504planforgrade4-childrenwithdiabetes.docVIP

504 Plan for the School Year 2002/2003 Student Name: [name] Date of Birth: [birthday] School: [school] Grade: 4 Teacher: [teacher] Parent: [parent name] Phone: [phone] Address: [address] Date of Disability Determination: [date diagnosed] [Name] has type 1 diabetes mellitus. This is a condition in which the pancreas is unable to make insulin. Without insulin, the body cannot change glucose (sugar) into the energy a person needs. To compensate for the lack of natural insulin, he wears an insulin pump. With the help of a qualified adult, [Name] uses his insulin pump to administe