The context of the following conversation is Jesse was feeling very hungry but didn't like the school cafeteria food, so he left the premises with permission.:
Jesse says I don't know how people can eat that cafeteria food at school..
The friend responds I know. I pack my own lunch..
Jesse responds I didn't have time this morning and got permission to go out and order something..
The friend responds You were lucky. Sometimes they're sticklers about letting students out..
Jesse responds I have diabetes so they can't play around..
The friend responds Oh definitely not. You could have an episode..