1. Diabetes: Tips for School Staff
Senate Bill 911

2. 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

3. 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.

4. 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.

5. 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.

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

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

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

9. 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

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

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

12. 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

13. Questions?
Contact a School Nurse