Friendships & Social Life

Age-Appropriate Explanations

Help your child explain T1D in simple terms:

• "My pancreas doesn't make insulin, so I have to take it with medicine"
• "I need to check my blood sugar to make sure my body is working right"
• "It's not contagious - you can't catch diabetes from me"
• "I can eat regular food, I just need to take insulin for it"

When to Share

There's no right or wrong time. Some kids prefer to tell friends right away, while others wait until they're more comfortable. Let your child decide, but encourage sharing with close friends for safety.

Practice Responses

Role-play common questions and comments at home so your child feels prepared. Practice confident, matter-of-fact responses.

Handling Difficult Questions

Teach your child simple responses like "That's not how diabetes works" or "I'd rather not talk about it right now." They don't owe anyone detailed explanations.

Pre-Sleepover Prep

• Talk with the host parents about T1D management and emergency procedures
• Share contact information and when to call you
• Provide written instructions for treating low blood sugar
• Show them glucagon and when to use it
• Set up CGM data sharing if available

What to Pack

• Blood glucose meter, strips, and lancets
• All insulin and supplies (pump or pens)
• Fast-acting glucose (tabs, juice boxes)
• Snacks for low blood sugar
• Glucagon emergency kit
• Written emergency instructions with your phone number

Overnight Monitoring

For younger children, consider having the host parent do an overnight blood sugar check or monitoring via CGM. Some parents stay in close contact by phone or even stay nearby for the first sleepover.

Building Confidence

Start with short visits or sleepovers at trusted relatives' homes. Gradually work up to friends' houses as your child gains confidence and independence.

Before the Party

• Contact the host to learn what food will be served
• Bring your own snacks if needed for blood sugar management
• Ensure your child has all diabetes supplies with them
• Review carb counting for typical party foods (pizza, cake, ice cream)

Managing Party Food

Your child can eat birthday cake and party treats! Help them dose insulin appropriately and check blood sugar before and after. If the party is very active, they may need less insulin.

Active Party Activities

Trampoline parks, skating rinks, and active parties can lower blood sugar. Check before activities, have snacks available, and recheck frequently.

Your Child's Parties

When hosting, provide a mix of food options but don't make your child's diabetes the focus. Celebrate just like any other kid's party!

Responding to Teasing

Teach your child simple, confident responses:

• "Actually, you can't get diabetes from eating sugar"
• "That's not funny to me"
• "I'd appreciate it if you didn't say that"
• Walking away is okay too

When to Involve Adults

Teach your child to tell a teacher or parent if teasing continues, becomes mean, or makes them feel unsafe. Persistent bullying about diabetes is not acceptable.

Finding True Friends

Real friends accept your child with T1D and may even be curious and supportive. Help your child recognize and nurture these positive friendships.

Connecting with Other Kids with T1D

Diabetes camp, support groups, or online communities can help your child connect with peers who understand T1D. These friendships can be incredibly valuable.