Type 1 Type 1 means that a person needs insulin for life. It is a chronic illness. The pancreas no longer produces any insulin which is needed to carry the glucose into body cells for energy. After food is ingested the body cells need the glucose and the only way it is used by the cells is with insulin.

Using insulin is a real ‘balancing act’. If someone eats too much food and/or does not give enough insulin their blood sugar may be high. If someone does not eat enough food, exercises too much and/or does give too much insulin their blood sugar may be too low.

 Multiple daily injections of insulin or an insulin pump  Testing blood sugar several times during the day  Eating a balanced diet including all food groups  Following a regular exercise program

 Defined as a blood sugar level less than 70  Student may feel ‘low’ and exhibit behavior changes  A low blood sugar does not feel good and can impact a student’s ability to learn

 Defined as a blood sugar greater than 240  May occur quickly with viral or bacterial illness  Pattern of high blood sugar indicates the need for evaluation of management.

LOW BLOOD SUGARHIGH BLOOD SUGAR  Shaky  Pale, weak  Hungry  Confused  Tired  Slurred speech  Anxious  Headache  Unable to concentrate  Headache  Stomach pain  Thirsty  Nausea/vomiting  Frequent urination  Lack of concentration  Dry mouth  Blurred vision

 Give juice, regular pop or candy immediately  Student must check blood sugar  Send to health room with a buddy.  If unable to swallow or unconscious DO NOT FEED AND CALL 911.  A low blood sugar can become emergent very quickly if not treated!

 Send to health room with buddy to be monitored  Drink water  Contact parents if too sick

 May need to use the bathroom frequently and should be allowed to do so  May need to drink water in the classroom for excessive thirst or eat a snack to treat low blood sugar  May need to be monitored in the health room or at home if blood sugars are severely low or high.  Allowed to check blood sugar anywhere on campus as needed anytime which includes tests and standardized tests.

 Students with diabetes are children first and their needs and favorite foods will mirror other children their age  Sugar is ok and acceptable  Carbohydrates are the most important aspect of the meal plan and main source of blood glucose. Students are taught to count their carbs for each meal and base their insulin dosage on carbs + blood sugar.

A great way to stay in shape, spend time with fiends, have fun and help blood sugars stay within an acceptable range. Should be allowed to check blood sugar before, during or after exercising. Eat before intensive exercising Have extra snacks available to prevent low blood sugar Always have quick-acting juice, regular pop for managing low blood sugar. Plan ahead for increased exercise at an unusual time such as a mile run.

 1. If a student is having trouble answering you or seems confused what do you do first?  a. Shake them  b. Feed them a snack  c. Give them apple juice and then call the office for assistance 2. If a student is unable to swallow juice? a. Have another student take them to the office b. Call 911 (teacher or call the office to call 911) c. Lay them down and on their side and stay with them until assistance arrives d. b and c