How aggressive at school?

[Boo]

For those of us with (or who have had) elementary aged children on injections...how aggressive are you about giving extra insulin during school hours if your child is running high? My son (10) does not routinely get a shot at lunchtime. (He gets humalog and NPH with breakfast). I do not keep insulin at the school. Usually if he is high, I just have the school nurse give him lots of water and maybe skip his afternoon snack. Today he was pretty high before lunch so I went in and gave him an extra injection. So far (one and a half years), his A1C numbers have been pretty good (7-7.5). We are looking toward the pump this summer. I am curious how aggressive others are with these situations while on injections.

By the way, I am new to this forum and very glad to have found it. After a year and a half of absorbing all the initial info. at diagnosis, I now feel ready to move to the next level of control.

[pookas]

I personally have been VERY aggressive at Hunter's school. He's only in Kindergarten. I was there everyday for over a month to make sure the nurse does everything right. I just started trusting the new nurse and he has an aide all day, and they know I'm only a phone call and 5 minutes away. Hunter does get Novalog after lunch each day. Also, the school permits me to come in and treat however I need to in different circumstances. For example, if the endo. changes his insulin dosage and doesn't fax the change to the school nurse, I would have to come into the school and give him the insulin. That way, they are not responsible for any changes w/out docs consent. We're still ironing out the wrinkles, but so far, so good =)

Linda-[NEPA]-Mom to:
Hunter, 5 yrs, dx'd 11/14/05 type I
Colby, 6 yrs, migraines

[allisa]

Hi, I, too have just found this site and am hoping to get some insight & advice.

My son is in second grade and was diagnosed in Preschool.....so we've been doing the "school thing" for awhile now. Like your son he also gets Humalog and NPH at breakfast and when he is home I usually never give a shot at lunch time.

He has had quite a few highs at school. I do not keep any inuslin at school either and I have only treated a high once because I suspected the Humalog was a little past date & ineffective.

Other wise the highs seem to be associated with a late snack time ( having just had snack a half hour before being checkd). If he is high we usually have him skip his snack in his lunchbox and the nurse will recheck him in a couiple of hours. 95 % of the time he is right in perfect range when she rechecks .....which makes me HAPPY that I didn't give him a shot !


Hope this helps !
Allisa

[T_Adelaide]

Libby (10) just has Novorapid + Protphane before breakfast & before dinner. She's never been really high at lunch time apart from when home & ill, & that's only happened twice.
She goes on the pump in April so hopefully 2 injections a day will suffice till then.