Hypoglycaemia-prevention plan for school — OSCE

You meet the parents and the classroom teacher of a seven-year-old boy with type 1 diabetes diagnosed a year ago, on a hybrid closed-loop pump system with a continuous glucose monitor. He has had two severe hypoglycaemic events in the last term, both at school during sport, and his parents are now so frightened that they have been running his glucose high overnight and skipping his pre-sport carbohydrate. The teacher is anxious about recognising a low and about giving glucagon. Counsel the family and teacher, agree a school hypoglycaemia plan, and address the fear without abandoning safe glycaemic targets.