Physical activity is important in addressing obesity and inactivity as underlying causes of type 2 diabetes mellitus in children, so outdoor play is part of their therapies. Children with type 1 diabetes mellitus should be able to play normally. Staff should take a portable pack with testing equipment, insulin, syringes, high-calorie supplements, and glucagon in case of an emergency whenever the child is in a different location or on a field trip. A glucometer, a small device used to check blood glucose level, should also be available. All children and the adults caring for them should be up-to-date on their vaccinations, including their annual influenza vaccinations.

Source: Managing Chronic Health Needs in Child Care and Schools: A Quick Reference Guide.

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