Our DSN did the very first one and then I just amended it myself when necessary and got her to sign it. It is instructions to the school for how you want your daughter’s diabetes to be managed. It should include the following:
How to recognise and test/treat a hypo
How to recognise high blood sugar and how to deal with it (how high do you comfortably want them to let her go before they start doing corrections and checking for ketones)
Lunch time procedure - carb count and insulin, will she be allowed to queue jump because once she’s had her insulin she needs to eat straight away
If she’s on a pump you will need to add a section on what to do if the cannula falls off or if they suspect it might not be working (can they change it or do they need to call you)
Emergency phone numbers for you and hospital team
You may also want to add step by step instructions on how to use her testing equipment
It can also be amended later as different situations arise, over the years I added sections for how to deal with swimming lessons, party food, residential trips etc, and then the most recent one was pared right back to basics because she can handle most things on her own now!
Your DSN should be able to help you in the first instance, ask if they can let you see another one which you can use as an example. My DSN emailed me one which I was able to edit to suit my daughter and then print out with the NHS header still on!! Made it look much more official 🙂
Also, when you go and see them do not move until you’re sure that they understand that hypos are potentially very dangerous, and if the lunch procedure is not done correctly she could end up very ill, and that if they suspect low blood sugar they need to deal with it NOW not at the end of the lesson. Some people seem to think that it’s all a big fuss about nothing so be absolutely sure that they understand that it isn’t ! You don’t necessarily need a one to one helper, better to make sure that at least two people know what to do in case one isn’t there one day.