T1D and Secondary School: Confidence, Hypo Kits and Handling the Clueless
Starting secondary school is a big step- new subjects, new teachers and new social circles. When you add in Type 1 Diabetes (T1D) into the mix it can feel even more challenging. From explaining your condition (again and again) to handling awkward moments when teachers or friends just don’t get it, school can test both your resilience and confidence.
So, how do you manage school life while staying on top of T1D, especially when those around you don’t fully understand it? Here’s your game plan.
1. Be Your Own Advocate
Let’s be honest: most teachers and classmates won’t know much about T1D. Some might confuse it with Type 2, assume you got it from eating too much sugar or think your insulin pump is a cool new gadget. Instead of getting frustrated, use these moments to educate- on your own terms.
For Teachers:
At the start of the school year, let your teachers know the basics, If you don’t want to explain things face-to-face, your parents or diabetes team can provide a care plan for the school. Some key points to make sure they understand:
You may need to check your blood sugar or take insulin in class
You might need to eat during lessons (especially if you’re having a hypo)
Hypoglycaemia (low blood sugar) can make you feel dizzy, shaky or confused- and you might need to leave class to treat it.
PE can affect your blood sugar, so you may need extra breaks or snacks
If a teacher gives you a hard time, stay calm but firm- your health comes first. If needed, ask your parents or the school nurse to step in.
For Friends:
Your mates don’t need a full biology lesson, but a simple explanation can help:
“I have Type 1 Diabetes, which means my body doesn’t make insulin. I have to check my blood sugar and take insulin to stay healthy.”
“If I have a hypo, I might need to eat something straight away. It’s nothing to worry about- I just need to sort it quickly.”
Most people will be curious but supportive. If someone makes a joke or doesn’t take it seriously, just correct them and move on.
2. Managing Hypos and Highs at School
You can’t control everything, but you can prepare. Here’s how to handle T1D at school with confidence.
Always Have Your Supplies Handy
Keep your hypo treatments (glucose tablets, sweets, juice) in your bag, blazer pocket or locker.
Have an extra test kit and insulin stored in the school office or with a trusted teacher.
Carry a water bottle- high blood sugars can make you super thirsty.
Speak Up if You Need a Break
If you feel low or high, don’t suffer in silence. It’s okay to step out of class, grab a snack or take a moment to check your blood sugar. If you’re ever struggling, let a teacher or a friend know- T1D isn’t something you have to deal with alone.
PE and Sports: Plan Ahead
Exercise can drop your blood sugar fast, so check levels before and after PE. Have a snack handy and tell your PE teacher if you need a break. Sports and after-school clubs are totally doable with T1D- you just need to be prepared.
3. Handling Awkward Moments with Confidence
At some point, you’ll probably face annoying comments or awkward situations. Here’s how to handle them like a pro:
“Can you eat that?”- “Yep, I just need to take insulin for it.”
“Ew, why are you stabbing yourself?”- “It keeps me alive, but thanks for your concern!” (said with a smile)
A teacher won’t let you treat a hypo- Politely but firmly say, “I have medical permission to do this. I need to treat my blood sugar now.” If they still refuse, speak to your school nurse or head of year later.
You have a hypo in front of people- it can feel embarrassing, but most people will want to help. If you feel awkward, say “Just need a minute, I’ll be fine” and move on.
4. School Trips and Exams: What You Need to Know
School Trips
Trips are 100% doable with T1D- you just need to plan ahead. Let the teacher in charge know what you need, pack plenty of supplies and make sure someone know s how to help if you have a hypo. If you’re worried, talk to your diabetes team- they can write a care plan to help keep things running smoothly.
Exams and Revision
Exams can be stressful, and stress can mess with blood sugar. Schools in the UK must make reasonable adjustments for students with medical conditions, so you can:
Take snacks and blood sugar supplies into the exam hall
Have extra time if you need to treat a hypo/hyper
Sit near an invigilator in case you need help
Make sure your school knows about your needs well in advance so arrangements are in place before exam season starts.
5. Finding Support: You’re Not Alone
Living with T1D can feel isolating, but there are people who get it. If you’re struggling, don’t be afraid to reach out:
Find other T1D teens- Online communities like Breakthrough UK and Diabetes UK have great support groups
Talk to your school nurse- If you need help with teachers, stress or managing diabetes at school, they’re there to help
Let your family and friends support you- You don’t have to manage everything alone
Final Thoughts: You’ve Got This!
Handling secondary school with T1D isn’t always easy, but with the right mindset and preparation, you can thrive. Speak up for yourself, educate those around you (or have your diabetes care team) and don’t let diabetes hold you back. You’re more than capable of smashing school- T1D is just a small part of the amazing person you are.