Students with type 1 diabetes perform better during tests and exams when their type 1 diabetes is well managed

Blood glucose levels higher or lower than their target range can affect their concentration and mental performance.

It’s therefore important to have a plan in place for exams, which should be included in their diabetes management plan. For example, they will need to have access to food and their glucose checking equipment (e.g. BG meters or CGM devices), as well as extra time if they need to stop and treat a hypo.

Most states and territories have set allowances or provisions for major exam settings to cater for the needs of young people with type 1 diabetes. Make sure the young person and their parents or carers are aware of this and that they fill out the necessary paperwork well in advance of these exams.

For further information on a young person’s rights during exam periods visit your state’s school curriculum and standards authority.

Reasonable adjustments to consider:

  • ensure the student is informed prior to an exam or assessment, of additional support to them
  • discuss any special considerations required for exams and assessments in advance with the principal
  • students able to take drinks and snacks into an exam or assessment to use as necessary
  • a student using a mobile phone to monitor their glucose levels must place phone or device on the supervisor’s desk and be connected to power for the duration of the exam
  • students can take their insulin injection into the exam or assessment for use as necessary, or wear their insulin pump in the examination room (pump may always be worn)
  • students may require additional time and take supervised rest breaks to treat a low or high glucose level
  • students can check glucose level before commencing exam or assessment
  • students can eat, drink water and have unrestricted toilet access during an exam or assessment
  • consider changing assessments to another time if glucose levels are unstable
  • students may require extra time to complete work if glucose levels are unstable
  • ensure all exam supervisors are aware of the student’s need to check blood glucose levels and that they may need to eat during the assessment.


For more information in your state see the links below.