DIABETES-What You DIABETES-What You Need to KnowNeed to Know

What is DiabetesWhat is Diabetes

Illness that prevents the body from using food properly

Not enough insulinBody doesn’t use insulin properlyMost children have Type 1 And use insulin

injections

Signs and Symptoms of Low/High Signs and Symptoms of Low/High Blood SugarBlood Sugar

Low-shaking, sweaty, irritable or anxious, headache, hunger, weakness and fatigue

High-drowsiness, hunger, extreme thirst, frequent need to use the rest room

Signs of either-child needs to check blood sugar

Student specific health plan with more details provided if you have a diabetic student

New Diabetes LawNew Diabetes Law

Only if a written request is provided, the child may monitor his Diabetes in the classroom

That includes checking the blood sugar and taking insulin (includes carrying syringes)

Glucagon Glucagon

A Diabetic student should carry Glucagon-injectable glucose used if blood sugar is too low

If the student is self-managing, you may be asked to be a delegate to give the Glucagon, if the student can’t

No one is required to be a delegateTo be a delegate, you volunteer to the

school nurse and you must be trained

What Is Glucagon?What Is Glucagon?

• Naturally-occurring hormone made in the pancreas

Raises blood glucose level by stimulating the liver to release stored glucose

Used to treat severe hypoglycemia/low blood Sugar

Is life-saving, cannot overdose

Glucagon or GlucaGen Kit Glucagon or GlucaGen Kit Storage StorageStorage Storage

Locations should be included in student’s IHP/IEHP

Store at room temperatureMonitor expiration dateAfter mixing, dispose of any unused

portion within one After mixing, dispose of any unused portion within one hour

When to Give Glucagon/GlucagenWhen to Give Glucagon/Glucagen

If a student with diabetes exhibits:• Unconsciousness, unresponsiveness• Convulsions (seizures)• Inability to safely eat or drink

Procedure:Procedure:

Act ImmediatelyThe school nurse or trained delegate will:Assess: airway breathing circulation andSymptomsAdminister glucagon in accordance with the student’s IHP/IEHPPosition student safely on his side and

monitor If you are the delegate, you must act and not

wait for the nurse

If the responder is alone, call 911 then call for assistance from other school personnel.

If others are immediately available, have them call 911 and contact the parents/guardians while the responder attends to the student.

Procedure: Act Immediately Procedure: Act Immediately

Preparation of Glucagon and Preparation of Glucagon and Mixing SolutionMixing Solution

Remove flip-off seal from the glass vial containing dry powder.

Remove needle protector from syringe.Put on gloves, if available.Inject entire fluid in syringe into the bottle

containing the powder.

Don’t take the syringe/needle out of the vial. Gently shake the vial in your hand until the powder has completely dissolved. The solution

should be clear and colorless.

Dosing and Drawing OutDosing and Drawing Out

Draw prescribed amount of glucagon back into syringe by pulling gently on the syringe plunger.

The correct dosage is based on the child’s body weight. The correct dose can be taped inside the child’s kit for quick reference or on the label.

Remove air from the syringe and tip of the needle.

InjectingInjecting

Inject at 90° into the tissue on the upperarm, thigh, or buttock. Maintain the student’s privacy as much as possible.

After InjectingAfter Injecting

Apply light pressure at injection site and withdraw needle.

Do not recap syringe. Discard needle/syringe in a medical waste container.

Be sure student is positioned on side as vomiting may occur.It may take 10-20 minutes for student to

regain consciousness.14. Wait for EMS to arrive.

After Injecting After Injecting

Once student is awake and able to drink,give sips of fruit juice or regular soda.

Document incident per district school health policy. Ensure that incidents that occur outside of the school day are recorded and submitted to the school nurse.

Don't Be Surprised If. . .Don't Be Surprised If. . .

Student does not remember being unconscious, incoherent or has a headache.

The blood glucose level becomes very high(over 200).

Nausea or vomiting occurs.