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    • 9 hours, 13 minutes ago
      jamesmpii likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      How many people does this have to happen to before they must test everyone to be sure?!
    • 12 hours, 15 minutes ago
      Kristi Warmecke likes your comment at
      Have your insurance deductibles and/or premiums increased in 2026?
      I said “slightly” because the premium went up $20 per month. But the electronic payment charges went up $20 too. I use a credit card in order to get the miles which add up to more than a flight over the year. Basically, I’m financing a plane ticket by paying my insurance premium.
    • 14 hours, 32 minutes ago
      eherban1 likes your comment at
      Have your insurance deductibles and/or premiums increased in 2026?
      The Eli Lilly coupon program: https://insulins.lilly.com/lilly-insulin-value-program or the Nordisk coupon program: https://www.novocare.com/diabetes/help-with-costs/help-with-insulin-costs/myinsulinrx.html might help. It has for me.
    • 1 day, 15 hours ago
      Patricia Dalrymple likes your comment at
      Does dietary protein affect your glucose levels?
      Try the "Atkins" diet or some other no-carb diet (e.g., Paleo minus fruits and staches) for a few days. This will allow you to measure your insulin demands based solely on non-carbohydrates (fats and proteins). Ultimately, your glucose can be affected by all three*, but eliminating one macro group at a time will let you assess how much each affects your bg levels.
    • 1 day, 15 hours ago
      Patricia Dalrymple likes your comment at
      Does dietary protein affect your glucose levels?
      Patricia, if you're willing to isolate your diet to a single protein for a few days you'll most likely know. It doesn't work for everyone. It did for me.
    • 1 day, 15 hours ago
      Patricia Dalrymple likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 1 day, 19 hours ago
      TEH likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 1 day, 19 hours ago
      TEH likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 2 days, 4 hours ago
      Sandra Rosborough likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      It was a worthless meeting. They had no idea about how carbs raise blood sugar!!! I’ve found few Endo offices that understand type 1!
    • 2 days, 15 hours ago
      Bob Durstenfeld likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 2 days, 17 hours ago
      lis be likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      My absolutely favorite meeting with a dietician is when a guy came up from Miami to lecture our local diabetic group. His advice? He said, to wit, "You probably shouldn't drink alcohol, but if you must, then try and make it dry champagne."
    • 2 days, 17 hours ago
      lis be likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      When I was diagnosed, I was simply given a diet to follow. Period. I followed it for awhile, but then I moved to the UK, and the recommended diet was different, so I used that. When I finally went onto separate injections for each meal, I made my own diet. I have been eating whole grains since about a year before my diagnosis, and have never been a fan of sugary foods. I'm glad I never had to meet with a dietician: it would have been a waste of time.
    • 2 days, 17 hours ago
      KSannie likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 2 days, 17 hours ago
      KSannie likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      It was a worthless meeting. They had no idea about how carbs raise blood sugar!!! I’ve found few Endo offices that understand type 1!
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Pretty sure most of us type 1's have spent a ton of time and research developing personal guidelines for our bodies and insulin response. Trial, error, start again. test. Thinking about the high carb pyramid they gave me in the hospital when first diagnosed in 1980... and my youth not understanding why i had so many sugar swings. Food guidance from the government has always seemed driven by lobbyists and politicians...
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Not at all. I'm 86 and what got me here is what I'm still doing. Also, I have heart disease and will not increase my use of beef fat or butter.
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Amanda Barras -- The marketplace of ideas, almost as much of a cul de sac as the tribal alleys of true believers, there are plenty of shortcomings to keto and Bernstein diets. Google almost any "Critcism of X diet" and a plethora of articles will appear. Same goes for all the current protein-push policies that are in vogue.
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      While I appreciate the pyramid needed some adjustment, going to a meat and fat pushing diet (my perception) is just as bad. Plus I don’t trust people that ignore the science and common sense needed just because they happen to be currently in charge.
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      Does dietary protein affect your glucose levels?
      Said I’m not sure. I mostly have some protein with every meal. How would I know for sure that protein is the impact and not some other of the 100s of factors that affect BG?
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once when 1st diagnosed
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 2 days, 18 hours ago
      Ahh Life likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      When I was younger I used to see a dietitian with every T1D appointment, but that was like 20-30 years ago
    • 2 days, 18 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      One appointment shortly after I was diagnosed but none since then.
    • 3 days, 8 hours ago
      lis be likes your comment at
      Does dietary protein affect your glucose levels?
      So, I ordinarily would answer "never" to this question. I can go on a no carb diet for days and need no bolus insulin whatsoever (I still must take a basal dose). For example, I can eat eggs, bacon, and other "breakfast" meats for breakfast, I can eat a cheeseburger (lettuce wrap bun) for lunch and even eat a 16oz steak for dinner and not need a single unit of bolus insulin. That said, protein drinks and protein bars are a different story. Even a small amount of carbs mixed in (say about 6-8g) will drive my glucose up slightly. Because this increase is significantly larger than the carbs would induce alone, obviously, the protein does cause some increase.
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    For caregivers of children with T1D, do you have any special accommodations available from your child’s school? For adults with T1D, did you have special accommodations when you were in school?

    Home > LC Polls > For caregivers of children with T1D, do you have any special accommodations available from your child’s school? For adults with T1D, did you have special accommodations when you were in school?
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    If you were diagnosed with T1D as an adult, on a scale of 1-5, how easy or difficult was it to find an endocrinology clinic near you? (1 = the easiest, 5 = the most difficult)

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    30 Comments

    1. Britni

      My parents sorted all that out but as far as I’m aware: I had permission to wander the halls without a pass (so I could get to and from the nurses’ office when I needed to), carry a backpack with me in middle school (everyone else had to keep theirs in their lockers, but I needed to keep snacks handy), and I was allowed to eat during standardized tests. By senior year of high school I was also allowed to make up time lost during testing due to treating high or low blood sugars. That wasn’t officially an accommodation, as far as I knew, when I was younger but a couple teachers fudged it for me because they felt bad that I’d lost time.

      1
      4 years ago Log in to Reply
    2. George Hamilton

      My diagnosis came during my junior year in college. The college dining hall menu had only a single “standard” meal for all students, but for me and other students with specific diet restrictions, the school had a diet table with a variety of choices. It worked well.

      4 years ago Log in to Reply
    3. lis be

      I clicked the wrong button! I did have type 1 in school, but I do not remember having accomodations.

      4 years ago Log in to Reply
    4. Neal Van Berg

      When my son was in Elementary school in Albuquerque NM I worked with a group of parents who had children with type 1.
      We arranged to have the children guaranteed the ability to carry and eat glucose tablets at their discretion as well as testing their blood sugar, injecting insulin or seeing the nurse. There were also written instructions informing substitute teachers of these rights.
      My son is now thirty three so this was 20 + years ago.
      With cgms and pumps it must be easier for a young type 1 to take care of themselves at schoo.

      1
      4 years ago Log in to Reply
    5. Jneticdiabetic

      I was diagnosed as a freshman in college. Only special accommodation I can recall was for an exercise physiology class where I got an ok to stop a treadmill test early if I got low.

      4 years ago Log in to Reply
    6. AnitaS

      I don’t remember having special accommodations when I was diagnosed in the third grade, but I know I could have eaten anytime I felt that my sugar level was low.

      4 years ago Log in to Reply
      1. AnitaS

        I was diagnosed in 1973 so there was no blood testing and I didn’t even give myself a bolus injection when I ate since the “regular insulin” was still working on my blood sugar well into the early afternoon.

        4 years ago Log in to Reply
      2. cynthia jaworski

        pretty much the same in my case (fifth grade). The teachers knew, but nothing special seemed to be needed.

        1
        4 years ago Log in to Reply
    7. Lawrence S.

      I had T1D in graduate school. I had no accommodations.

      4 years ago Log in to Reply
    8. Mary Dexter

      I was 48 and substitute teaching when I was diagnosed. The Americans with Disabilities Act did prevent my losing an assignment monitoring exams when my pump beeped (now on MDI, not because of that).

      1
      4 years ago Log in to Reply
    9. connie ker

      Our son was #3 type 1 diabetic in our family unit. He was diagnosed in Jr. High and had a school nurse who helped him daily. High School was the same help with a school nurse. By college, he was on his own. His father was one of the longest living T1Ds in the country and I was diagnosed with LADA 24 years ago, not in school. CGMs are a tremendous help to me living alone.

      1
      4 years ago Log in to Reply
    10. LizB

      I was diagnosed in college and didn’t request any special accommodations.

      4 years ago Log in to Reply
    11. jeredb

      I was diagnosed as a freshman in high school and had lunch accommodations to avoid sugar and to get the required calories. At that time I counted calories and avoided sugar rather than focusing on carbs as it is now. This was almost 30 years ago. I also had permission to treat lows and check blood sugars as needed. No special accommodations in college though.

      4 years ago Log in to Reply
    12. Karen Newe

      Like half of new T1 diagnoses I was diagnosed as an adult, long after school. Glad I did not have to deal with all that comes with that.

      4 years ago Log in to Reply
    13. Mick Martin

      Personally, I didn’t have diabetes when I was at school, but a younger sibling, who also developed type 1 diabetes, some 20 years prior to I, was ‘shipped out’ to a ‘specialist home’ for type 1 diabetics. (This was some 50+ years ago. Schools, at that time, over here in the UK, at least, weren’t so au fait with caring for type 1 diabetics.)

      4 years ago Log in to Reply
    14. KCR

      I accidentally clicked “other” when I meant to choose “n/a” since I was diagnosed as an adult.

      4 years ago Log in to Reply
    15. Sue Herflicker

      I had no accommodations for my sons while they were in school! And I was not diagnosed until I was 56 with LADA.

      4 years ago Log in to Reply
    16. Janis Senungetuk

      I was dx in the 3rd grade in 1955. The “accommodations” were punitive. I was not allowed to join classmates for birthday, Halloween and Valentine’s Day parties. The school nurse would call my mother to take me home if I was experiencing a low. Throughout my public school years it was all my responsibility.

      4 years ago Log in to Reply
    17. Bob Durstenfeld

      I started school in the 1960’s. No one had thought of, or considered accommodation back then. I remember some days being low and stumbling to lunch. I was on one shot a day of U40 beef insulin injected from a glass syringe and HUGE steel needle that had to be hand sharpened. I love my pump and CGM.

      5
      4 years ago Log in to Reply
      1. Melinda Lipe

        Me too!

        1
        4 years ago Log in to Reply
      2. ConnieT1D62

        I remember those days too!

        4 years ago Log in to Reply
    18. Donald Cragun

      I was diagnosed when I was a freshman in high school in 1966. I was excused from gym class and kicked off of the basketball team.

      4 years ago Log in to Reply
    19. Melinda Lipe

      Diagnosed in 1966 when I was 9, the word accommodation was not used. My schools understood and cooperated with my mother to help care for me so I could continue in school. No school nurses, I knew to ask to go to the office and my teachers knew to send me there if I was not acting right. Neighborhood schools in action.

      3
      4 years ago Log in to Reply
    20. Chris Deutsch

      I was diagnosed at age 14, so had T1D throughout high school & college. I do not remember any accommodations being given in classes or in sports.
      However, that was in the late 1960’s, before self-monitoring meters or multiple daily injections. I saw my doctor every few months, and had a lab- drawn blood sugar prior to the appt, which I never considered representative of anything except the few hours prior to the test.
      It’s amazing any of us survived!

      2
      4 years ago Log in to Reply
    21. KarenM6

      No such thing as accommodations when I was in school… I suppose the nurse might have helped if I had asked for help, but she wasn’t tasked with doing anything for me… it was all on me.

      2
      4 years ago Log in to Reply
    22. PamK

      I was diagnosed at a young age, but my caregivers are now my spouse and adult children. They were not around when I was a child! I know that my mother did make the schools I went to aware that I had diabetes, but I do not know what accommodations were in place other than that I was allowed to sit in the hallway to eat my morning snack and/or go to the nurse if I felt like my blood sugar was dropping. So, I answered N/A.

      4 years ago Log in to Reply
    23. Lloyd Lowe

      1968, so no accommodations whatsoever.

      1
      4 years ago Log in to Reply
    24. ConnieT1D62

      1960s and early 70s – no special accommodations other than I was allowed to keep sugar cubes wrapped in aluminum foil in my purse and a bottle of Karo syrup or maple syrup in a cloak room supply cabinet during grade school and in my locker during high school. My HS gym teacher kept OJ in a little fridge in her office – her dad was a T1D and she knew me from when she was a camp counselor at the diabetes kids camp I attended in my youth.

      4 years ago Log in to Reply
    25. Cheryl Seibert

      I was a first grader when I was diagnosed in the mid-60s. The only ‘accomodation’ in grade school was that I was allowed to go to the nurses station if my sugar dropped (no CGM those days…. so it was usually me stumbling around in the classroom!). In junior high (called middle school these days), I was allowed to go to my locker for scheduled snacks outside of our 1 timeslot to go to lockers during the day. Things are so different and I think easier these days.. Imagine being able to just eat a snack or take a bottle of Powerade to class!

      4 years ago Log in to Reply
    26. Michelle Saunders

      My teachers kept oranger juice cans in the classroom. When needed I would tell them and I could get one. Once I got middle school they were kept in the office, and I could go get one as needed. In high school my grandma worked there so my low treatments were kept in her office in the library.

      4 years ago Log in to Reply

    For caregivers of children with T1D, do you have any special accommodations available from your child’s school? For adults with T1D, did you have special accommodations when you were in school? Cancel reply

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