Figuring out how to transition to preschool with T1D

Sweet Talk for Parents of Kids with Type One Diabetes

In this week’s episode, I have a conversation with Mary, mother of a newly diagnosed little boy: Campbell was diagnosed about 6 months ago at two and a half.

Mary and her husband are getting the hang of diabetes but it’s been such a big learning curve that they’re thinking of postponing sending Campbell to preschool in the fall: Mary just can’t picture how a school transition would go. The thought of entrusting her son’s care to someone else is understandably daunting. As we talk, we realize together that Mary’s also hesitant to send Campbell because she’s not sure how to ask the school for the help that her family needs to manage type 1. Ultimately, she doesn’t want to burden others with the complexities of managing his diabetes and learning the ins-and-outs of the disease.

Together, we delve into her worries and explore the emotional landscape of becoming a T1D advocate for our kids. We discuss the vital importance of self-advocacy, not just to ensure that our kids receive the best possible care and support, but also because it’s critical for us to model for them how they can ask for the help they need — today and in their future. We also look at how this kind of advocacy helps create a safety net for our kids.

I share several strategies to help Mary feel more comfortable both advocating and leaving her son at preschool: We talk about the small steps she can take to practice, mostly by starting to advocate with family members, creating a step-by-step map for starting to leave Campbell with those people who already love him. We also look at ways to think about advocating at the school by her first getting super clear about what kind of support she wants Campbell to have.

Listen to hear more about:

• the reasons you might consider transitioning to a pump, even when shots are working
• the mistakes school care providers might make in management — and how to think about that
• an upcoming workshop that will help you build a better relationship with your child’s care team at school