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#1
10-14-2007, 03:06 PM
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how does your school handle lows?
In my son`s careplan it states that:
meter reading be verified child not left alone treatment, retest, and snack consumed verified His teacher doesn`t follow through with this. She has had 2 meetings with the public health nurse; one training session, and one follow up for the first few "misunderstandings". He is able to treat the low himself, but I want someone making sure it happens. He is confused and beligerent at home when he`s low. I don`t want the teacher to resent him, but I want him alive at 3pm. I will be calling AGAIN on Monday. How do your children handle lows at school? 
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#2
10-14-2007, 03:40 PM
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If Samantha is not feeling well or thinks she is low the teacher sends her down to the office which is very close to her home ( the teacher will either send her with someone or call the office they they go in the hallway and will get her) she will be checked, matters on the number I may get a call or they will give her a snack then call me, then after 15 mins they recheck her if she is fine ( so far she has ) she goes back to class, if not I guess they would call me again even though our plans states to give another snack and retest.
__________________
 Debbie mom to 11 great kids, Samantha dx'd 8-25-07 at 8 years old, 11 now. pumping with a purple MM Revel  CGMS since 3-19-09 lotsoftots life with a large family my blog Diabetes R Us Trying to do a d blog
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#3
10-14-2007, 04:23 PM
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How old is your son? My dd, age 9, treats in the classroom and may or may not re-test herself depending on how she feels. If she feels like she is back up, she just goes on with her classwork. She prefers to handle it quietly unless she needs help.
__________________
Mom to Lauren, age 15 dx'd 1/06 Pumping MM Revel Brother 17, no D Brother 20, no D
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#4
10-14-2007, 04:23 PM
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Sounds to me like you might need more specific directions for treating lows. Maddie's plan specifies what to do for 70-80, 60-70 and so on. Each step is clearly stated as are the times to wait and retest. Perhaps the teacher figures it's all the same at 45 and a 75 low so she doesn't understand the serious nature of treating a low and how impossibly unrealistic it is to leave the treatment up to the kid who's having the low.
Good luck - I'd be very upset and want this resolved once and for all. Note - maddie's 9
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#5
10-14-2007, 04:36 PM
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What part is she not doing? And why? Is she not verifying he is eating the snack? Not rechecking?
Ryan has a "buddy" in each class that will walk him to the office if he thinks he is low. He tests in the health office. He was low a week or so ago at lunchtime...and the health aide sent the guy with the golf cart to get him out of class to come and recheck. He's in 7th grade and it seems to be working fine.
__________________
Charlotte Mom to Ryan, , 15 dx'd with Type 1 D 1/23/06 and Hunter, 6 Dh Bill Married 19 years http://i33.photobucket.com/albums/d7...kumsma/099.jpg
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#6
10-14-2007, 04:37 PM
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Our care plan looks a lot like yours.
Test, treat, 15 min later test again, retreat if needed. A lot of times when she is at school and drops she will not go up with 1 treatment. It might take 2 to get her safe. I made it a point to explain this. Julia's teacher often handles it, but the SN or health aide are also willing to go to her to help out so that makes it that much easier. If it is too much for the teacher the SN really needs to be there, and step in, or they need to hire a health aide for the school that can be there full time. The teachers job is to teach, the nurses job is to nurse. It's really nice when the teacher can/will help out, but I can see how that could be more then difficult while trying to teach class. Maybe you could get a timer that you could set for 15 min after treating to remind them. They sell oven timers that are small and digital. Maybe one of these would help?
__________________
Jamie - Mom to Julia, currently 7 yrs old, dx'd 01/22/06, pumping since 11/10/06 My Blog
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#7
10-14-2007, 05:17 PM
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Does your school have a full time school nurse? Our son's teacher (3rd grade) is very on the ball regarding keeping an eye on him, gauging by his moods, work habits, etc that are effected by his bg. But, she does NO treatment herself. He goes to the nurse 10am, pre lunch, post lunch, and 2 pm at the least every day. If he tells any of his teachers he is feeling low they send him to the nurse with a buddy, or she is called and comes to him. There are 2 other kids younger than Nate at his elem with Type 1 and none of the teachers wanted the responsibility of treating them. We thank our lucky stars that we have a full time RN on site. I do believe that the school is required to meet his basic care needs by training at least 2 staff members or having a health aid/nurse there.
__________________
 Sue; Married to Steve 14 years. Mom of Nate the Great, age 10 (dx'd October 13, 2005. Pumping with Animas since June 2006.) and Meg, age 8, my super sweet right hand girl.
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#8
10-14-2007, 05:25 PM
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When my son feels low, he eats some of his tabs. Sometimes he tests first, mostly because I complain when I notice he has eaten tabs without knowing what the blood sugar was.
We have never consistently tested after 15 minutes to be sure he is higher. For years, he always has been higher, so we stopped testing. The teachers are simply to allow him to test and eat tabs.
__________________
Amy Mom to a young adult Animas Ping pumper. 2nd year college student, now living in a co-op house. Dx'd over 15 years.
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#9
10-14-2007, 05:26 PM
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Thx for the replies. He is 10. We don`t have a nurse. The teacher is not really doing any of it. He feels low, and then tells the teacher. She has yet to follow through with verifying the meter reading, making sure he treats, retests, and has a snack. It takes 2 treatments to bring him up sometimes.
So far he has done fine on his own. He usually calls me. Then I make sure he retests and does whatever next step is needed. Is this safe? I know at some point they need to take over. For now all of the staff that deals with him is trained. It is in the careplan, so I`m going to insist. But I wondered what others do. It seems simple to me, but I know at first I was very overwhelmed with info, so I`m guessing she is too. Last edited by 3js; 10-14-2007 at 05:28 PM.
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#10
10-14-2007, 06:08 PM
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Our school has no nurse so Lia goes to the office if she feels low. She tells the teacher who calls the office to tell them she's on the way and she goes with another student. They check, call me, treat (if needed) and retest in 15 minutes etc.
The teacher also has instructions on what to do if she's really low and unable to walk to the office. So far since dx in kindergarten, it hasn't happened yet. Thankfully we've been really lucky with understanding teachers who read what they are given and do what we ask. If Lia says she feels low, they are on top of it ASAP. The office staff calls me for ANYTHING lol. I swear if they think Lia even looks funny for ANY reason, D or not, they call.
__________________
Laurie Mom to Lia Grace, 12 yrs, dx 1/13/06 at age 5. Started with NPH and Regular, switched to Lantus and Novolog after three months and then started pumping after 1.5 years. CURRENTLY Pumping with the Animas Ping and using the Dexcom G4.
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