I dont know whether to cry or scream! This nurse is not new to the school. She has been there for 2 years now. I have a 504 and a health plan for Steven that I make revisions to on a yearly basis. WTH does she think she knows more about my son's diabetes then I do?!?!?! First off, it states in his health plan: Do not do corrections at snack as you will be stacking insulin. If Steven's BG is high call home to get further instructions. I would rather decide for myself how much of a correction to do for snack time highs. I have told her repeatedly that Steven gets 25 carbs for snack, each and every day. This hasnt changed, there is no need IMO to send her a note each day with the carb count of his snack. My husband or myself are there 98% of the time for lunch check and bolus so she doesnt even have to deal with that. What happened today: Steven was high at snack 274, nurse gave 3 units. Already screwed up. Snack time bolus should be 2 units. For this # I would have given 2 1/2 probably, although he had gym class about an hour and a half after snack. THEN!!!! About 1/2 hour after snack Steven was rewarded for a good grade on his reading test with a popcorn snack. This was approx 1/2 cup of popcorn. He went down to the nurse. He did not check blood nor did she tell him to. She then gave him another 1 unit of insulin!!!! Thus stacking even more insulin. She is well aware of his schedule and has a copy of it at her desk to see what days he has gym class. Activity definitely will reduce the amount of insulin Steven needs and she knows this. Its something we've discussed numerous times. Ive also told her that at any time he is to be given extra food, call me, so that I can decide if he needs more insulin or not. Obviously he didnt need that unit 1/2 hour after getting 3 units for snack So I went to pick up Steven at school and didnt know any of this at the time. On the way home Steven said he felt low. He ate 2 glucotabs that he keeps in his back pack at all times. By the time we got home he was pale and shaky but said he was able to get upstairs. I gave him another glucotab then tested. He was 48 He was feeling very shaky and was seeing crosseyed by that time. My husband is defending the nurse and saying that it was a mistake. She does this kind of thing alot and when I try to speak to her about it she gets very defensive and tries to tell me that he needs more insulin if he's that high. Well duh I think I know a little bit more then she does about MY son's type 1 diabetes. If youve read this far, I thank you. The support means alot. I know I have to suck it up and go in and speak to her in a calm manner about this but its hard when people feel that first and foremost they need to defend their actions and act like they are being attacked. Im thinking that I will start sending in notes daily with carb counts and exactly how much insulin Steven should be getting.