Table 9

Diabetes care tasks for school personnel

Diabetes care tasksSigns*TreatmentOutcome if not treated
Hypoglycemia recognition and treatmentCatecholamine effect (sweating, jitteriness, tachycardia, and palpitations) or neuroglycopenia (behavior change)Glucose, wait 15 min, recheck, give food if blood glucose is adequate (based on DMMP)Seizure or coma
Know when and how to give glucagon
Know when to contact parents or emergency medical services
Have all contact information available on emergency plan
Hyperglycemia recognition and treatmentPolyuria, polydipsia (most common), difficulty concentrating, headache, or irritabilityRapid- or short-acting insulinCheck for ketones. Follow directions for ketones if positive to avoid ketoacidosis
Dose and frequency should be clearly elucidated on emergency plan to avoid “insulin stacking” and consequent hypoglycemia (DMMP)
Insulin dosing technique (syringe/vial, pens, pumps)
Insulin required (DMMP)
Ketone checks and when to call parents
Correction factor calculations and insulin for hyperglycemia and ketones
  • DMMP, Diabetes Medical Management Plan.

  • * Varies among individuals but consistent within a given child.