Back to Diabetes Management at School Actions for the Counselor

Actions for the Counselor

It is our goal to offer you assistance and support to assure that the student who has diabetes feels safe and secure in the classroom setting. We believe that with just a few special considerations the student with diabetes can have a normal lifestyle and a positive school experience. We suggest the following:

  1. With the school nurse, coordinate a conference with the family, teacher, principal, school nurse, coach, playground supervisors, lunchroom workers, and any significant other persons involved in the student's school life, to collectively develop an understanding of diabetes and the individual student's requirements to manage it effectively.

  2. Recognize that learning to cope with diabetes can be difficult, and attention to management routines is required 24 hours a day.

    • Teachers may notice low self-esteem, withdrawal from activities with other students, and discouragement over the routines required to manage diabetes. In addition, fluctuations in blood sugar levels may produce mood swings, and sudden behavior changes may signify acute low blood sugar requiring immediate treatment.
    • Understand that the student with diabetes may feel singled out and different from peers because of special routines and needs required for good diabetes management. The student may need your assistance with a variety of adjustment issues surrounding the following:
      • Special scheduling requirements, such as meals and snacks, physical education, and blood glucose monitoring
      • Uncomfortable feelings regarding the above situations experienced by the student with diabetes or experienced by fellow classmates
      • Family communication
      • Coping mechanisms of student and family
      • Compliance with diabetes management needs

  3. Coordinate (if appropriate) a class discussion about diabetes and the student's management needs. This often works best if the student is willing to participate in the presentation.

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