Diabetes: Tips for School Staff Senate Bill 911

Senate Bill 911 G.S. 115C-47 - Care for Children With Diabetes Act Requires: The development and implementation of an individual diabetes care plan at the written request of the student’s parent/guardian Information and staff development to be provided for school personnel

Law Requirements All school staff participate in “General” Diabetes training – recognizing diabetes emergencies At least 2 staff members on-site participate in “Intensive” Diabetes training Allow student immediate access to supplies and appropriate location for care. Allow student unlimited access to food, water, and bathroom. Allow student to seek medical help.

What is Diabetes Disease in which the body does not produce or properly use insulin Insulin is a hormone that is needed to carry glucose (sugar) into the cells where it is used for energy. Consistently high blood glucose, over a period of time, damages internal organs such as kidneys, eyes, & nerve endings. Low blood sugar causes more immediate dangers – including unconsciousness and death.

Types of Diabetes Type I- The body does not produce insulin. Usually diagnosed in children and young adults. Type II – The body does not produce enough insulin or fails to properly use insulin. Fast growing epidemic in school-aged children. Related to family history of diabetes, obesity, and sedentary lifestyle.

Tools for Diabetic Management Diabetes care plan Glucometer for monitoring blood glucose Carbohydrate counting Insulin or oral medication management Healthy lifestyle and weight management

Signs of Hyperglycemia (High Blood Sugar) Frequent urination Thirst Fatigue Hunger Nausea and vomiting Blurred vision Confusion

Causes of Hyperglycemia Not enough insulin Too much food Infection, fever, illness Emotional stress Too little exercise

Treatment of Hyperglycemia Administer insulin (per care plan) Drink fluids without sugar Provide unlimited access to bathroom Frequent blood sugar monitoring Test urine for ketones

Signs of Hypoglycemia (Low Blood Sugar) Shaky Sweaty Dizzy Sudden change in behavior Headache Nervous or upset Hungry Weak/tired

Causes of Hypoglycemia Too much insulin Not enough food Increased exercise Delayed meal

Treatment of Hypoglycemia Give food or glucose tablets Monitor blood sugar every 15 minutes until stabilized Do not give insulin Do not give anything by mouth if unconscious If unconscious, give Glucagon and call 911

Questions? Contact a School Nurse