A child or young person with diabetes at school
Testing blood glucose levels and injecting insulin
The pupil should test the blood glucose levels themselves. If needed, the school nurse can interpret the result. If the school nurse is not available and an interpretation is needed, the pupil should contact their custodian.
The pupil takes care of their own insulin dosage. If the pupil is unable to inject insulin and school attendance is impossible without injections, the headmaster should appoint a person who injects the insulin or helps the pupil with injections. The person appointed should also have a substitute or substitutes. Injecting insulin does not require professional health care competence.
The pupil’s meals
Pupils with diabetes have their meals together with the other pupils in the canteen, and eat off the normal menu.
The teacher supervises, if possible, that the pupil participates in the meal. The school assistant helps the pupil to take food. A carbohydrate table helps to evaluate the amount of carbohydrate consumed. The kitchen staff will assist if needed.
The kitchen staff prepare and reserve morning and/or afternoon snacks for the pupil. The pupil is instructed to take care of snack times and to reserve other necessary snacks for themselves.
Notification of absences
The diabetic pupil's custodian must also inform the school's kitchen of the pupil’s absences so that snacks are not prepared and reserved for the pupil.
Participation in lessons
The pupil participates in the lessons as the other pupils. Diabetes is taken into account, for example, in sports classes and in household education. The pupil should preferably bring a carbohydrate-rich snack to the sports classes. The snack can be provided by the school kitchen or be brought by the pupil.
Emergencies and First Aid
For emergency situations, schools have snacks with high sugar content for First Aid. The school nurse and school kitchen have a First Aid instruction for diabetes. School staff, leaders of afternoon activities and school transport staff are familiar with First Aid instructions to raise too low blood sugar levels.
If the diabetic is unconscious, the school nurse will give a Glucagen solution as an injection. If the school nurse is not present, any adult should give the injection. The school nurse has Glucagen for First Aid situations, but the pupil should always carry their own as well. Always dial the emergency number 112 when a diabetic is unconscious, even if Glucagen has been given and the diabetic has regained consciousness.
It is good to be open about diabetes with the pupil’s classmates and school staff. This is the best way to ensure the safety and well-being of the pupil.
School assistants and school transport
The assistants' service for diabetics is determined on the same basis as the assistance service of other pupils in need of assistance.
Diabetes is not a basis for obtaining free school transportation provided by the municipality. If the family believes the pupil cannot manage the school journey by themselves or the journey is too tiring, an individualized medical opinion on school transport issued by a specialist in diabetes (at Jorvi Hospital) should be attached to the application.