2. Illness that prevents the body from using
food properly
Not enough insulin
Body doesn’t use insulin properly
Most children have Type 1 And use insulin
injections
WWhhaatt iiss DDiiaabbeetteess
3. 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
SSiiggnnss aanndd SSyymmppttoommss ooff LLooww//HHiigghh
BBlloooodd SSuuggaarr
4. 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)
NNeeww DDiiaabbeetteess LLaaww
5. 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 delegate
To be a delegate, you volunteer to the
school nurse and you must be trained
GGlluuccaaggoonn
6. • 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
WWhhaatt IIss GGlluuccaaggoonn??
7. Locations should be included in student’s
IHP/IEHP
Store at room temperature
Monitor expiration date
After mixing, dispose of any unused
portion within one After mixing, dispose of
any unused portion within one hour
GGlluuccaaggoonn oorr GGlluuccaaGGeenn KKiitt
SSttoorraaggee SSttoorraaggee
8. If a student with diabetes exhibits:
• Unconsciousness, unresponsiveness
• Convulsions (seizures)
• Inability to safely eat or drink
WWhheenn ttoo GGiivvee GGlluuccaaggoonn//GGlluuccaaggeenn
9. Act Immediately
The school nurse or trained delegate will:
Assess: airway breathing circulation and
Symptoms
Administer glucagon in accordance with the
student’s IHP/IEHP
Position student safely on his side and
monitor
If you are the delegate, you must act and not
wait for the nurse
PPrroocceedduurree::
10. 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.
PPrroocceedduurree:: AAcctt IImmmmeeddiiaatteellyy
11. 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.
PPrreeppaarraattiioonn ooff GGlluuccaaggoonn aanndd
MMiixxiinngg SSoolluuttiioonn
12. 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.
DDoossiinngg aanndd DDrraawwiinngg OOuutt
13. Inject at 90° into the tissue on the upper
arm, thigh, or buttock. Maintain the
student’s privacy as much as possible.
IInnjjeeccttiinngg
14. 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.
AAfftteerr IInnjjeeccttiinngg
15. 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.
AAfftteerr IInnjjeeccttiinngg
16. Student does not remember being
unconscious, incoherent or has a
headache.
The blood glucose level becomes very
high(over 200).
Nausea or vomiting occurs.
DDoonn''tt BBee SSuurrpprriisseedd IIff.. .. ..
