Subscribe Now

[hb-subscribe]

Trending News

T1D Exchange T1D Exchange T1D Exchange
  • Activity
    • 1 hour, 20 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 7 hours, 38 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 8 hours, 30 minutes ago
      Kathy Hanavan likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 11 hours, 31 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 11 hours, 31 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 11 hours, 40 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 11 hours, 42 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 11 hours, 54 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 11 hours, 54 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 11 hours, 54 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 11 hours, 55 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 11 hours, 55 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 11 hours, 55 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 11 hours, 57 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      Do you realize what you have just said: "Obscurantism, gobbledegook, and pointillism used not as an art form but as a 'Gotcha!' of legal/financial determinism?"
    • 11 hours, 59 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 12 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 12 hours, 1 minute ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 12 hours, 16 minutes ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 9 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 1 day, 10 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 1 day, 10 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 11 hours ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 1 day, 11 hours ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 12 hours ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 12 hours ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I’m curious about the reasoning behind using a dedicated reader. Could someone please enlighten me?
    Clear All
Pages
    • T1D Exchange T1D Exchange T1D Exchange
    • Articles
    • Community
      • About
      • Insights
      • T1D Screening
        • T1D Screening How-To
        • T1D Screening Results
        • T1D Screening Resources
      • Donate
      • Join the Community
    • Quality Improvement
      • About
      • Collaborative
        • Leadership
        • Committees
      • Centers
      • Meet the Experts
      • Learning Sessions
      • Resources
        • Change Packages
        • Sick Day Guide
        • FOH Screener
        • T1D Care Plans
      • Portal
      • Health Equity
        • Heal Advisors
    • Registry
      • About
      • Recruit for the Registry
    • Research
      • About
      • Publications
      • COVID-19 Research
      • Our Initiatives
    • Partnerships
      • About
      • Industry Partnerships
      • Academic Partnerships
      • Previous Work
    • About
      • Team
      • Board of Directors
      • Culture & Careers
      • Annual Report
    • Join / Login
    • Search
    • Donate

    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?
    Previous

    In honor of GivingTuesday, what are your favorite ways of giving to organizations you support? Select all that apply.

    Next

    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.

    Related Stories

    " At T1D Exchange, we’re proud to announce our Medical and Research Advisory Team — an accomplished group of leaders in endocrinology, research, and quality improvement. Together, they are redefining what’s possible in type 1 diabetes (T1D) care through rigorous data analysis, innovative research approaches, and real-world implementation. Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. By leveraging data to scale best practices, the goal is to drive meaningful, measurable change across clinics and communities.  “Our advisors will help to extend our impact — whether through QI strategy, research innovation, funding opportunities, or new data-driven solutions,” said Walton. “We want to take what’s working at individual centers and spread that as broadly as possible.”   He added, “As a Collaborative, we’re also focused on advanced population health strategies such as exploring predictive data models to identify risks earlier and intervene before complications even begin to happen.”    The power of the T1D Exchange Quality Improvement Collaborative  Central to this work is the T1D Exchange Quality Improvement Collaborative (T1DX-QI) — a nationwide network of clinics working together to improve care through shared data, benchmarking, and evidence-based practices.  “I’m thrilled to serve as a Medical Advisor for T1D Exchange, because I’ve seen firsthand the impact this network can have on patient care,” said Dr. Nestoras Mathioudakis. “T1D Exchange is the premier organization for quality improvement in type 1 diabetes, with unparalleled assets like a large EHR database and robust patient registry.”  He added that he is excited to apply his expertise in EHR research and big data analytics to generate real-world evidence across diagnosis, management, and outcomes.  Dr. Viral Shah echoed that perspective, reflecting on T1DX-QI's evolution: “I have been involved with T1D Exchange since its early days and have had the privilege of witnessing how it has transformed the quality of diabetes care across the United States. I’m delighted to return as a Medical Advisor.”  He emphasized the importance of accelerating impact. “I look forward to working closely with the team to accelerate the evidence generation and to help translate these insights to improve patient care.”   Dr. Jenise Wong highlighted the visible impact of T1DX-QI on the delivery of care. "I’m truly honored and grateful to be working with T1D Exchange as a Medical Advisor. T1DX-QI is a remarkable resource for centers that are using continuous process improvement to improve the quality of care for people living with diabetes.”  “Diabetes centers working with T1DX –QI have done amazing work using QI methodology to make care accessible and equitable for all people with diabetes,” she said. “It’s inspiring to be a part of a collaborative in which centers have been creative and thoughtful with initiatives to address individual and systemic challenges to care, improving clinical outcomes as well as the patient experience."  Looking ahead, Dr. Sherr highlighted the opportunity to build on the existing strong foundation. “I’m very excited to be working as a Medical Advisor for T1D Exchange,” she said. “It’s a privilege to help shape what comes next for a group that’s already doing such impactful work.”  “Sharing what’s happening in clinical practice, benchmarking across centers, and understanding outcomes is how we figure out what’s working, what’s not, and where we go next,” she said.      The future of T1D care   With this team’s vision and expertise, T1D Exchange is positioned to accelerate progress in T1D care — bridging research and real-world practice to drive meaningful, measurable impact.  Together, we look forward to advancing innovation and improving outcomes for everyone affected by type 1 diabetes.   "

    5 days ago  
    Meet the Expert

    Meet the Expert: Improving Diabetes Care Through Precision Medicine 

    Jewels Doskicz, 2 weeks ago 8 min read  
    Meet the Expert

    Meet the Expert: Bridging Research, Technology, and Real-World Care 

    Jewels Doskicz, 2 weeks ago 9 min read  
    Insulin & Meds

    Ask the Expert: Diana Isaacs on Benefits, Risks, and Real-World Use of GLP-1s in T1D 

    Jewels Doskicz, 3 weeks ago 6 min read  
    Meet the Expert

    Meet the Expert: Advancing Equity, Improving Outcomes, and Reducing the Burden of T1D 

    Jewels Doskicz, 1 month ago 8 min read  
    Our team

    Spotlight on T1DX-QI: Clinical Leadership Committee 

    Jewels Doskicz, 2 months ago 6 min read  

    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

    You must be logged in to post a comment.




    101 Federal Street, Suite 440
    Boston, MA 02110
    Phone: 617-892-6100
    Email: admin@t1dexchange.org

    Privacy Policy

    Terms of Use

    Follow Us

    • facebook
    • twitter
    • linkedin
    • instagram

    © 2024 T1D Exchange.
    All Rights Reserved.

    © 2023 T1D Exchange. All Rights Reserved.
    • Login
    • Register

    Forgot Password

    Registration confirmation will be emailed to you.

    Skip Next Finish

    Account successfully created.

    Please check your inbox and verify your email in the next 24 hours.

    Your Account Type

    Please select all that apply.

    I have type 1 diabetes

    I'm a parent/guardian of a person with type 1 diabetes

    I'm interested in the diabetes community or industry

    Select Topics

    We will customize your stories feed based on what you select here.

    [userselectcat]

    We're preparing your personalized page.

    This will only take a second...

    Search and filter

    [searchandfilter slug="sort-filter-post"]