Type 1 Diabetes at School
T1D Awareness Day Assembly & Tattoos
More details coming soon!
Diabetic Medical Management Plan (DMMP) Quick Reference Emergency Plan.
You can download the Microsoft Word Version and update your own times & Blood Glucose Range.
OR (slightly more difficult) you can download an Adobe PDF file and make edits in Acrobat Pro.
OR (uber nerds) You can download the original Adobe Illustrator file and make edits to the entire document. Click here to download the Adobe Illustrator File.
DMMP or 504
At the beginning of the school year set up a DMMP (Diabetes Medical Management Plan) & 504 Meeting. Click on the links to learn more about creating your own plan from Diabetes.org DMMP & Diabetes.org 504 Meeting. We have provided a sample of our DMMP for Gracie. She uses a Tslim, CGM Dexcom, and Nightscout. The Red Markings indicate personal information & names. You are welcome to download and update the file with your own information for a jumping off point, especially if you are feeling overwhelmed.
Click here to view or download the T1D Club DMMP Sample Word Document.
Our DMMP is an 8 page document that outlines exactly every step of every day for Gracie's Best Diabetes Medical Management. It is extremely specific. In our case the people that will be overseeing most of Gracie's day to day activities have no prior knowledge of Type 1 Diabetes. This was an important step of giving Gracie confidence in managing her own care and yet feeling safe in the classroom with experienced eyes. At the beginning of the year Gracie was being forced to leave the classroom to go to the front office to do her BG checks at 9:30am, 11:30am, and 1:30pm. The counselor acting as the nurse had no medical training and was very reluctant with T1D treatments. I usually received several phone calls or texts multiple times during the day asking me to confirm Gracie's statements about how to care for herself. Even though we had the information in the DMMP packet, Gracie knew the information, and I had told/texted them the same information the day before. It was starting to get very aggravating. Gracie became very frustrated that they would not believe her and made her wait in the office to call me to confirm. Gracie was starting to loose valuable classroom time and her grades and test scores began dropping. She also started having testing anxiety exponentially and directly associated with her BG levels.
At this point we decided we needed to enforce a 504 in addition to the DMMP. We scheduled a second meeting with the Dream Team! These school meetings emotions run high for me! My mama bear attitude protecting my baby bear cub is very close to the surface. I have put my blood, sweat, and tears into these 8 pages. I have reviewed and got approval with my Endocrinologist and Diabetic Educators. I am trying to give all my T1D knowledge in less than an hour to several strangers that will care for my baby girl while she is away from me for 6 hours of each weekday for 9 months. And to top it off I am sleep deprived.
In the classroom we have an iPad displaying Nightscout near the teacher's desk. With Gracie's permission we educated the entire class that the iPad was for medical use only, hands off!
My favorite part of our DMMP document is found on the bottom of page 2.
When we get to this section of the paperwork during the meeting I put the focus on Gracie. I ask her to look around the room and see her "Dream Team" of adults helping her while she is at school. I let her know that everyone at the table is here to help her! I hand her the packet and have her read this paragraph out loud while everyone follows along. It says,
Transition Period to Gracie’s Independent Diabetes T1D Self-Care:
Gracie will follow instructions given by the T1D trained teacher/adult and document all diabetes care into the Health Care Portal. This will be a transition to independence and at any time Gracie may choose to not be independent OR if she is not able to follow instructions outlined in this 504 Diabetic Medical Management Plan she will report to the office as needed during the times outlined below.
Signature: Gracie Date
When she is done reading, I have her summarize what it means to the entire room. She says, "I am in charge of my T1D care as long as I use the Health Care Portal BUT if I do not follow instructions I will return to the office." I ask her if she wants to be independent? She says, "YES YES YES!" with a huge smile on her face and signs on the line.
We present Gracie's individualized 504 plan.
Click here to view or download the 504 T1D Club Sample Files from my public Drop Box
I downloaded the file from here and added details about Gracie's individual needs, especially pertaining to her Nightscout rig, wifi, and data connection. This is a 9 page document that was developed by the American Diabetes Association (ADA) and the Disability Rights Education and Defense Fund, Inc. (DREDF). The most important details for us at this time are found in section 3 & 9.
... the student will be permitted to provide this self-care at any time and in any location at the school, at field trips, at sites of extracurricular activities, and on school buses.
If the student is affected by high or low blood glucose levels at the time of regular testing, the student will be permitted to take the test at another time without penalty.... If the student needs to take breaks to use the water fountain or bathroom, check blood glucose, or to treat hypoglycemia or hyperglycemia during a test or other activity, the student will be given extra time to finish the test or other activity without penalty.
- Microsoft Word FIle
- Adobe PDF File
- Adobe Illustrator File