so my DS has had T1D since last October. He was diagnosed by the family doctor due to symptoms like weight loss and extreme thirst, and then referred to a general endocrinologist where he was seen for several months until a DKA in July. When he DKA'd, he was flown to a children's hospital where we got our first real diabetes education and family education, along with a referral to a pediatric endo. I guess the DKA gave me quite a scare, though, because maybe I'm being overcautious?? Last (school) year, he rarely missed school because we weren't even checking for ketones. We didn't even know it was something to watch for. His DKA happened in July while his blood sugars never exceeded 300. So, kinda low for DKA. Anyway, now we check his ketones when we have two in-a-row checks over 200. When I'm treating ketones, I keep him home from school to treat him (insulin every 2 hours, water, etc.) because I'm not sure he'll get that close monitoring at school. Plus when his ketone checks come back large, he feels AWful. That being said, he has accumulated 13 absences this year. Most of them were due to fighting ketones. Only one was for an endo check. All but one were diabetes related. SO... We have a 504, so his diabetes-related absences aren't counted against him, BUT... the problem is that the school is saying that the only way his absences can be counted as diabetes-related is if they are documented with a doctor's excuse, NOT a parent note. His endo is 3 driving hours away! N when we're fighting ketones, he's not under a doctor's (direct) care, he's under my care. Has anyone else encountered this? That the parent's word is kinda... not good enough? I'm thinking I may have to just take him to school even on ketone days, and then let the nurse call me to come pick him up after roll call. It just seems like I'm going to have to "work the system" when I shouldn't HAVE to. Has anyone else encountered this or can someone give me some advice?