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Key points about creating a safe environment for children with diabetes at school

  • tamariki (children) and rangatahi (young people) with diabetes go to early childhood education and school and participate in all educational and social activities
  • every child and young person living with diabetes has specific needs
  • it's important to work closely with school staff to create a safe environment for your child or teen with diabetes

Managing diabetes at early childhood education and schools

Tamariki with diabetes go to early childhood education and school and participate in all educational and social activities.

By working closely with the early childhood education and school staff, diabetes can be safely managed in the school environment and your child can fully participate in education based activities without discrimination.

You might like to share a 30 minute video with staff at your child's school. The Starship diabetes team developed it especially for school staff, to increase their knowledge and understanding of diabetes. It's available on the Starship website.

Use of mobile phones as a medical device

Many students with diabetes use their mobile phones to receive their glucose levels from a CGM device.  The Clinical Network for Children and Young People with Diabetes have developed a letter for schools. The letter explains the importance of students having access to their mobile phones for safely managing their diabetes. 

See the letter for school about using a mobile phone for managing diabetes. Make sure you include some wording about using a mobile phone for medical reasons when you're filling out the diabetes action and management plan. 

Diabetes action and management plans for early childhood education and school

It's important to recognise that every child living with diabetes has specific needs. The Clinical Network for Children and Young People with Diabetes has developed a collection of school action and management plans. These aim to support families in creating a safe environment at school for diabetes care.

For families: Save the documents and complete the plans electronically. You can then share the documents with your child's school.  Your diabetes team can give you support and help if you need it. 

There are action and management plans for:

  • early childhood education
  • primary and secondary schools

Choose the right action and management plan for your child. 

Kindergarten or early childhood centres

For tamariki who have multiple injections of insulin each day

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Image of diabetes action plan for early childhood 2025
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Diabetes MDI management plan for early childhood education 2025
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For tamariki who use an insulin pump

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Action plan for insulin pump for early childhood 2025
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Diabetes insulin pump management plan for ECE 2025
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Primary and secondary schools

For tamariki and rangatahi who have multiple injections of insulin each day

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Diabetes MDI action plan for school 2025
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Diabetes MDI management plan for school 2025
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For tamariki and rangatahi who use insulin pumps

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Diabetes insulin pump action plan for school 2025
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Diabetes insulin pump management plan for school 2025
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Some other diabetes resources for schools

As well as an action and management plan, there are other resources you need to give your child's education centre or school.

Hypo kit - this will include items to use if your child has a 'hypo' or low blood glucose level. You'll need to provide clear instructions about how to give the items to your child. This can also go into the school management plan. Items could include glucose tablets, juice drinks as well as carbohydrate snacks (such as muesli bars).

School resource flip chart - this was in your newly diagnosed pack from Diabetes New Zealand. You can download extra copies of the school resource flip chart.

Source: Diabetes New Zealand

Creating a safe environment for children with diabetes at school

It's important for families to work closely with school staff to create a safe environment for diabetes. Arrange a meeting with the school as early as possible to discuss the action and management plan and the care your child needs. 

Important points to cover with school staff

Completing management plans

It's best for families and whānau to complete management plans with school staff. There is a lot of online and written material to help support school and early childhood education staff. If needed, healthcare professionals can help with planning. But, whānau know their child or teen best and should be the main contact.

Wearing medical identification

Tamariki with diabetes should always wear medical identification (such as a wrist band or bracelet) at school.

Testing glucose levels and injecting insulin

It's very important to allow tamariki with diabetes to:

  • test their glucose levels in the classroom if they wish
  • inject insulin in public if they wish 

It's also important to offer them privacy to do either of these if they prefer.

When there are symptoms of hypo

Never leave tamariki with type 1 diabetes alone when they are having symptoms of hypo.

Don't prevent them from eating or drinking to treat or prevent a hypo.

School camps

It's important that any child with diabetes can fully participate in the school curriculum. This involves school camps and outings - both day and overnight events. For these to be successful, preparation is very important.

The following include checklists of things that family, whānau and the school need to consider.

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Image of diabetes management plan for school camp
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Image of diabetes checklists for school camp
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Exams

There are special conditions for rangatahi living with type 1 diabetes sitting NCEA or Cambridge examinations. Talk to your child's school at the beginning of each academic year. See some information about diabetes and exams for young people with diabetes.

Your child's school needs to submit a 'specialist medical report' to NZQA, early each academic year, for each young person. This report confirms the special requirements for students with diabetes.

See examples of the medical certificate for type 1 and type 2 diabetes. These certificates will be part of the NZQA application for students with diabetes. 

See the sample medical certificates for students with type 1 or type 2 diabetes. 

Acknowledgements

The content on this page has been produced in collaboration with the National Clinical Network for Children and Young People's Diabetes Services.

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