So my son completed 6th grade here at home with me. At the end of summer he will start 7th grade at our local middle school and I am worried about a ton of things, one of which is lunch. Last year for 5th grade since we were new to Diabetes he took a lunch we packed at home that included post its with carb count and total dose needed. I also emailed the carb and dose info to the health aide. Now next year he wants to have school lunches like other kids and the whole process has me worried, even though we are not there yet. The district nurse has told me before that there is an RN and a health aide at the middle school but that the kids pretty much maintain their own D and just check in the with the health office staff, unless they need help. And I know that most kids there are currently on the pump. My son wants to stay on MDI, and he does not want to carry his pen with him, but he wants to leave it in the health office and get it when he needs it. So how do your teens/tweens handle school lunches with D? Do they bolus before or after they eat? Are the carb counts for school lunches anywhere near accurate?