When our DD was dx'd during 3rd grade, we were homeschooling. We homeschooled for 17 years. It is a very rewarding and yet very challenging life choice. My 2 oldest children were schooled from PK3 - 12th. In 4th grade, our DD and 3 other siblings moved into the public school system. This decision was also the right one for our family. Now in our 2nd year of public school, it is also very rewarding. Last night I was speaking with a gentleman whose daughter is 6yo and is blind. Someone else in the group asked about school and other activities and how limited she must be. I loved his answer, "We ask ourselves - why not? If the situation can be resolved by making accommodations, then she should be able to participate." He went on to explain that in PK3 and PK4, she attended a private preschool. She used scissors in class. When she went to public school, the IEP listed a requirement for alternative cutting device. When he questioned them about what and why, they said that she could get cut by the scissors since she is blind. He calmly explained that she had been using scissors for 2 years without incident. The point as Nancy put above, is that diabetes is a factor but it should not be the final determining factor. Nancy said, "But, take the diabetes out of the equation and think about your 1st grader and why you are considering it. " Evaluate your decision from the complete overall picture. If homeschooling is what you are drawn to for academic and family lifestyle reasons - great. If diabetes is the primary reason that you are considering it, look for a way to make the private school situation a workable soultion.