Day at daycare

Primary responsibility for the care lies with the guardians. Each child has their own care plan. The children's diabetes clinic arranges training for daycare staff.

Source: Diabetesliitto · Terveyskylä

• The guide ”Leikki-ikäisen diabetes: opas varhaiskasvatuksen ammattilaisille” (A pre-schooler's diabetes: guide for early-childhood-education staff)
• The training ”Lapsen diabeteksen hoito varhaiskasvatuksessa” (Caring for a child's diabetes in early-childhood education)
• Terveyskylä's Lastentalo guide ”Lapsen diabeteksen hoito päiväkodissa ja koulussa” (Caring for a child's diabetes at daycare and school)

Source: Diabetesliitto · Terveyskylä · Lastentalo

In small children, insulin is usually given after the meal or based on how much has actually been eaten. Agree with the clinic on a routine: first offer food, then count the carbs, then dose. Never force the child to eat — the risk of a low rises if insulin has already been given and the child does not eat.

Source: Terveyskylä · Diabetesliitto

• Train the staff: what the alarm means and how to read the value
• Agree on when to measure from the fingertip and when to call the parents
• Install the app on the daycare phone, or write the parents' contact details clearly in sight
• Alert = check the child, compare with how they feel, act per instructions

Source: Terveyskylä

• The pump can come loose during play or dressing — staff need to notice
• Staff do not need to attach a new cannula — that is the parent's or clinic's job
• Their job is to: notice the pump has come off, tell the parent right away, watch blood sugar in the meantime

Source: Terveyskylä