Hi there. I am preparing for my son's school year starting in August and am wondering what other people's experiences are. I have heard over and over that the school nurse is the main person responsible for a D child's care at school. I am wondering how this works for you all. My son is currently pumping. He will be attending preschool at a parochial school who has a nurse provided by the public school system. He will be there 3 days a week and will have lunch there. Specifically, Does your child go to the nurse for each bolus for lunch and each snack? Who is typically the back up person when the nurse is absent? Does the teacher have any responsibility for bolusing? If there is an impromtu snack, who estimates the carb count? Every time my older son comes home from school and tells me about the special snacks he has that I had no idea about, I wonder how kids with D handle this. Sending in lunch, I expect to be providing carb counts. My son typically eats whatever is provided to him. But what happens if your child does not eat their whole lunch for which they have been bolused? Checking blood sugar - is this done only by the nurse? And since we have been pumping, checking his sugar 2 hours after he eats has been an instrumental part of his dosing management. Is this something that is accomodated? I realize I have some legwork to do to get a proper 504 plan (or something similar for a parochial school) in place and to set up a meeting to set expectations and such. I am also looking for the practical advice that only fellow parents can provide. I'd like to understand what people find to be reasonable as far as expectations so that I am prepared at the initial meeting. This school currently has three other D children, so I expect that there will be clear procedures in place. But again, I want to be sure that if I don't agree with their approach, I will at least have a sense if I am being reasonable. Thanks for any and all thoughts.