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Back to school prep

26 August 2020

There is nothing quite like the smell of pencils and the sight of a crisp uniform shirt to bring memories of your school days flooding back. For children with diabetes, going back to school is sometimes idyllic. However, managing a condition like diabetes can be difficult even in the best of circumstances. Add in the prospect of new teachers, a new school, new administrators, a new routine, or new friends and suddenly going back to school with diabetes fills you and your child with anxiety. Fortunately, going back to school is made easier with a few tricks and a lot of communication.

 

Tips for Primary School

Sending a child with diabetes to primary school is often an exercise in faith. If your child is dependent on insulin injections when eating (meals or snacks), at class parties, on outings and excursions, these activities can be a minefield of uncertainty. If your school is not equipped with a full-time nurse, you may find yourself having to be a diabetes educator for teachers, administrators and office staff. Just remember that you are your child's best advocate for receiving the help needed to remain healthy while they get an education.

 

Start Early

Most schools open days or even weeks before students arrive. This is an ideal time to arrange a meeting with your child's teachers, administrator and any relevant healthcare professionals or office workers on staff. Together, you can construct a plan for when and how your child will receive insulin throughout the day. You may be asked to bring documentation from your healthcare team showing how often your child should check their blood sugar, how often they should eat, how much insulin they should take (if necessary) and what to do if an emergency arises. Diabetes UK offers guidance and several downloadable resources for parents and schools.

 

Encourage Your Child to be Open

Studies have shown that people with diabetes who feel shame are less likely to properly care for themselves. For many children, feelings of shame are often due, in part, to feeling different from their classmates. This can lead to lack of management of their blood sugar levels, skipping insulin doses or complete refusal to check blood sugar levels. On the other hand, if your child is able to be up front with their classmates about diabetes and dispel any myths about their condition, classmates are more likely to treat them like anyone else.

 

Have a Plan

In addition to helping teachers and administrators know how to care for your child, it is important to have a plan for the unexpected. Class parties, excursions, snacks, and goodies pose a carb calculation and dosing challenge. Participating in PE class or other exercise may leave your child with low blood sugar levels for the class immediately after if they do not have a snack on hand. While it is impossible to prepare for every scenario, thinking through the most likely possibilities can help you create a plan for your child's health.

 

Communicate Absences

In a perfect world, your child would never miss school due to diabetes. However, illnesses may prevent them from attending school for a few days or even longer. It is important to communicate with your child's school about absences. Laws throughout the UK require schools to make accommodations for children with diabetes to receive the same education as their classmates without diabetes. If diabetes prevents your child from attending school for any reason, talk to your local education authority about tutoring or other accommodations.

 

Tips for Secondary School

Many of the same tips for managing diabetes in primary school also apply to secondary school. However, as your child matures, they may encounter new challenges as they manage their care.

 

Encourage Independence

As they enter secondary school, your child may be allowed to manage their own care without the direct supervision of an adult. However, if they have never given themself an injection or calculated the carbohydrates in a meal, self-management is nearly impossible. Naturally, the best place to practice caring for diabetes is in their own home. Encourage them to develop habits of checking blood sugar levels before meals, injecting insulin as needed and paying attention to how they feel when they have high or low blood sugar levels.

 

Accommodate Sports and Physical Exercise

As they grow older, many children become more sedentary. Yet multiple studies have found that exercise improves insulin absorption while helping children and adolescents manage their weight.  Encouraging your child to participate in sports and physical exercise at school will help them remain focused and healthy. Be sure to let teachers know what to look for and provide your child with a snack for afterwards.

Going back to school doesn't have to be stressful for parents and children with diabetes. A little preparation and a lot of communication can help your child be safe all year long.

 

Returning to school during Covid-19      

 

Every school may have a slightly different policy in place for the return to school in 2020. Because of this it's best to check the specific information available for your child's school, this will likely be available on their website or by contacting them directly. If you do have any health concerns, or questions about your child's diabetes, please seek advice from your healthcare professional before returning to school.

 

The views expressed in the Accu-Chek blog are not necessarily those of Roche Diabetes Care Limited or our publishers. The content is provided for general information only. It is not intended to amount to advice on which you should rely – you must obtain professional or specialist advice before taking, or refraining from, any action on the basis of the content. Although we make reasonable efforts to ensure that the content is up to date, we make no representations, warranties or guarantees, whether express or implied, that the content is accurate, complete or up-to-date.

 

Sources: 

https://www.practicaldiabetes.com/wp-content/uploads/sites/29/2016/03/Shame-and-diabetes-self-management.pdf

https://onlinelibrary.wiley.com/doi/full/10.1111/j.1399-5448.2009.00567.x
www.diabetes.org.uk/guide-to-diabetes/your-child-and-diabetes/schools/diabetes-in-schools-legal-information

www.diabetes.org.uk/guide-to-diabetes/your-child-and-diabetes/schools/school-staff