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"Education Law §921 permits, but does not require, schools have RNs, NPs, PAs, and physicians train unlicensed school personnel to administer prescribed glucagon ... in emergency situations, where an appropriately licensed health professional is not available, to pupils who have a written healthcare provider order for such medication and written parental consent, during the school day on school property and at any school function as such terms are defined. Training must be provided by a physician, PA, NP, or RN and must be completed in a form and manner prescribed by Commissioner's regulation 136.7."
-Guidelines for Medication Management in Schools, NYSED, 2022
What is diabetes?
Type 1 diabetes is an autoimmune disease that destroys the beta cells in the pancreas that create insulin. When the pancreas can’t make insulin, insulin must be injected to help store and utilize blood sugar for energy.
Without insulin, high amounts of blood glucose (hyperglycemia) can harm the body and can lead to complications, including damage to the eyes, kidneys and blood vessels.
Too much insulin can also be problematic. In fact, severe drops in blood sugar (hypoglycemia) can be life-threatening if not treated promptly.
In most cases of hypoglycemia, a person is able to bring their blood sugar up with sugary snacks like candy or juice. However, in extreme cases, a person may become unconscious, requiring the use of a medication called glucagon to restore their blood sugar.
How to become trained in using glucagon
To become trained in recognizing diabetic emergencies and administering glucagon, please visit the NYS Center for School Health website (left) to complete the online module.
Once you have finished the online module, complete the post-test and submit to your school nurse's office. Complete a hands-on practical portion with the nurse to complete your training and receive your certificate (valid for 1 year).
Important reminders regarding diabetic students
School's Executive Bulletin (2001) - Students must be allowed to test their blood glucose anytime and anywhere, and school staff may assist with this task
Safe at School®: Supporting documentation to include in the student’s written plans (e.g., DMMP, IHP, IEP, 504 Plan, etc.) regarding access to smart devices during school.
NYSPHSAA Permission for Special Accommodations: Request permission for special devices such as insulin pumps or sensors to be worn during athletics.
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