We are now home and I just sent this email to her school: Hi all, We are now just back from Stanford Medical and Madison was Diagnosed with Type 1 Diabetes. This second nothing will change, we are catching this amazingly early before the classical symptoms and becoming sick from ever rising blood sugars. With that said, I will be in contact with Dr. Eckert's office to get the ball rolling and getting testing supplies for Madison. I will be requesting a RX for a Dexcom CGM ( 24/7 glucose monitor) just like McKenna has. This will allow us to better see what her Blood sugars are doing right now and when we will have to make the change to monitoring Madison at school and when insulin will have to be introduced. (And in the beginning it may just be a 24hr insulin at home and not at school) SO for right now, know that we have not hidden anything from Madison, she "knows" that she has been diagnosed, yet she is 6 and obviously is jaded by the normalcy of her sister having Type 1 also. Madison actually is happy to have Type 1, like her sister. Please understand that we want to keep this as positive experience as possible, I do not want Madison to feel like she is now broken, disabled , something to be mourned, or the she can not do things or eat things like everyone else. She will fully participate in every way that we can safely make work. I ask that you be mindful of your language when speaking to Madison, her classmates and others. Please do not "feel sorry" and give sympathy or tell her that she is Brave. Acknowledge that something has changed, that her body has made a "big mistake", but that we just have to think about things a little bit more so that we can help her body stay healthy. (sometimes healthy is having sugar, sometimes a lot). We are a very "matter of fact" family, Type 1 Diabetes does not give us very much leeway during the day or night, it is a 24/7 condition to not be ignored. My hope is that things will still progress slowly, that we can make it till break before we have to implement any changes at school. But as long as things stay status quo we will introduce small changes before year end. Like: her lunch living in the nurses office making sure that she does not toss any of her food - monitoring her food consumption monitoring of symptoms at school logging of Glucose numbers from CGM at Lunch knowing what she had for snack at school so we can figure out the lunch number possible small snack in the PM This is a lot, I know, and sorry to be impersonal about it at the moment, but as much as our family knew she was at high risk we hoped it would not come to this. I wanted to help you "accept" the Diagnosis on your own terms before seeing Madison, while I can not keep you from being emotional about it in front of a little girl that you care and love, as I said I want this to be as positive experience. This is not easy task! I know that. But if we can take a step back and just know that our adult perspective on the situation comes from the knowledge of the challenges that this diagnosis entails, yet, Madison has never grown up in a house of sympathy towards this. I love my girls so much, and it totally sucks that we gave them genes that make mistakes, but it is what it is and they bring so much joy to those that can accept them for who they are and not their Diagnosis. Please let me know if you would like/or need a personal conversation. I will be around and be able to be contacted. from an outsider/insider point of view, how did that read to you?