Taking Insulin
Insulin cannot be swallowed like a medicine as it is a protein and would be broken down in the stomach. Therefore it either needs to be injected, or given via a pump.
Children who inject their insulin may inject twice a day but will generally take more than two injections per day (multiple daily injections).
Two injections a day
Children who take two injections a day usually take them at breakfast and the evening meal, and so will not usually need to inject during the school day.
Multiple daily injections (MDI)
An increasing number of children now take more than two injections a day, and most children nowadays will be started on multiple daily injections from diagnosis. This is because medical research has shown that MDI can control blood glucose levels better than twice daily injections. Taking more injections can also give greater flexibility in when to eat and how much.
Children taking MDI will require an injection with each meal as well as an injection at bedtime and/or in the morning. This will mean that they have to have an injection at school at lunchtime.
Injecting at school
Children who need to have an insulin injection at school will need to bring insulin and their injecting equipment to school. In most cases the equipment will be an insulin ‘pen’ device rather than a syringe.
If the child wishes, the school should identify a private area where the injections can be taken. If not the child should be allowed to inject where they and the PDSN feel is most appropriate.
Younger children, those newly diagnosed or with learning difficulties may need help with injecting.