Incidents like this happen often with this child. People with Type 1 diabetes can have fluctuating blood sugars. Some contributing factors would be how much and the type of food eaten, whether the insulin was the right dose, exercise patterns, sick days, growth and hormonal changes of puberty, variability in insulin absorption, never mind the psychosocial issues of having diabetes. I would recommend getting permission to talk to your student's diabetes care team to discuss the situation. School nurses offer invaluable information to the team that only sees the child a few times a year.
Wet fingers give a false low reading also.
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