This document provides information about diabetes, including signs and symptoms of low and high blood sugar, the use of glucagon to treat severe hypoglycemia, and procedures for administering glucagon. It explains that diabetes prevents the body from properly using blood sugar, and that most children with diabetes have type 1 and require insulin injections. It also outlines steps for administering glucagon, such as mixing the powder with liquid and injecting it intramuscularly, and actions to take after injection like calling 911 and giving the person juice to drink.

1. DDIIAABBEETTEESS--WWhhaatt YYoouu
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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
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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)
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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
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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
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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
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8. If a student with diabetes exhibits:
• Unconsciousness, unresponsiveness
• Convulsions (seizures)
• Inability to safely eat or drink
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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
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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.
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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.
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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.
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13. Inject at 90° into the tissue on the upper
arm, thigh, or buttock. Maintain the
student’s privacy as much as possible.
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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.
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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.
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