Looking for some insight about what you all do/don't do for your independent diabetics. I work in a highschool where, in the past, I usually had several years of lunchtime and prn visits from my students with diabetes before they transitioned to being fully independent during the school day, usually by 11th or 12th grade. This gave me time to get to know the student and their habits (both good and bad) as well as their parents.
This year I have 3 freshman who have been independent from day 1 of highschool. I have supplies for them in the nurses office but other than the very occasional visit to get a snack, I do not see them at all. I'm not sure if they really are so well managed that a prn visit just doesn't happen, or if they are dealing with their lows/highs by consulting (texting) with a parent rather than coming to the nurse...which makes me nervous. I don't know them well or their parents, and other than having orders from the physician with the "independent" box checked, I really don't know their level of compliance, understanding, etc. 504 meetings are quick and general and don't always give me a good sense of them. Its usually those daily check ins that really help me get to know the kids.
Most of these independent kids have pumps and cgm's that transmit to their (and their parent's) phones. While it makes me happy that diabetes care has come so far and the technologies are so advanced, it worries me a little bit not knowing what is going on with these kids on the regular.
Do any of you require students and parents to "contract" with you or sign some sort of agreement in order to be independent? Could I even have any say in this or is it really based on the student/parent/physician?
I do know that the end goal is to have students be independent, I just wonder if the new technology gives a bloated sense of security.
Thoughts?? And sorry for the ramble :)