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Diabetes: Questions and Answers
Health Issue Category
Date of Issue
Revision Date
February, 2006
Related Policies, Administrative Procedures and Forms:

1. Can a child with diabetes participate in phys-ed sports?
Kids with diabetes should be encouraged to participate in as many activities as they choose. They should not be excluded from school trips. School sports and extracurricular activities can promote self-esteem and a sense of well-being.

For those kids who wish to participate in vigorous physical activity, good planning is essential so that the blood glucose balance is maintained. The major risk of unplanned vigorous activity is low blood glucose. This can be prevented by eating extra food.

Parents should be notified of special days which involve extra activity so that they can ensure that the child has extra food to compensate.

Sports or other activities that take place during mealtime require extra planning. Timing of meals and snacks may be varied and the insulin dose adjusted so that kids with diabetes can safely participate.

It is advisable that both you and the child with diabetes carry some form of fast-acting sugar such as glucose tablets or juice boxes on outings or sports events.

It is critical that the child’s teachers, especially gym teachers and coaches, are familiar with the symptoms, treatment and prevention of hypoglycemia (See section entitled “Hypoglycemia (Low Blood Glucose) - An Emergency”).
2. How should a child with insulin dependent diabetes be identified by staff.
If the child is an insulin dependent diabetic, they should be identified as part of any school procedure for serious medical conditions.
3. What needs to be in place to meet the needs of a diabetic child?
The student, parent and school share responsibilities in the management and prescription of the child’s diabetic condition. The specifics of the plans need to be in place before the child begins school and be reviewed on an ongoing basis (i.e. change in classroom, child’s condition changes, personal changes, etc).

As a resource for formulating this plan, please refer to the attached, Standards of Care for Students with Type 1 Diabetes in School CDA (1994) Position Paper

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