Type 1 diabetes (T1D) affects a significant number of students in India, creating unique challenges, particularly during exams. A TNN report indicates that over 800,000 children nationwide live with this condition, with 8,000 in Kerala alone. Of these, 2,500 students receive support under Kerala’s state government’s ‘Mithai’ project, which addresses their specific needs. Recognizing gaps in exam policies, the Kerala State Human Rights Commission (SHRC) has requested that the CBSE submit a report on offering extra time during exams for students with T1D.
Current CBSE Guidelines for Type-1 Diabetes Students
The Central Board of Secondary Education (CBSE) has implemented supportive measures since a 2017 circular to assist students with T1D. These guidelines were updated in February 2024, allowing students to bring specific items into exam halls in transparent pouches or boxes. The permitted items include:
Essential Items:
- Sugar tablets, chocolates, candies, and fruits (e.g., bananas, apples)
- High-protein snacks like sandwiches
- Water bottles (500 ml)
- Prescribed medicines
Medical Devices:
- Glucometers and glucose testing strips
- Continuous glucose monitoring (CGM) devices
- Flash glucose monitoring (FGM) devices
- Insulin pumps
To use these accommodations, students must register early, submit the necessary documentation, and inform exam centres of their needs in advance. However, extra time during exams is not currently part of CBSE’s provisions for students with T1D, despite the potential disruptions caused by blood sugar management during stressful test conditions.
Kerala’s Inclusive Model for T1D Students
The Kerala state government has set a precedent with its student-centric policy, offering 20 extra minutes per hour during SSLC and Plus Two board exams for students with T1D. This policy takes into account the disruptions these students may face, helping them manage their condition and reducing stress during exams.
A recent petition by Bushra Shihab, a Kerala resident, highlighted the disparity between state and CBSE exam policies and urged CBSE to adopt similar measures. In response, the SHRC directed CBSE to submit a report within a month on whether this type of accommodation could be incorporated.
The Importance of Equitable Support
Aligning CBSE’s exam policies with Kerala’s approach could create a national standard for supporting students with T1D. As one of the largest educational boards in India, CBSE oversees the education of over 20 lakh students annually. Implementing extra exam time for T1D students would help ensure these students can manage their condition effectively while competing on equal footing with their peers.
Providing extra time during exams would alleviate significant stress for students with T1D, enabling them to maintain their focus and performance. Such an inclusive approach would reflect a broader commitment to equitable education across India, supporting students in achieving their full academic potential.
A move by CBSE to grant extra time would be a meaningful step towards fostering an inclusive and supportive educational environment for all students, particularly those managing chronic health conditions like Type 1 diabetes.
