College Survival Guide with T1D

Navigate dorm life, academic success, and social experiences while managing Type 1 diabetes independently

Dorm Life & Roommate Communication

Having "The Conversation" with Your Roommate

What to Share

  • Basic explanation: "I have Type 1 diabetes, which means my body doesn't make insulin"
  • What they might notice: CGM alarms, insulin pump, checking blood sugar
  • Low blood sugar signs: shakiness, confusion, irritability
  • How they can help: offer juice/snacks if you're low, don't panic
  • Emergency contacts: who to call if you're unresponsive

Dorm Room Essentials

  • Mini fridge for insulin storage
  • Backup supplies in waterproof container
  • Emergency glucagon kit (labeled clearly)
  • Snack drawer with easy-access glucose
  • Charging station for CGM/pump receivers
  • Medical ID bracelet (wear 24/7)

Setting Boundaries

  • You don't have to answer every question about T1D
  • It's okay to ask roommates not to eat your emergency snacks
  • Request they keep volumes low during CGM alarms at night
  • Share what level of involvement you're comfortable with
Campus Dining Strategies

Navigating Meal Plans & Dining Halls

Buffet-Style Dining

  • Ask dining staff for nutrition information/labels
  • Use measuring tools or visual estimates for portions
  • Start with smaller portions, can always go back
  • Build balanced plates: protein, carbs, vegetables
  • Take photos of meals for carb counting practice

Late Night & Irregular Eating

  • Keep shelf-stable snacks in your backpack
  • Set reminders if you forget to eat when studying
  • Know which campus eateries are open late
  • Pre-dose insulin carefully for pizza/takeout
  • Adjust basal rates for schedule changes

Alcohol Awareness & Safety

If you choose to drink, know the risks and safety strategies:

  • Alcohol can cause delayed hypoglycemia (lows) hours later
  • Never drink on an empty stomach—always eat carbs with alcohol
  • Set alarms to check blood sugar before bed and during the night
  • Tell friends about T1D—confusion from lows can look like intoxication
  • Wear your medical ID and keep emergency supplies with you
  • Consider a temporary basal rate reduction overnight
Academic Accommodations & Success

Register with Disability Services

Recommended Accommodations

  • Testing: Extended time, breaks to check/treat blood sugar
  • Classroom: Permission to eat/drink, use phone for CGM, leave as needed
  • Attendance: Excused absences for medical appointments/emergencies
  • Assignments: Extensions if hospitalized or experiencing severe highs/lows
  • Housing: Private room or roommate matching, proximity to dining

Managing Blood Sugar During Tests

  • Check blood sugar 30 minutes before exams
  • Aim for slightly higher range (120-150 mg/dL) for focus
  • Bring glucose tabs and water bottle
  • Don't be afraid to use your accommodations
  • Inform proctors about T1D needs beforehand

Finals Week Survival

  • Stress raises blood sugar—check more frequently
  • Don't skip meals even when cramming
  • Get adequate sleep (impacts blood sugar control)
  • Take study breaks to move and reset
  • Have backup supplies in your study spots
Social Life & Mental Health

Building Your Support Network

Find Your People

  • Look for campus T1D or chronic illness groups
  • Connect with health services and counseling
  • Join online college T1D communities
  • Build friendships with people who "get it"
  • Stay connected with family and home support

Mental Health Matters

  • Diabetes burnout is real—seek help when needed
  • Use campus counseling services (often free)
  • Don't isolate yourself during tough times
  • Practice stress management techniques
  • Remember: taking care of your mental health IS taking care of your diabetes

Social Situations Made Easier

  • Parties: Tell at least one friend about T1D, keep supplies with you
  • Dating: Disclose when comfortable, educate partners as relationship develops
  • Sports/Activities: Inform coaches, have glucose readily accessible
  • Study Groups: Don't apologize for checking blood sugar or eating snacks
  • Travel/Spring Break: Pack 2-3x the supplies you think you'll need
Emergency Preparedness

Create Your Emergency Plan

  • Program campus safety number into your phone
  • Share endocrinologist contact with health services
  • Know location of nearest ER/urgent care
  • Keep insurance card and medical ID on you always
  • Have backup insulin and supplies in multiple locations
  • Create ICE (In Case of Emergency) contacts in your phone

Supply Management

  • Set up mail-order prescriptions to campus address
  • Order refills 2 weeks before running out
  • Keep supply inventory checklist
  • Store backup supplies at health center if possible

Healthcare Continuity

  • Schedule endo appointments during breaks
  • Use telehealth for check-ins during semester
  • Know insurance coverage in your college town
  • Build relationship with campus health providers