Back to Ask the Diabetes Team Ask the Diabetes Team

From Fleetwood, Pennsylvania, USA:

The school nurse was rushing around and entered 186 grams of carbohydrates into my daughter's pump instead of 62 grams of carbohydrates, thus overmedicating her by 6.3 units of insulin. She had no idea how to correct this problem. I instructed her to give her juice and glucose tablets and immediately remove her pump. I had to bring my daughter home from school for monitoring. This was not the first mistake. The nurse is continually arguing with us and not following our instructions. We have a 504 plan, but it was not finalized by her and sent around the school until March (we provided the information in August). We brought up our concerns with the principal, but nothing has happened. What are our options here?


The school nurse needs to follow your child's Diabetes Medical Management Plan or physician's orders that should specify a carbohydrate to insulin ratio as well as treatment for hypoglycemia. The DMMP or orders should also authorize you as the parent to make adjustments. I recommend coordinating a meeting or phone call between your child's CDE and school nurse to clarify. Also, you may also want to arrange for your insulin pump company to do an in-service training (usually for free).


Original posting 8 Apr 2007
Posted to School and Daycare


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:10:12
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.