DD is starting kindergarten next week and I am meeting with the school tomorrow to help train and discuss the treatment plan. She was in preschool the first year of diagnosis but that was at a public school and she had a pretty strong honeymoon so it was all pretty straightforward with one test before lunch and dosing her .5 units each time for 30g meal that I sent. She never had to be checked off schedule and never had hypoglycemia when tested. Now she is starting K at a private school with no nurse and limited experience with diabetes. We have had DD home and with dexcom we have gotten used to being able to vary our treatment considerably. For example if she is slowly trending down with a straight or diagonal arrow we might give her 1-2 of the larger smarties which are .8g each and that will bump her up 15-30 points. Obviously if she is coming down fast then we treat more aggressively although rarely the 15 gram juice boxes she used to do when first diagnosed. Not to mention that sometimes we use dextabs or smarties and other times juice but they do not seem equivalent. I'd guess a 4 gram dextab seems more equivalent to 2 ounces of juice which is about 7.5 grams. If she has a low we will vary our dose based on how long since taking insulin and exercise and what she ate etc etc and then dose more if not enough. We try to head off the significant low with small doses of quick carbs when we see her trending down. I don't want to make things too complicated for the school or overwhelm them but I would like to use the trends from dexcom. How do people manage this with a younger child especially so the teacher or office aid is the one handling it all (plus calls to us of course). Do you give the school guidelines that take into account the trend such as .5 dextab if arrow straight or diagnonal, one dextab for straight down arrow, 2 for double arrows down etc. I feel so helpless when I think about giving these decisions to school teachers and aids. We will try to be available by phone and DH is about 15 minutes away but it is nervewracking.