First, my daughter has a 1:1 RN that's with her at all times. I really and truly know I'm very lucky to even have this accomodation but lately I've been wondering if its more of a PITA than helpful. Every other day she needs something in the orders changed. Seriously, it's like every.other.day. My doctors office is probably like WTF is going on?? Sometimes I feel she thinks she's all high and mighty because she has a masters in nursing. I'm sorry, but I still know more about my kids diabetes than you. I just can't stand when people act like they know more than you about your own kid, kwim? At first the order said "child is to check their sugar _ times a day, before lunch, etc etc (you know, a generic statement in the medical orders). She needed that changed to "nurse" To me, this is... "duh"... My kids 4. She could check her sugar but wouldn't have a damn clue as to what to do with it lol. How would you checking her sugar be illegal? Come on. No matter how many times I tell this lady, she keeps bringing this one scenario up... She keeps saying.. "At over 250, it's really beyond the scope of what I can legally do" UM, no, what it says is that if she is that high, to check ketones. It doesn't say you can't give insulin. What is the point of having you if you don't want to correct highs?? For snack one day, she calculated that she needed like .45 units to cover it. Told me at the END of the day (didn't bother to call- I could've came in) that she didn't give her insulin because she doesn't have the authority to round to .5 units. So, an hour later,when she was 230, she had to correct her with a half unit... I later explained to her that unless my daughter is 120 and has exactly 21 g of carbs at a meal, you will always have to round.. so, you're doing it anyway. Now I'm thinking, why don't I just try to get my daughter a CGM and when it alarms, at least she'll have time to make it up to the nurse before going too low.. There's another kindergartner in her school with diabetes and I don't even think he has an aide, he's fine. The whole 504 group thinks my daughter's diabetes is sooo weird, because she can go high after playing. Yes, in the heat she goes high. They're by this all the time. They're confused as to why she's so insulin sensitive. Hello, she's the size of a toddler (petite little thing) and only 34 lbs. a 1/2 unit too much could make her very low and vice versa. We recently had an updated 504 meeting because they actually wanted to replace her with someone who would be cheaper to pay. The nurse wrote a letter to everyone and in it, my daughter is considered a "frail child" That pissed me off too. Really?? She's one of the healthiest kids I know. And jeez, it takes her like 10 minutes from start to finish of checking her BG and giving her insulin. It'd take less time for me to come to the school to do it myself lol. Every time I come to pick her up, it's something different.. It's getting sooooooo damn annoying. I guess this was really a rant. She just irks me.