Back-to-School with Type 1 Diabetes

Starting school is exciting and for families managing T1D, a little planning can make all the difference. Below is a quick guide on ways to help your student feel safe, confident, and supported from kindergarten through college.

Before the First Day:

Update the Diabetes Medical Management Plan (DMMP)

Collaborate with your child's diabetes care provider to develop or update their DMMP. This plan outlines daily care routines at school, including medications, symptoms of high or low blood sugar, treatment protocols, and emergency contacts. Review it with the school nurse or designated staff.

Create or Review a 504 Plan or Individualized Education Program (IEP)

These legal documents outline the school's responsibilities to support students with T1D and provide necessary accommodations, such as:

• Access to snacks, water, and restrooms
• Permission to carry a phone and testing supplies
• Extended time or breaks for exams
• Backup plans for care when the nurse is unavailable

What to Send with Your Child

• Quick-acting glucose snacks (e.g., juice, glucose tablets)
• Glucagon kits (in the classroom, nurse's office, and child's bag)
• Diabetes supply kits (one for school, one to carry)
• A printed "cheat sheet" for teachers with your child's photo, key health info, and response steps.

Elementary School Tips

• Meet with the teacher, principal, and nurse before the school year begins.
• Walk through your child's care plan and drop off supplies in advance.
• Consider explaining T1D to classmates to reduce stigma and increase awareness.
• Build a support team that includes after-school staff and bus drivers.
• Encourage age-appropriate independence, such as checking blood sugar or treating lows.

High School and College Readiness

• Encourage students to self-advocate and communicate their needs to teachers.
• Ensure accommodations are in place for standardized testing (e.g., SAT, ACT)
• Keep open lines of communication with school staff in case of emergencies.
• Register with college disability services for:
  • Access to food, water, and phones during class
  • Testing accommodations
  • Priority housing or class scheduling
• Discuss alcohol and T1D risks clearly and realistically. Encourage students to share their diagnosis with at least one trusted peer.

Final Tips for Safety and Confidence

• Reassure your child that school staff are trained and prepared.
• Practice key diabetes management skills at home to build independence.
• Explore resources like the American Diabetes Association (ADA) for support, sample care plans, and legal guidance.

Have questions or need help with school-related T1D concerns?

Contact the ADA at 1-800-DIABETES Call800-342-2383).