your daughter starts school. Get in touch with your diabetic specialist nurse and ask her to assist you with training the school staff about your daughter's diabetes and how to manage it properly at school.
My daughter is 9 now and although she can physically do the lunchtime injections on her own I still go into school every day to do the injection with her. Although the head teacher at our school is comfortable about overseeing the injections some of the first aid staff who man the medical room at lunchtime aren't. As a result I go in every day to help with the injections. The head teacher isn't always available at lunchtime so for this reason I go into school. Occasionally if I can't get to school then by prior arrangement the head teacher will help out for me. Some schools are more willing to oversee the injecting than others appear to be.
We have a diabetes box (2 actually), very clearly labelled with my daughter's name on it, kept each in the medical room and in her classroom. In that box is a roll of digestive biscuits, a couple rolls of glucose sweets, mini cans of coke with a straw (easier to sip through a straw when hypo), glucogel tubes. Also in the box is a spare tub of test strips, spare batteries for the meter, replacement lancets for the finger pricker, emergency contact details for myself, GP, diabetic nurse and diabetic consultant. When she's hypo at school usually a digestive biscuit is enough to fix it, as they're in the diabetes box either in the classroom or medical room it's easy to get to when needed. Ask your diabetes nurse to provide you with a spare test meter if she hasn't already done so as it's easier to keep a meter at school and one at home. Over the years we've accumulated 4 meters now, one is at home, one in the classroom and one in the medical room.
For PE a digestive biscuit is usually enough to help her through. She does have a mid-morning snack at school but I send that in each day with her. Her hypo treatment (kept in the diabetes box) and her mid-morning snack are completely separate items. Her mid-morning snack is usually a small piece of fruit.
If the school will be helping with injecting then you'll need to keep some insulin at school together with needles and a sharps bin. I'm not sure if it's the same everywhere but here where I live the sharps bin needs to be replaced by my arrangement and collected from home rather than from school. You'll need to make sure that her insulin is replaced every 4 weeks if not all used up by then (as I expect it won't be).
I've linked a web page below that I (and staff at our school) found to be very useful. It's written for Australia but as I couldn't find anything similar for the UK I printed the flipchart and changed the few minor things that needed changing like emergency phone numbers. Apart from some minor things I felt most of the information to be relevant and useful. You and your school may also find it of some use.
http://www.diabeteskidsandteens.com.au/ ... hools.html
