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Does your child test in class?

Discussion in 'Parents of Children with Type 1' started by minniem, May 4, 2011.

  1. minniem

    minniem Approved members

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    Hi all,

    We are new to the forum and my DS(8) was dx'ed with Type 1 on March 30th. We are still working out the kinks with school and he is in a very strong honeymoon at the moment so his BG's are all over the place while we constantly adjust his insulin and add in snacks, etc.

    My question is: does your child check themselves in class or do they go to the nurse? Currently my DS is going to the nurse but he is usually in there at least 2x/day. I was thinking it would help if he could check himself in the classroom and treat as needed so he's not missing all that class time. Obviously, he would still go the nurse at lunchtime for a check and his insulin shot. He currently is independent with his checks but not his injections.

    My other question is what kind of meter and lancet does your child use in class if that is the case? I bought him a one touch ultra mini and then I was going to try the multiclix lancet since he won't have a sharps container in class. Does anyone have experience with these? We currently use a one touch ultra meter at home so we have the strips etc. He also currently uses the Delica pen but has to deal with the sharps with that one.

    Any info anyone has would be appreciated. Even though we are so newly diagnosed and I don't understand the terminology in a lot of the posts this forum has been great as we try to learn more.

    Thanks!
     
  2. Sarah Maddie's Mom

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    Hi and welcome :cwds:

    Maddie started testing and treating in the classroom in 3rd grade. We never got much push back from school about a sharps container, though I did equip her classroom box with one. We use the freestyle lite meter and it's lancer, but Maddie does a lot of alternate site testing ( uses her forearm) and that lancer just works well for our needs. Many folks use and rave about the multi-clix as being the least painful lancer on the market. ;) And while we don't like the amount of blood the One-touch meters require, many, many people use and like them.

    The biggest issue most people encounter when it comes to in classroom testing is the "issue" of sharps. Reminding the administration that there are many sharp objects already in use in the classroom, staples, thumb tacks, scissors, etc., can help. And is the issue is blood or "bodily fluids" you can inquire as to the school policy on nose blowing, scab picking, band-aid disposal, menstruation, and the ever popular nose picking :rolleyes:

    Be nice, be firm, be prepared and hopefully your school will be supportive. Also you can check the ADA web site and look up the specific laws in your state concerning D kids and school and self-care.

    Good luck!:cwds:
     
  3. 3kidlets

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    My daughter, Hana, has always tested in the classroom since diagnosis last year in 3rd grade. It was never an issue. The only time she checks in the nurses is at lunch time when she goes down there for the nurse to oversee her insulin via pump.
    She doesn't change the lancet after each use so we don't need a sharps container in the classroom - we just do it at home (or if it really needed changing, she could do it in the nurses office).
    The goal is for them to be in the classroom as much as possible and minimize time outside the class and trips to the nurse. Our CDE was adamant that she not leave the classroom for BS checks and our school was fine with it. But we have 11 kids in our school district with T1, so they are quite use to this in our schools and we met not resistance with anything.
     
  4. jules12

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    My son just began testing in the classroom this year. He was dx four years ago and he is 11 now. He just didn't want to deal with the other kids, questions, etc. and was more comfortable going to the nurses office so that is what we did. He did miss some classroom time but his grades were good. It was more important for him to feel comfortable. Since you are fairly newly diagnosed, I would ask your son what he wants to do.

    We did not have any problems with the school regarding the sharps container in his classroom this year or testing. My son uses the One Touch Delica.
     
  5. Michelle'sMom

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    DD was dx'd in the summer before starting 5th grade. We had to fight the school, but she has always tested in the classroom.

    We have always used the Multiclix. Besides being more comfortable to use, we don't have to worry about sharps disposal. DD puts used test strips in the zipper compartment of her meter case, & we dispose of them at home. Each morning we put a cotton ball inside the meter case, for wiping excess blood after testing.

    Accu chek will send you a free Multiclix if you call & tell them you're interested in trying it. 1-800-858-8072
     
  6. Amy C.

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    My son started testing in the classroom in 2nd grade. I didn't change out the lancet except perhaps once a week, so the sharps issue wasn't a problem. After a while, he started carrying the meter with him at all times.

    Which state are you in?
     
  7. Beach bum

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    Hi and welcome...

    My daughter started testing in class in 2nd grade, and now in 4th does all testing except for lunch right in class. She is in a portable classroom, so if she needs the nurse, she calls and they will either tell her what to do or come to her. We all decided it was time for her to stop going to the nurse because of the amount of class time she was missing. She has all her supplies in class, and carries a small bag to specials. Our 504 states she can test/treat anywhere on campus.

    We use the Multiclix, we're very happy with it. I like the fact it's self contained, we don't have to deal with sharps. As for meter, we use the OneTouch Ping because it works with our pump.
     
  8. Jakethesnakesmom

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    My son has always gone to the nurses office to test throughout the years (he's in 3rd grade) - usually it's right before recess and lunch, and occasionally after lunch if he feels a low (usually, another kid from class will walk with him to the office if he feels low). This has worked out fine for us (and the teachers), but it's interesting to see how many of your kids are testing in the classroom! Hmmmm..I'm sure this is something we'll be thinking about as he gets older - not sure what the school would allow..

    Stephanie, Mom of Jacob, age 9
    dx since 2005
     
  9. Beach bum

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    My daughter is the same age and tests almost exclusively in class now. It saves on missed learning time (ie. going to/from nurse). If she needs to be treated, the nurse will come to her. She will stop in before/after lunch for check and bolus. Next year she will be going to middle school, so much more responsibility will be required of her, but the nurses have prepped her pretty well. Something you might want to consider, getting him ready for the transition to middle school.

    As for the school allowing, don't ask. Tell. Just say, "my son will be testing in class now." It's written in our 504 that she can test anywhere on campus. She carries her kit with her and has everything she needs.
     
  10. Christopher

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    In the early months after dx my daughter would go to the health office to check. Then she transitioned to testing in class. There was an initial resistance by the school but I remained firm and basically shot down every objection they had (blood, sharps, etc) using logic and facts (see Sarah's post).

    As for having a sharps container in class, if you don't change the lancet every single time he tests, why would you need one? Unless your philosophy contradicts this, I don't think there is anything wrong with using the same lancet a few times in a row and changing it when he gets home, especially if it makes things easier for him in the classroom. Just a thought. (I would recommend changing the lancet at least once a day, especially with the finer gauges as they get bent/dull more easily)

    Danielle uses the Freestyle meter and the Delica lancer. With the new butterfly test strips, there is only a tiny bit of blood required.

    Good luck... :cwds:
     
    Last edited: May 4, 2011
  11. selketine

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    This is a real YDMV thing - William is in 3rd grade and still goes to the health room to check. We have a small school and the health room just isn't that far. In addition - and the main reason - is that I don't think he is quite there yet with being able to manage the responsibility of what to do with that number. I definitely wouldn't want him doing a correction on his pump with no oversight. He sometimes still transposes numbers!

    He has an emergency box in his classroom - that goes with him to specials, etc. - and has a test kit, glucose, glucagon, epipen (he has food allergies), inhaler (asthma) etc. He has a cgms which can alert him to lows and help head them off. If it beeps or if he feels low, he can choose to take a tab or two or three - and he is always escorted to the health room under the eyes of adults (a child walks with him and the teacher watches him go up the steps - adults in the office watch him walk down as they are alerted he is coming). This system works very well for us.

    He doesn't have so many lows that he misses a lot of class time from that - generally.

    Much of it depends on your child, your school, where the classroom is, etc. I wouldn't rush a child to do it if they aren't ready. I do expect he will be checking himself, and treating in the classroom by the time he is in 5th grade - if he wants to do it that way. Guess I will leave it up to whatever he is most comfortable with at that point.:cwds:
     
  12. Tuff

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    Ou son (11) carries his Accuchek nano, Strips and multiclix everywhere he goes in a little camera pouch hooked with a clip onto his belt loop. He takes the meter from home so it is with him at school and he can test anywhere he needs. There is also a little pocket for some glucose tabs. Our endo says to try and always use the same meter everyday. If my son forgets it at home then there is a spare n the classroom.
     
    Last edited: May 4, 2011
  13. kim5798

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    My daughter is now 12. She has had diabetes since she was 3yrs old. She has always tested in the classroom. She is in a private school with no nurse. In kinder and 1st grade, the teacher kept the meter at her desk, but after that, it has been in Danielle's possession. We have used the multiclix for most of that time. It works for us.
     
  14. mom2two

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    We get all testing and dosing done in the classroom. We don't need a sharps container since we don't change the lancet at school :p
     
  15. Annapolis Mom

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    My daughter is in kindergarten and used to do her own checks when she was in preschool (she was highly supervised), so we went into her public kindergarten requesting that she again be allowed to do her own checks in the classroom and just go up to the nurse for the lunchtime check.

    The lead nurse suggested that we at least start out the year having the nurses do the checks just so they could get to know her and her diabetes. This turned out to be the best thing we could have done. The nurses really know and understand so much about her and her diabetes. They can tell if she's out of range just by how she looks as she walks into the office. They can see just how much exercise drives down her blood sugar and how a rainy day with no outside recess gives her a high number. They are her allies and her advocates and they keep me informed about her whenever anything unusual happens, which allows me to make better decisions about her care when she gets home.

    I am so happy that they made this suggestion. She will have a little more responsibility next year, but not much. The nurses at her school are very valuable and I am glad they are on our team.

    Bottom line--you might consider more supervision at first. You can always have the nurse back off bit by bit until you find the right level.
     
  16. quiltinmom

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    I don't see why your child couldn't test in class. If he understands what a low/high is, and knows how many carbs to eat for a low, etc. that should be fine. My DS tested his own blood in class before lunch, basically from the beginning. He used a one touch ultra mini, and we dont' stress about changing lancets every time, so sharps isn't much of a problem for us. I change his lancet at home. I agree--it wastes alot of time if they have to go back and forth to the nurse every time they need to test.

    Excuse me if this is a dumb question, but...when you say "constantly changing things" what does that mean? I ask because I want to check that you are waiting at least 3 days before making adjustments. You can't make adjustments based on just one day's high or low. I assume you know that already, but thought I'd put it out there...there were a lot of things that escaped my understanding in the whirlwind of dx. I think that changing things up too often makes it harder than it already is.

    Good luck! :)
     
  17. kidsmakes7

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    I guess I'm of the school of thought that those kind of decisions should be best left to your DS and what he is comfortable with. Of course, there is nothing wrong with nudging him a little, but if he is somewhat resistant to the idea, then I wouldn't push it. It's hard enough just being a kid these days... then drop T1 in his lap... I certainly don't encourage coddling a child, but he's got quite a lot on his plate and his comfort level should have some bearing on those types of decisions :)

    We LOVE the multiclix! YDMV, however, it seems to be the least painless sticker we've tried, and it's great for mom and dad to not have to worry about random pokes while changing lancets.
     
  18. Phyllis

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    Testing in class

    Testing in class is recommended in the booklet for school personnel (available free online). If your school has not seen the recommendations from the NIH and CDC you can print it for them. It is called "Helping the student with diabetes succeed-a guide for school personnel. "
    Our grandson tests in class and just reuses his lancet until he gets to a spot with a sharps container. He has had no problems with this. Besides saving time, it is more safe than taking a trip to the nurses office with a potential low. One concern is whether the child understand the norms and what do do about variations or how to treat.
     
  19. Yellow Tulip

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    My son is 8 and about to finish 2nd grade. He started testing in the classroom around October of last year. It was actually driven by the teacher, who felt that he was missing too much instruction by taking the trips to the nurse. Our school is pretty small, but somehow this nurse's office is so swamped all of the time with kids needing help, that he would spend a fair amount of time just standing around waiting for his turn. Also, he's a talker :rolleyes:, so he'd always get into sharing stories with other kids or the nurse, and a short visit to the nurse would turn into a 10 -15 minute ordeal 3 times a day (mid morning, lunch and before gym).

    I felt that he was capable of testing by himself and that with some guidance he would know what to do about the number he saw. I gave him, the teacher and the nurse a chart outlining ranges of bg numbers and what to do for a particular range. This has worked beautifully. Tommy was very excited to take on this responsibility.

    Since he's on the pump, he also doses his own insulin. I give him a detailed sheet listing all the carbs in his lunchbox, and the type of bolus I'd like him to use and he enters it himself.

    It took some work on my part to persuade the principal and the district officials that classroom testing was what was best for my son. There are two other T1s at the school, one Tommy's age and one older. They both go to the nurse. The pricipal couldn't understand why I didn't want Tommy to go that route also. They also tried telling me that blood in the classroom is not allowed because of bloodborne pathogens :rolleyes: A short call to the ADA and some online research and we were able to show them pretty quickly that this wasn't an issue.

    He uses the multiclix. That's also what we use at home - Tommy says it hurts the least. And having the needles contained in the drum is definitely a plus.

    I think that whether a child tests in the classroom or goes to the nurse's office is largely dependent on the maturity of the child, his/her willingness to take on the responsibility, and general knowledge of what to do with the numbers that come up. I felt Tommy could handle this responsibility, and that is why I pushed for it. He told me recently how much he likes not having to go to the nurse all the time, and how he feels more like the rest of his friends. You know your child, trust your instincts and do what's best for them.
     
  20. Yellow Tulip

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    That was also a large concern for me, especially after hearing one day that his teacher at the time sent him to the nurse by himself and he tested at 41 :eek:
     

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