Diabetes

PROCESS FOR DIABETES HEALTH CARE PLAN:

If your child has been diagnosed with diabetes type one or two and/or is being monitored for an elevated HgbA1c please contact the school nurse.

Nurse Goals: 

  • Parent/Guardian and Physician will sign a Diabetes Health Care Plan (please see below attachments) and supply orders as appropriate to the health room.  (Orders include: blood glucose monitoring, insulin injections, glucagon injections, etc.).
  • The nurse will provide intensive diabetes training to at least two staff members involved with the student’s care.
    • Intensive training must include signs, symptoms, and treatment of hypoglycemia and hyperglycemia. Training should also include student-specific blood glucose monitoring, insulin administration, glucagon injections, operation of insulin pumps, and insulin pens.
  • All glucose monitoring will be documented by the nurse, the student or the teacher working with the student.  All medications/snacks will be evaluated for expiration daily.  
  • Students will gain knowledge, increase autonomy for care and increase student attendance or academic performance throughout each school year.  
  • Each child will have all supplies, time and privacy needed to function for the entire school day without complications related to disease process.  

The Parent/Guardian will:

  •  Develop a Diabetes Health Care Plan for student with school nurse, school personnel, and health care provider.
  •  Provide all needed medication authorization forms.
  • Provide/replace all diabetic supplies, a source of fast-acting sugar, snacks, and a glucagon emergency kit needed for student’s care.
  • Provide up-to-date emergency phone numbers to the school.

Staff will: 

  •  Allow student to come to health room or other private location to test blood sugar, test ketones, administer insulin, adjust insulin pump settings, perform insulin pump site care/change, treat high/low blood sugar.
  • Notify the parent/guardian  and nurse in advance of any expected changes in the school schedule that will affect the student’s meal times or exercise routine.
  • Allow student to test blood sugar and treat accordingly anytime/anywhere.  Student may see school medical personnel upon request.  Student may use the restroom as needed and have access to water.  Student may eat a snack anytime/anywhere to treat low blood sugar.  Student may be absent from school for required medical appointments related to diabetes management without consequences
SCHOOL PERSONNEL:
Diabetes is a condition resulting from a failure of the pancreatic gland to function properly. Insulin is not always produced, and a person cannot live without insulin. Type 1 diabetes (childhood or “juvenile-onset”) is not the same as Type 2 diabetes (adult-onset). Most often adult-onset diabetes can be controlled with diet and medication by mouth. Children with Type 1 diabetes have stopped producing insulin, which requires daily insulin injections to be given in conjunction with a balance of food and exercise. Type 1 diabetes occurs in approximately 1out of every 400 children.

Diabetes is not an infectious disease. Children with diabetes are required to follow a diet, exercise, monitor their blood sugar, and take insulin. Diabetic students require close monitoring and observation by the student’s teacher/teachers, school nurse, principal, cafeteria staff, bus drivers, and other school personnel with a need to know. Most parents want their diabetic children treated the same as other students, with provisions that will maintain their child’s health and safety. Blood sugars can change frequently during the day. Each child must be treated individually. Diabetes is the 5th leading cause of death in the United States. Children with diabetes do not outgrow their condition.

Insulin is a hormone produced in the beta or islet cells in the pancreas. Insulin enables sugar in the blood to enter the body’s cells to provide energy. Most diabetic children take several insulin injections daily or may have an insulin pump because their body does not produce insulin. They also attempt to eat a diet that will keep the blood sugar within a normal range. As children get older and body size increases, their need for insulin increases. Exercise and illness also affects the student’s diabetes care and treatment.

Acute complications include Hypoglycemia (low blood sugar) and Hyperglycemia (high blood sugar).

Never leave a diabetic student with symptoms alone; follow the diabetic Emergency Action Plan. Call First Responders/Diabetes Care Managers/School Nurse for follow-up treatment. Serious diabetic complication; such as unconsciousness or seizures occur, or if condition worsens, call 911 and notify parent.


DIABETES LAW: Children with diabetes have certain rights at school as a result of the Individuals with Disability Education Act (IDEA), section 504 of the Rehabilitation Act of 1973, Americans with Disabilities Act of 1990 and Diabetes School Act SB 911 of 2002.

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Owen Howell,
Jan 6, 2016, 9:33 AM