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Care Of Children With Diabetes In The School And Day Care Setting

1483 words - 6 pages

Diabetes in a Classroom Diabetes is one of the most common chronic diseases of childhood, with a prevalence of 1.7 affected individuals per 1,000 people aged less than 20 years. In the US, 13,000 new cases are diagnosed annually in children. There are about 125,000 individuals less than 19 years of age with diabetes in the U.S. The majorities of these young people attend school and/or some type of day care and need knowledgeable staff to provide a safe school environment. Both parents and the health care team should work together to provide school systems and day care providers with the information necessary to allow children with diabetes to participate fully and safely in the school experience. The American Diabetes Association takes the position that children with diabetes should be allowed to make blood sugar checks at school. As legal precedent, they cite the Americans with Disabilities Act, the Individuals with Disabilities Education Act of 1973 (IDEA), and Section 504 of the Rehabilitation Act of 1973, which prohibit discrimination in all schools and daycare centers except religious schools and facilities against children with disabilities, including diabetes. Any schools that accept federal funding must follow IDEA and Section 504 laws. The association encourages parents to use the laws to ensure that their kids can participate in all school activities while caring for their medical needs. Children with Diabetes suggests that it's the responsibility of the parents or student to let the school know he or she has diabetes, to provide documentation to that effect, to make a written request for accommodations, and to request a meeting to discuss a 504 plan or IEP. The American Diabetes Association recommends that your written plan include medication procedures and blood glucose testing procedures. Children with diabetes are protected from discrimination by the Individuals with Disabilities Education Act, which entitles children with disabilities free public education, Section 504 of the Vocational Rehabilitation Act of 1973, which prohibits discrimination against the disabled in all federally funded program and the Americans with Disabilities Act. In response to growing complaints and concerns from parents, the ADA has published "Care of Children with Diabetes in the School and Day Care Setting." Appropriate diabetes care in the school and day care setting is necessary for the child's immediate safety, long-term well being, and optimal academic performance. The Diabetes Control and Complications Trial showed a significant link between blood glucose control and the later development of diabetes complications, with improved glycemic control decreasing the risk of these complications. To achieve glycemic control, a child must monitor blood glucose frequently, follow a meal plan, and take medications. Insulin is usually taken in multiple daily injections or through an infusion pump. Crucial to achieving glycemic control is an understanding of...

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