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  1. 1. DIABETES-What You Need to Know
  2. 2. What is Diabetes <ul><li>Illness that prevents the body from using food properly </li></ul><ul><li>Not enough insulin </li></ul><ul><li>Body doesn’t use insulin properly </li></ul><ul><li>Most children have Type 1 And use insulin injections </li></ul>
  3. 3. Signs and Symptoms of Low/High Blood Sugar <ul><li>Low-shaking, sweaty, irritable or anxious, headache, hunger, weakness and fatigue </li></ul><ul><li>High-drowsiness, hunger, extreme thirst, frequent need to use the rest room </li></ul><ul><li>Signs of either-child needs to check blood sugar </li></ul><ul><li>Student specific health plan with more details provided if you have a diabetic student </li></ul>
  4. 4. New Diabetes Law <ul><li>Only if a written request is provided, the child may monitor his Diabetes in the classroom </li></ul><ul><li>That includes checking the blood sugar and taking insulin (includes carrying syringes) </li></ul>
  5. 5. Glucagon <ul><li>A Diabetic student should carry Glucagon-injectable glucose used if blood sugar is too low </li></ul><ul><li>If the student is self-managing, you may be asked to be a delegate to give the Glucagon, if the student can’t </li></ul><ul><li>No one is required to be a delegate </li></ul><ul><li>To be a delegate, you volunteer to the school nurse and you must be trained </li></ul>
  6. 6. What Is Glucagon? <ul><li>• Naturally-occurring hormone made in the </li></ul><ul><li>pancreas </li></ul><ul><li>Raises blood glucose level by stimulating the </li></ul><ul><li>liver to release stored glucose </li></ul><ul><li>Used to treat severe hypoglycemia/low blood </li></ul><ul><li>Sugar </li></ul><ul><li>Is life-saving, cannot overdose </li></ul>
  7. 7. Glucagon or GlucaGen Kit Storage Storage <ul><li>Locations should be included in student’s IHP/IEHP </li></ul><ul><li>Store at room temperature </li></ul><ul><li>Monitor expiration date </li></ul><ul><li>After mixing, dispose of any unused portion within one After mixing, dispose of any unused portion within one hour </li></ul>
  8. 8. When to Give Glucagon/Glucagen <ul><li>If a student with diabetes exhibits: </li></ul><ul><li>• Unconsciousness, unresponsiveness </li></ul><ul><li>• Convulsions (seizures) </li></ul><ul><li>• Inability to safely eat or drink </li></ul>
  9. 9. Procedure: <ul><li>Act Immediately </li></ul><ul><li>The school nurse or trained delegate will: </li></ul><ul><li>Assess: airway breathing circulation and </li></ul><ul><li>Symptoms </li></ul><ul><li>Administer glucagon in accordance with the </li></ul><ul><li>student’s IHP/IEHP </li></ul><ul><li>Position student safely on his side and monitor </li></ul><ul><li>If you are the delegate, you must act and not wait for the nurse </li></ul>
  10. 10. <ul><li>If the responder is alone, call 911 then call for assistance from other school personnel. </li></ul><ul><li>If others are immediately available, have </li></ul><ul><li>them call 911 and contact the parents/guardians while the responder attends to the student. </li></ul>Procedure: Act Immediately
  11. 11. Preparation of Glucagon and Mixing Solution <ul><li>Remove flip-off seal from the glass vial containing dry powder. </li></ul><ul><li>Remove needle protector from syringe. </li></ul><ul><li>Put on gloves, if available. </li></ul><ul><li>Inject entire fluid in syringe into the bottle containing the </li></ul><ul><li>powder. </li></ul><ul><li>Don’t take the syringe/needle out of the vial. </li></ul><ul><li>Gently shake the vial in your hand until the </li></ul><ul><li>powder has completely dissolved. The solution should be clear and colorless. </li></ul>
  12. 12. Dosing and Drawing Out <ul><li>Draw prescribed amount of glucagon back into syringe by pulling gently on the syringe </li></ul><ul><li>plunger. </li></ul><ul><li>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. </li></ul><ul><li>Remove air from the syringe and tip of the needle. </li></ul>
  13. 13. Injecting <ul><li>Inject at 90° into the tissue on the upper </li></ul><ul><li>arm, thigh, or buttock. Maintain the </li></ul><ul><li>student’s privacy as much as possible. </li></ul>
  14. 14. After Injecting <ul><li>Apply light pressure at injection site and </li></ul><ul><li>withdraw needle. </li></ul><ul><li>Do not recap syringe. Discard needle/syringe in </li></ul><ul><li>a medical waste container. </li></ul><ul><li>Be sure student is positioned on side as </li></ul><ul><li>vomiting may occur. </li></ul><ul><li>It may take 10-20 minutes for student to regain consciousness. </li></ul><ul><li>14. Wait for EMS to arrive. </li></ul>
  15. 15. After Injecting <ul><li>Once student is awake and able to drink, </li></ul><ul><li>give sips of fruit juice or regular soda. </li></ul><ul><li>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. </li></ul>
  16. 16. Don't Be Surprised If. . . <ul><li>Student does not remember being </li></ul><ul><li>unconscious, incoherent or has a headache. </li></ul><ul><li>The blood glucose level becomes very high(over 200). </li></ul><ul><li>Nausea or vomiting occurs. </li></ul>