I am a high school teacher and the mother of a 4-year-old daughter who was diagnosed at age 2. She is in preschool now and will be in kindergarten next year. Yes, you need to have a 504 Plan for your son, but most preschools do not do that. This year I have been in close contact with my daughter’s teacher and have been getting some input about how she acts and is able to focus related to her blood sugar levels. I’ve been keeping notes so that when she goes to public school I can make sure that I include certain things on her 504 Plan. I had one student several years ago who was a T1D, and her 504 Plan included: she could have a water bottle in class, she could go to the bathroom as often as she needed, she needed to check her blood sugar before any major tests, and depending on the number she could reschedule any tests without penalty, she was exempt from the attendance policy so if she missed extra days due to diabetes-related conditions she could make up all work without penalty, etc. For my own daughter, there has only been two days so far this year where she had trouble in school - one day was several weeks ago and she was high because she wasn’t feeling well, and her teacher called me saying that during journal time my daughter had trouble focusing. The second time was actually this morning when my daughter was low for the first time at school.
One thing that I had read about online somewhere that I did is that I created “low” boxes for my daughter. I took plastic pencil boxes that you can buy at Walmart or Target for less than $1. I put 3 juice boxes and a couple fun packs of M&M’s in each box. On top of the box I taped a typed form that says: her name, that she is a type 1 diabetic, her birth date, my husband’s and my phone numbers, what to do if she is low, and if she is unresponsive to call 911. I have 3 “low” boxes and they are in different places in her school so that she always has access to one.
I also typed up an informational packet for her teachers that tells information about type 1. I was afraid that if I bought books, the teachers would be overwhelmed with having to read an entire book, so the packet is only 4 pages, which makes it much easier. At the orientation in August I scheduled a time when all of the other parents and students left to meet with the teachers and the director of the preschool. I went over the packet, and I had copies for everyone to keep as a resource. My daughter was with me and was able to vocalize how she personally feels when she is low and high. Since she is at a private preschool, there is not a nurse like there is in public school. I trained her teacher and the director on how to check her blood sugar too. In the packet I have a step-by-step set of directions with pictures on how to check her blood sugar. The first few times they used this and said it was very helpful, but after that they can do it fine now.