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personnel should changes be abrupt. Distinctions between the signs and symptoms of too much insulin or too little needed to be discussed and learned. In other words, education. "Quiet please! Shhhhh. Go on Kathy." Her teacher at school and her principal both called us for advice as the young girl was having many periods of forgetfulness and even somnolence in class and at other times acting jittery. They were given no returned calls by her primary. Really! What could we do? Even so, we had an in-service session for them even though she was not under our care. Many of the trouble signs which we warned about were exact descriptions of changes she was showing in school. The school made many attempts to intercede and finally threatened to disallow her on their premises in an 'unsafe' condition. They had no idea at any one time as to whether she was having highs or lows as the child had initially been given a single large standing dose of a medium acting insulin every morning by her mother that probably overshot then trailed off insufficient to carry the full school day. Testing meters and strips were disallowed by the provider. Needles were not covered. Syringes were not covered. Urine test kits were not covered. Insulin was not covered and the family did not understand why this child had to stick herself with needles when her elderly grandmother, who had diabetes for over twenty years, just took some pills. So. She stopped taking insulin and shared the sulfonylurea medication of her grandmother. They got that free by way of grandma's Medicare." Over mass groaning, doctor Blake broke in, "Kathy, did the school carry out its threat?"