Adapting to diabetes management as the start of new academic year commences

Earl September usually means back-to-school preparations for parents, children, and teachers alike with preparations for the new school year meaning the organisation of books, uniforms, school lunches, and much more.

For children living with diabetes, it also means adapting to their diabetes management, sometimes changing insulin regimes, and thinking about blood glucose monitoring and safety in school. There can be an added concern for parents, as well as for the teacher if a child with diabetes is starting school for the first time or changing to a new class or school with a teacher who may not be yet familiar with diabetes. The younger the child, the greater the involvement in the diabetes management and care of school staff it is, often including special needs assistants.

HSE guidelines for schools, diabetes teams and parents/carers

To help make the transition as easy as possible for everyone, guidelines recently published by the HSE provide useful information and a number of tools and easy-to-follow actions to help school staff to understand type 1 diabetes and the needs of their pupil.

The document sets out clear guidelines that will help structure the conversation and preparations between the family, diabetes team, and school staff. It explains diabetes and diabetes management to teachers and school staff and sets out clear lines of responsibility for all partners.

The document also includes a Personal Pupil Plan to agree on current diabetes management and the needs of a child. This includes information such as personal hypoglycaemia symptoms, what to eat during hypoglycaemia, and when to check glucose levels and deliver insulin. The school can have a personalised ‘information pack’ for all their pupils with type 1 diabetes.

To further support families and school staff, Diabetes Ireland has also developed a resource for parents and teachers on its website www.diabetes.ie/living-with-diabetes/child-diabetes/school-and-diabetes/ where the new guidelines, 'Meeting the Care Needs of Primary School Children with Type 1 Diabetes during School Hours,' can be downloaded along with lots of useful information on caring for a child with diabetes in the classroom.

“For parents, the challenge of leaving your child on their own or under the care of others can be very stressful, so good preparations and effective communication with school staff is vital and will help to reduce the feeling of uncertainty," said Dr Kate Gajewska, Diabetes Ireland research and advocacy manager. "We hope this online resource will be helpful and we strongly recommend involving the child’s diabetes team early in the planning and communication process, and the guidelines will be of great help to everyone involved."

The online resource has separate sections for parents and carers, and for teachers and school staff. The first section includes tips on how to start planning for back to school early, explains how to prepare the school and what to expect, provides information on special needs assistance and non-teaching support, gives tips on healthy lunchtime snacks, and how to support the child from a mental health and wellbeing perspective.

In the section for teachers, SNAs, and other staff, educational materials about type 1 diabetes, hypo- and hyperglycaemia, and diabetes management are provided, as well as information on how important it is for children's mental health and wellbeing to be included in school life. This section provides tips on what can schools do to support the child and their family and explains how to determine non-teaching support.

 

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