I'm going to preface this with, we don't have the best relationship with the school, so I am very careful in how I speak to them and they are very restricted on what they are and aren't allowed to do when it comes to DS' pump. Today, after lunch and recess (they are back to back), he went to the nurse's office because he felt low. They tested and he was 64. I just sent in glucose tabs, however, they didn't make it to the nurse's office, they were still in his backpack, which was in his classroom. She called me and we agreed to give him 4 oz of OJ and that the aide would follow him back to class once his number was above 80 and get the tabs. That was at 1:50. At 2:30, she called me back and said that at 2:10 he was 63, so he dropped 1 point, and they gave him another 2 ounces of OJ and retested and he was now 68. At this point, the aide had gone to his classroom and gotten the glucose tabs. I asked her if they had tested him on his secondary meter, just to be certain, because we've had repeat lows, but not 3 in a row. She put me on hold and they tested him and it matched the Ping remote exactly at 68. I told her, give him 4 and retest him in 20 minutes. Keep in mind, at this point, he's been in the nurse's office for over an hour, the last hour of school, which is science/social studies time (so learning time, not play time). She called me back and he was 72. I told her, I really don't want you giving him anything else, because it's all going to hit at one time and then we're going to deal with a rebound high that's a pain to bring down. She agreed to wait 10 more minutes and retest. After the 10 minutes, he was 87. He was sent to extended day and I've been in contact with the extended day director just letting her know to keep an eye on him and call me if she needs anything. If he was home, I would have followed the same protocol; however, it feels like the nurse was aggravated with me because his sugar wouldn't come up. I'm also concerned about the hour of instructional time, but I will address that with the school because these things happen. This nurse is an RN, and I know they don't get a lot of training on Type 1 diabetes, but when things like this happen, I feel like she has learned nothing that we've talked about. I'm not looking to raise heck with anyone, I just need to know a better way to respond to her when this happens. They kept telling me how much insulin he had on board, and I finally had to tell her even if she suspended his pump right now, it's not going to raise his numbers right this minute, that takes time too. So I guess all this to say, how would your school nurse handle that? I do work at home, and I do have the flexibility to be around to do more things, but I just didn't feel this was an instance that warranted jumping in the car and checking him out. Thoughts?