School and College Accommodations

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1. Hi Jeannine,
   I created this Epic SmartPhrase for college accommodations. See below…
   Warm regards,
   Dan

   Disability Verification and Accommodations Request

   To Whom It May Concern:

   This student has type 1 diabetes and is under my care at Texas Children’s Hospital (TCH) in Houston, TX. Type 1 diabetes is a very demanding health condition, requiring careful attention and management. This requires access to diabetes medication, medical devices, food and drinks at all times. Students with type 1 diabetes are prone to glucose excursions including hypoglycemia and hyperglycemia, which can affect neurocognition and ability to test well. Therefore, this student should be provided with the accommodations provided in this letter.

   Details of @HIS@ condition and related accommodations are provided below:

   1. Current disability: Type 1 Diabetes
   Date of Diagnosis: ***
   Most recent clinic visit: ***

   2. Description of presenting impairment:
   Type 1 Diabetes is a lifelong condition and requires daily and ongoing care which include but are not limited to frequent blood glucose checks, access to meals/snacks and fast-acting carbohydrates, and multiple daily injections of insulin via syringe, insulin pen, or insulin pump.

   3. Treatment plan
   This student uses an *** insulin pump and continuous glucose monitor (cell-phone based app) for diabetes management, and has a blood glucose meter to check the blood sugar via a finger prick as needed. Fast-acting carbohydrates must be consumed when the blood glucose is low. Insulin and oral fluids are required when the blood glucose is high.

   4. Functional impact of diagnosis:
   Having low or high blood glucose levels can impair neurocognition and ability to concentrate and test well. Having out of range glucose levels can led to missed classes or having to reschedule tests.

   5. Recommended Accommodations:
   I recommend that this student receive the following accommodations at college:

   A. In the dorm:
   (1) Have a refrigerator in the room to keep insulin vials, insulin pens, glucagon and fast-acting carbohydrates.
   (2) Ample space to keep an appropriate amount of diabetes management supplies in the dorm room. These include, but are not limited to,
   Diabetes Supplies: CGM sensor and transmitter supplies;
   pump supplies;
   alcohol wipes, adhesive wipes, tape
   glucometer(s), strips, and lancets
   Syringes (needed if pump malfunctions)
   Ketone-testing strips
   Treatment supplies: Fact-acting carbohydrates to treat low blood sugars
   Water bottles for easy access during the night to drink water as needed

   B. In class:
   (1) Be allowed to keep diabetes supplies in class including insulin pump, CGM and fast-acting carbohydrates. This student must have access to cell-phone for the CGM which provides a continuous reading of glucose levels via phone app.
   (2) Be allowed to treat low/high glucose levels during class (as necessary) including checking blood glucose, injecting insulin, drinking water, or eating fast-acting carbohydrates.
   (3) Be able to leave the classroom as needed for restroom breaks in case of high blood sugar or if not feeling well from either a high or low blood sugar.
   (4) Testing accommodations including ability to “stop the clock” or reschedule the exam if blood glucose is out of range (250 mg/dL).
   (5) Be able to arrive late or miss class without penalty if is treating a low or high blood glucose.

   I fully support this request for testing accommodations. Please do not hesitate to contact me with questions.

   Sincerely,
   @Me@

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