I just had to send home one of my diabetics because his blood sugar was 500 and he had moderate ketones. This is his 2nd attempt this year at coming back to high school, today was barely his 1st day back. He said he hadn't eaten anything and that he had taken insulin this morning. Well guess what I figured out after playing detective? He only took his scheduled lantus, but did not give himself correction with Novolog before coming to school. So that meant he was in the 500s by the time lunch came. I'm just a little frustrated at the parents to be honest, I understand they are elderly, but you have to be able to guide these kids. When i was talking to mom she said "oh, do you know how much he took this morning?" I replied, "will all do respect ma'am, I wasn't there". And then they go and and on about how they know better, and I explained to her that he still needed strict supervision with insulin administration since he hasn't proven himself responsible enough to do it alone. and that is just one of my cases, I have one diabetic whose mom only talks about herself when I call, and obviously does not monitor daughter at home. And another diabetic I have, his parents work a lot so they aren't there. It's like, I can only do so much from school you know? IDK I just needed to vent. Sorry for the long post.