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Diabetes occurs when the insulin producing cells of the body are no
longer able to function properly.
In the case of Type 2 diabetes, the insulin produced is not used
properly to convert food into energy for the body’s cells.
For those living with Type 1 diabetes, the insulin producing
cells have been completely destroyed by the body leaving the person
dependent on an external source of insulin given either through
injection or subcutaneous infusion via an insulin pump.
What are blood glucose levels and why do they matter?
Your blood glucose level measures the amount of “sugar” in your blood.
It is this “sugar” that acts as fuel for your cells.
In a healthy person, this level should be between 4-7mmol/L after
fasting and between 5-10mmol/L 2 hours after eating. For a person with
diabetes, the ideal is to be able to artificially maintain these levels.
That is not easy.
They may see levels of high blood glucose--too much sugar and not enough
insulin. This is called
HYPERGLYCEMIA. A person
experiencing a “high” will require a lot of fluids to help flush the
sugar out of their system.
They will feel the need to use the washroom more often.
Their vision may become blurred and may experience headaches.
Left untreated, this will cause a person to develop Diabetic
Ketoacidosis (DKA). DKA
results in a chemical imbalance of the blood. If this is not treated
quickly and under doctor’s supervision, the person will die.
*Hyperglycemia is not immediately
dangerous but parents should be notified to help correct the problem
from becoming dangerous.
They may also chose to “correct” using the correction feature on the
pump.
A person with diabetes will also see low blood glucose levels as they
try to balance food, exercise and illness.
When a person is “low” of HYPOGLYCEMIC, their blood glucose level
has dropped below 4mmol/L and they must be treated immediately.
If they are conscious, they can be given some juice or other form
of pure sugar to restore a natural balance.
If they are unconscious they must be administered a Glucagon
injection to further avoid seizure and possible death. A person
recovering from a “low” cannot be left alone.
When someone is hypoglycemic, they are often shaky, disoriented,
weak, and may seem tired.
This is a very serious condition that can deteriorate rapidly.
Can a person with diabetes eat sugar?
As you have already read, all food breaks down into sugar.
A person with Type 1 diabetes has not more dietary restrictions
than the average person.
Like a healthy individual, they are encouraged to follow a balanced diet
but small treats can easily be added into their meal plan and insulin
injected to cover it. That
being said, NEVER give a child with Type 1 diabetes any food without
first checking with the child’s parents (this of course does not include
the use of food in the treatment of a “low”) While any food can be
eaten, it must be measured, given at the proper time and with the
correct amount of extra insulin.
Why is diabetes a big deal?
Diabetes currently effects over 2.2million Canadians.
While the majority of those people have Type 2 diabetes, in the
Currently there is much talk of a cure and the Edmonton Protocol.
While there are many promising avenues of research open right
now, we still appear to be a long way from a cure. Advances in therapy
through such things as short acting insulin, continuous glucose
monitors, and insulin pumps offer hope that those living with diabetes
today will be healthy enough to enjoy a cure when it is finally found.
For further information see:
www.diabetes.ca
The Canadian Diabetes Association
www.jdrf.ca
The Juvenile Diabetes Research
Foundation of Canada
www.insulin-pumpers.ca The Insulin Pumpers of Canada website
What is an insulin pump?
This is what _____s
insulin pump looks like.
An Insulin Pump is a miniaturized version of the device you see in
hospital movies attached to a pole that meters bags of "liquid stuff"
into the patient's I.V. An
Insulin Pump contains a large syringe filled with insulin, a computer
that allows the user to time and adjust the administration of insulin to
their bodies, and a small motor to drive the syringe.
Attached to the end of the syringe is a sterile tube (infusion
line) fitted with a needle that is inserted into the soft tissue of the
lower abdomen or other injection sites.
The entire fluid systems (needle, infusion line, and syringe)
must be changed every few days to maintain a sterile environment and
avoid infection at the infusion site on the abdomen.
What do you need to know?
The regular cautions of high and low blood sugars are still the greatest
importance. It is still vital to watch for odd, clumsy, or lethargic
behaviors. Now however, there is a piece of medical equipment thrown
into the mix. This means
that care must be taken to ensure no one places with this device.
It is not a toy to be shared, looked at or played with by anyone.
This insulin pump has a “lock” feature which stops anyone without the
proper code from administering insulin.
It can still be turned off which is a big no no! Below is the
message that will be present on the pump face and how to restart the
pump. Restarting it is not
a big deal but must be done as soon as possible.
The pump itself will beep after a few minutes of it being turned
off.
Adults and children around _____ must always be attentive to the tell tale beeps on his insulin pump. In some cases, it may simply be acting as a reminder in his diabetes in care. In other instances it can indicate a serious problem that must be treated immediately. The following are some of the alarms that may occur while Liam is in school and details of what should be done. When in doubt, always call Parent/caregivers' name and phone numbers
Error Messages
Teacher/aid's
name
will
be made aware of how to change the battery.
A spare AAA battery will be kept at school with
______’s
other supplies.
Help
child
to check the tubing and ensure that it isn’t simply kinked in any spot.
If you are not able to find any problems, call me
____________
immediately.
Call me immediately.
This is a serious problem. Call me immediately.
Child’s
teacher will be made aware of how to change the battery.
It should be done soon after it alerts. Please advise me of its
occurrence.
This is not a big deal and can wait until
Child
is at home. Should you see
this please just send a memo home
and I will take care of it.
His pump is set to alarm when he has one day’s insulin left in
his pump.
More alarms continued….
This alarm WILL occur in school.
Have
Child
press the OK button and ensure that he tests as per the reminder.
This is only a sample of the alarms that may occur.
Please be keep your ears open should his pump begin to beep. His
peers will also be asked to do the same thing. Liam may not always be
aware of problems of even it alarming.
It is up to all of us to keep him as safe as possible.
If you have any further concerns, please contact me.
NOTES:
CHILD'S NAME-Health
Care Plan 2007-2008
Eating: He can eat whatever any other healthy 5 year old should eat. You have to add up the carbohydrates of the food he is eating and enter the total number into his pump to bolus for the food. You have to give a meal bolus every time he eats, no matter how often, unless you are treating a low blood sugar and you are giving him a 15g carb snack to bring his blood sugar up then you do not want to bolus for the 15 carbs.
To give a meal bolus,
hit the ACT button, select BOLUS, enter his blood sugar using the
up/down arrows (as long as he hasn’t eaten in the past hour), hit ACT,
enter the number of carbs he is eating, hit ACT, select NORMAL BOLUS, it
will suggest an amount of insulin. If he has been or will be very
active, I would cut it down by a bit (.10-.30), depending on how active
he has been or will be. Once you are satisfied with the amount, hit the
ACT button and you will see it delivering. It will beep when it is done
delivering. So, you can put the pump back in his pocket and listen for
the beep.
To correct a high blood sugar,
hit the ACT button, select BOLUS,
enter his blood sugar using the up/down arrows, hit ACT,
hit ACT again when the number of carbs screen comes up, leaving
it blank --- . It will show you the suggested amount of insulin and you
can override if necessary. Please call me if it suggests more than 1.0
units. Once you are satisfied with the amount, hit the right button and
you will see it deliver. Again, it will beep once it’s done delivering.
If his bg is higher than 250 for 2 bg
checks in a row which are 30 minutes apart and his blood sugar is not
going down.
________
will check for keytones using the keytone meter in her office, it is
essentially the same, prick finger, draw blood, it will give you a
reading in 30 seconds. If he has any keytones, give him water and call
me. You don’t want to drop him more than 100 points in an hour with
keytones, it can cause brain swelling. He can develop keytones very
quickly on the pump. Exercise is dangerous with moderate to large (over
.3) keytones. He
can not participate in gym class if he has keytones over .3.
Interpreting meter blood glucose numbers;
*if he has
eaten within past 2 hours he may be 200-250, that is fine because it
takes 2-3hours for the insulin to fully work. If he is over 280 2 hours
after he has had a snack or meal, you should give him insulin via a
correction on the pump.
<50
give him 20g fast acting carbs & after a few minutes some cheese &
crackers. Then
call me, also re-check every 15 mins until he is over 130.
50-100
give him 10-15g carb & re-check every 30 mins until he is over 130.
100-150
let him ride if he isn’t doing any heavy activity and you are going to
have a snack or meal within 30-40 minutes. Re-check in 1 hour to be sure
he hasn’t dropped. If you are not having a snack then you could give him
1 glucose tablet or 2 oz juice just to be safe.
150-180
do nothingJ
>180 give a correction
according to instructions on previous page. Re-check 1 hour or so after
correction and make sure he is going down or at least not still rising,
he may remain the same for another hour and that is OK but after 2 hours
he should start dropping. If his bg remains high after 2 ½ hours and
it’s not going down, call us. We may have to do an injection and a site
changeL
He will have to go to the bathroom more often when he is high, his body
is trying to get rid of the sugar. So, you may notice him peeing a lot
more when he is high. He will also drink a lot more water when he is
high.
Insulin on board (IOB) - Insulin takes over 3 hours to completely work, his pump is programmed to dose accordingly, it knows how much insulin he still has working in his system, we call this ‘insulin on board’. You can check how much insulin on board he has with his pump, you hit ACT, enter any blood sugar value - it doesn’t matter, hit ACT, skip through the number of carbs leaving it blank, then hit ACT and scroll down to see the value. Then back out of each screen by hitting the ARROW key until you see the home screen.
Sensor-
______’s
sensor will show you a blood sugar value every 5 minutes, it will also
show you the rate of change with arrows. One arrow means he is going
up/down quickly (20-40 points in the past 20 mins). Two arrows means he
is going up/down VERY quickly (more than 40 points in the past 20 mins).
When his blood sugar is changing quickly, the sensor cannot “keep up”
and reflects incorrect values. It is
IMPERATIVE to check his blood
sugar only with the meter until the two values correlate again. If there
are no arrows present then his blood sugar is steady, this is pretty
reliable and those numbers are more “valuable”.
When it displays a bg under 90 or above 250, he must be checked
with his meter. Before lunch he must be checked with his meter.
The sensor data should only be
used as a reference and not depended upon as an accurate value.
Please see the other information regarding alarms on his pump and
sensor.
Parent's name and contact information
Child's Name
Type 1 -Insulin Dependent Diabetes Mellitus
9th Grade
INSERT CHILD'S PICTURE
(Mom) Contact Number’s:
(Dad) Contact Number’s
Home: 7XX-XXX-XXXX
Work 7XX
XXX-XXXX
Cell: XXX-XXX-XXXX Cell XXX-XXX-XXXX
Emergency # ____________
Dr,
____________ XXX-XXX-XXXX
_______has type I diabetes.
Diabetes is a chronic, debilitating disease that can affect every organ
system in the body. Type 1 diabetes occurs when the body’s immune system
is triggered to react against and destroy the insulin-producing cells in
the pancreas. Without the hormone insulin, the body cannot use glucose.
As a result, the level of glucose in the blood will rise, causing
symptoms. To compensate for the lack
of natural insulin,
______ is currently using an insulin pump,
which is attached to his body 24/7. He must never remove it. This pump
does not regulate his blood sugar levels; it’s just another way to
deliver insulin into his body. His Blood sugar levels can still go high
or low.
Grouchiness,
Shakiness, Sweating,
Fast Heart Rate, Pale
skin, Dizziness,
Yawning, Sudden moodiness
or behavior changes, Difficulty
paying attention, or
confusion.
If J
is exhibiting
any of these symptoms, and is unable to care for himself,
call the Nurse
immediately to the
classroom
Accommodations that are
necessary:
*_____
shall be permitted to use the bathroom without restriction.
*____
needs to have immediate access to water.
*_____
carries a cell phone and can call his mother, father or Dr. if a medical
need arises.
*Jesse may need to have
juice or a snack in the classroom to treat a low blood sugar.
*J
must check his
blood before gym.
His Blood Sugar should be above 150 or he will need to have a snack.
*J will check his blood sugar 30 minutes prior to taking any standardized or classroom test. If he has either high (above 250mg) or low (below 70mg) blood glucose levels at this time, he will be permitted to take the test at another time without penalty and the grade of the re-test will be the one recorded. Jesse will not take any standardized tests for at least 1 hour after treating a low blood sugar (70 mg/dL or below)
*If _____ needs to take breaks to use the water fountain or bathroom, do a blood glucose test, or to treat hypoglycemia or hyperglycemia during a test, he will be given extra time to finish the test without penalty.
_____
will not be penalized for absences or tardiness required for medical
appointments, illness, lateness, visits to the office, or time necessary
to maintain blood glucose control.
During a
fire drill, J ’s kit (blood
glucose meter and treatment for hypoglycemia)
MUST accompany him from the building.
Guidelines for Caring for [child's name]
|
Under 4 mmol |
Give three Glucose Tablets or ½ cup of fruit juice or regular pop. If he/she doesn't respond within 10 minutes, telephone her mother/father, [name/name], at [phone number] for further instructions. |
|
4-6mmol |
Give one Glucose Tablets. If a meal or snack is within 30 minutes, she can wait, otherwise give snack *including carbohydrates and protein, such as cheese crackers with peanut butter or cookies and milk. *for those children on injections only. |
|
7-10mmol |
He/she is fine. If exercise is planned before a meal or snack, she must have a snack before participating. This includes recess |
|
11-13mmol |
He/she is a bit high and this should be noted in a journal or log book. No action is necessary unless specified by parent. |
|
Over 13mmol |
His/her blood glucose level is too high. He/she must be given access to water or other non-caloric fluids. Use of the bathroom must be allowed as needed.
If he/she is on an insulin pump, the child should correct immediately to prevent further complications. The pump, tubing, and site should also be verified to ensure that there is no problems. He/she needs to check his/her urine for ketones*. If ketones are present, the parents should be called for advice. *This may also be done using a ketone meter which is similar in looks to a glucometer. Note: She may confuse being this high with being low, since many of the symptoms are similar |
Chocolate candy is not to be used unless there is no other source of sugar available. It is often not absorbed quickly enough, due to fats in the candy.
If the blood glucose remains low despite treatment and the student is not thinking clearly, the parents or the diabetes team should be called for advice.
Following an episode of low blood glucoe, it can take several hours to fully recover. While diabetes should never be allowed to become an excuse for school performance, medical evidence shows that the student should not be expected to perform at optimal levels after a “low” or when “high”.
Based on information found at http://www.childrenwithdiabetes.com/d_0q_420.htm
Meet Jane Doe:
Insert Picture of
your child here
· Jane has type 1 diabetes (an autoimmune disorder).
· Jane wears an insulin pump.
· A low blood glucose level can come on suddenly, at any time, and can be very dangerous to Jane.
· Please be aware of the signs and symptoms of low blood glucose levels (see below).
· If Jane seems low, she should eat a glucose tablet.
· Jane keeps glucose tablets in her pump pack worn on waist.
·
Additional glucose tablets are available in
·
If Jane is not coherent or is having
a seizure, call 911 immediately!
Sample of
Diabetes School Info
_______ age ___ is a child in your classroom. He has
Type 1 diabetes.
He will need to check his blood sugar several times a day while at
school. His blood sugar does not stay stable unless he monitors it
carefully and frequently. He especially needs to check his blood sugar
before eating snacks in the classroom. He may eat anything that is being
served,
but he must figure the carbohydrate amount of each food serving and give
a shot of insulin. ____ may need to be reminded to
do his blood sugar check before going to lunch. It is imperative that he
checks his blood sugar before eating lunch to ensure that it is in a
normal range before
eating.
At times _____ will need to urgently use the restroom,. He may also need
to
have a large drink of water, particularly if his blood sugar is
elevated,
which you may suggest to him that while he is up getting a drink or
using
the restroom to remember to test as getting insulin will quickly lower
his
blood sugar level. It takes time for his body to return to normal after
being elevated
especially his eyesight, feeling lethargic and brain function. If you
have
any questions about this please call me. I am available for this.
______ may need to eat a snack or drink some juice if
his blood sugar levels are low. He may not feel his
blood sugar be low
until it is very low. In this case he must
receive treatment for his blood sugar immediately. If he is unable to
drink
from the straw of the juice box, then try giving him the icing tube in
his
cheek. I should be called.
Whenever _____ is outside the classroom he should have his meter and
snack
with him at all times including fire drills, other drills, exercise
periods,
and field trips.
______ needs adequate time to consume all of his lunch as he will have
gotten insulin for the items he has. Please call me if there is
a problem with him not doing his blood sugar before lunch or not eating
his
lunch at the time it occurs, not hours later.
Please allow ______ to call me whenever he feels the need to, it maybe
something he can't explain to you, but I would instinctively pick up on.
My
cell phone is available all the time day or night.. CELL # 6XX-1XXX
At times ______does miss school related to his diabetes. I do encourage
him to attend school in a prompt timely fashion and to attend each day.
Please leave a note where substitute teachers can find it that they have
a
child with diabetes in their class and this folder where they can at
least
refer to if they have any problems or questions.
Please feel free to call me with any problems or questions or more
information that arise.
Thank you,
Cell phone
Home phone
Sample Letter:
As
we begin the new school year, there are a few things I need you to know
about my son _____. _____ was
diagnosed with Type One Diabetes in March of 2000.
He is currently on multiple daily injection therapy for the daily
treatment of his diabetes. You will find some
detailed information contained in this packet but please only refer to
what is below as a quick reference guide.
What to Remember:
Hypoglycemia or Low Blood Sugar must be treated immediately. ______ may say he feels “low” when his blood sugar is either dropping or already low. He needs to treat IMMEDIATELY. ______ has a red box which will hold his meter, lancet, strips, fasting acting sugars, and complex carbohydrates. ____ may test and treat himself immediately if he feels its necessary and is physically able to do so. There is no time to waste when he feels low. Please do not send _____ alone or with another child to another area of the school when he feels low. This is extremely dangerous as he may loose consciousness along the way. Please feel free to call me at ________ immediately if unsure what to do or advise me once as soon as possible to the occurrence of the low.
Hyperglycemia High blood sugar causes damage to the kidneys, eyes and extremities if left untreated for a prolonged period of time. High blood sugar for a child on an insulin pump is often an emergency situation. Please check with _____'s parents for instructions on correcting the high and checking for ketones. _____ may usually function without symptoms when his blood sugar is just slightly elevated but he will need to use the bathroom facilities often, is often very thirsty.
Blood Sugar Testing: ______ needs to test his blood sugar at least ___ times during a regular school day.
1. Before Morning Snack: ____________ am
2 Before lunch ___________ am
3. Before Gym: ____________ am
4. After Gym if very strenuous: ____________ am
5. Before Afternoon Snack ____________ pm
6. Before leaving for home ____________ pm
If there are any room parties, snacks or treats during the day, please tell me ahead of time so that ______’s insulin can be adjusted or I can make allowances for snacks. NEVER allow _____ to eat any treat without first clearing it with me.
_____ has no dietary restrictions. The biggest myth that most people believe is that _____ can not have sugar or any foods containing sugar. Children with Type One Diabetes who properly manage their diabetes and take short acting insulin can enjoy all foods. It is necessary that we know of all treats that are going to be served in the classroom at least one day in advance so that we can adjust ____’s insulin needs accordingly and plan ahead so that ______ can participate in the celebration without any downtime.
Information
for Teachers
Type 1 diabetes, previously called juvenile diabetes or insulin-dependent diabetes, is an autoimmune disease in which the body destroys insulin-producing beta cells in the pancreas. Insulin is required by the body to use glucose, the simple sugar into which foods are broken down by our digestive system. Without insulin, the body starves to death. It's important to note that everyone is insulin-dependent. People without diabetes make insulin in their pancreas. People with Type 1 diabetes must inject insulin.
|
Implications for School |
| Diabetes is not contagious. And though there is no cure, diabetes can be managed with insulin injections, blood sugar monitoring, proper diet and exercise. |
Children with diabetes face two problems that teachers need to understand: hypoglycemia and hyperglycemia. You should learn the symptoms and how to treat each.
|
Implications for School |
| Some teachers think that kids with diabetes sometimes pretend to feel low or high to get out of the classroom, or to get out of an activity that they do not like. This is very unlikely. Most kids with diabetes don't want to be different, and they don't want their diabetes to cause them to be treated differently. If you think this is a problem, speak with the child's parents at another time, but do not deny the child's request for water or a blood sugar test. |
Children with Type 1 diabetes are treated with insulin taken via injections or using an insulin pump, blood glucose monitoring, a carefully managed diet and exercise. Frequent blood glucose tests help determine the correct amount of insulin to take and help identify low and high blood sugars. Children must be allowed to test their blood sugar at school. Testing in the classroom is preferred by many parents, since it minimizes time away from the classroom. Other parents prefer testing in a clinic. Children should be permitted to check their blood sugar whenever and wherever they want.
Insulin must be injected because it is broken down by the digestive system and is rendered ineffective. Insulin syringes tend to be thinner and smaller needles than most people realize and the injections are not as uncomfortable as vaccinations.
Most children with Type 1 diabetes inject insulin several times a day. Some people take two shots, one before breakfast and one before dinner. They use two different kinds of insulin: one short acting and one long acting. Other kids take three or more injections per day, with one shot of short acting insulin taken before each meal, and long acting taken with the pre-breakfast and pre-dinner shots.
Some kids with diabetes use an insulin pump instead of taking injections. An insulin pump is about the size of a pager. Kids can wear it on their belt or carry it in their pocket. A thin tube connects the pump to a small canula (thin tube) inserted under the skin that delivers insulin continuously. Kids who use an insulin pump give themselves insulin to cover each meal that they eat via their pump.
Pen injectors make it easy for kids to do their own injections, either in the classroom or in the office. Injecting through clothing is perfectly safe. Bathrooms are not a good place to do injections because they are often not very clean.
|
Implications for School |
| Kids who inject insulin before lunch might need a little extra time before lunch to accommodate their injection. Kids who use an insulin pump will deliver the insulin required to cover their food by using the pump itself. They may also require added time to calculate carbohydrates and insulin amounts. |
Children with diabetes check their blood glucose many times per day. A blood glucose test involves pricking a finger with a lancet and placing a drop of blood on a special test strip. A “glucometers” analyzes the test strip and reports the blood glucose level in less than one minute. This process is called blood glucose testing, blood glucose checking or blood glucose monitoring. They all mean the same thing.
Children with diabetes are usually required to do blood glucose checks during the school day. Many do a check before lunch. Doing a blood sugar check is simple enough that most grade school children can be taught how to do it themselves. Younger kids might need some adult supervision.
There is considerable debate about whether children should do blood sugar checks in the classroom or in another area of the school. Older children are sometimes more conscious of their diabetes, especially if newly diagnosed, and may not feel comfortable checking their blood sugar in the classroom in front of their friends. Kids who are diagnosed very young and know only life with diabetes are often more open about diabetes and are comfortable checking their blood sugar in front of friends. Proponents of in-class checking argue that kids who check in the classroom spend more time in the classroom and are not at risk for having problems while walking to the clinic.
Proper education of teachers and school staff by parents prior to school starting can help eliminate the anxiety many teachers feel regarding in-classroom blood sugar checking. For kids who check in the classroom, parents should provide a glucometer that can remain in the classroom, a lancing device and lancets, a sharps disposal container such as the B-D Home Sharps Container for proper disposal of the lancets, and emergency glucose for treatment of hypoglycemia. Lancing devices and blood glucose meters should not be shared, even among kids with diabetes.
|
Implications for School |
| Children with diabetes must be allowed to check their blood glucose at school. When a child with diabetes has low blood glucose (hypoglycemia), he or she must be given access to emergency glucose to treat the low blood sugar. When a child with diabetes has high blood sugar (hyperglycemia), he or she must be allowed free access to water and the restroom. |
Children with diabetes usually follow a meal plan. Meal plans come in many varieties, and is usually tailored specifically to the needs of each child. Parents should provide teachers and day care providers any specific instructions, such as what foods must be avoided and what to do when food treats are brought in by other students.
Parents should also provide morning and afternoon snacks for those children with diabetes who require them. These snacks usually consist of protein and carbohydrates, such as crackers with peanut butter. Children with diabetes who require snacks, but who are not allowed to eat them when required, are at very high risk for hypoglycemia. For these kids, snacks are part of the essential medical care and are not optional.
|
Implications for School |
| All children with diabetes must be allowed to have ready access to emergency glucose to counter the effects of hypoglycemia. Left untreated, hypoglycemia can lead to loss of consciousness, convulsions and coma. Also, teachers must allow kids with diabetes to eat snacks when prescribed by their doctor. |
Exercise is important for all kids, and kids with diabetes are no exception. Diabetes does not prevent a child from participating in any exercise or outdoor activity. Gym class (physical education) and recess can, however, be a challenging time for kids with diabetes since exercise, like insulin, works to lower blood sugar. Teachers should know if a child has diabetes so they can provide help if needed.
Children with diabetes often eat an additional snack before participating in strenuous exercise. A good rule of thumb is 15 grams of carbohydrates for each 30 minutes of exercise.
If gym or recess is immediately before lunch, for example, kids with diabetes should be allowed to eat a snack before participating. Kids with diabetes should be allowed to carry emergency glucose to treat hypoglycemia, especially if they will be outside, far away from the school or classroom. Parents can provide guidelines regarding how strenuous activity will effect their child.
|
Implications for School |
| Physical education teachers and athletic coaches should consider keeping a supply of emergency glucose on hand to treat hypoglycemia. Parents can provide glucose tablets, which work best and will not be confused with candy. |
Adapted from information found at http://www.childrenwithdiabetes.com/d_0q_200.htm
Correction Table for Children Who may need to inject at school
Please note this is strictly an example ONLY!! Please work with your diabetes care team to determine your child's insulin sensitivity factor and apply it accordingly to a similar table for your school.
The first example is in mg/dl for those living in the US and the second is in mmol
SLIDING SCALE FOR INSULINIn addition to the insulin given to cover the carbohydrates in food, sometimes additional insulin must be given to correct _______’s blood glucose levels, if they are high. This guide tells you how much insulin to give for various blood glucose levels at different times of day. This insulin is given IN ADDITION to the insulin that is given to cover the carbohydrates in the food _______ eats.
BREAKFAST LUNCH
|
Blood Glucose |
Novolog |
Blood Glucose |
Novolog |
|
80-100 |
0 |
80-100 |
0 |
|
101-125 |
0.5 |
101-125 |
0.5 |
Preparing
to Send Your Child with Diabetes to School 
Please remember that we are not medical professionals.
The information presented below is in no way to replace medical advise.
When in doubt, please contact your diabetes care team.