1. Helping the Student with Diabetes Succeed: A Guide for School Personnel Level II Developed July 2008 Updated July 2009 Office of School & Adolescent Health Diabetes Prevention and Control Program

2. What are the types of diabetes? Type 1 Type 2

3. Signs of Diabetes Excessive thirst Frequent urination Exhaustion Blurred vision Diabetes Ahead

4. Type 2 Diabetes

5. NO INSULIN

6. Individualized Healthcare Plan and Diabetes Emergency Care Plan

7. New Mexico Diabetes Rule (6.12.8 NMAC) Diabetes Management for Students in the School Setting– Student’s Right to Self Manage

8. Blood sugar checks

9. Understanding Low Blood Sugar Greatest danger Life threatening

10. What to Look for in Low Blood Sugar Headache Shaky Dizzy Hungry Pale Sweaty Irritable Anxious Drowsy

11. Treatment for Low Blood Sugar - Treat on the spot - Treat with: 4 ounces (1/2 cup) fruit juice 8 ounces (1 cup) sport drink ½ can regular soda (not diet) 3 to 4 glucose tablets 1 tube glucose gel Call for help Do not send student anywhere alone

12. If not treated, a blood sugar will continue to drop

13. Severe Low Blood Sugar

14. ACT NOW! Remain calm Lay the student on the floor and turn on side Call 911 Call your school nurse

15. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Understanding High Blood Sugar Increased thirst Frequent urination

16. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Impact of Low and High Blood Sugar on Learning Can affect ability to think Can be mistaken for misbehavior Can negatively affect school performance

17. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program School Diabetes Management Team

18. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Effective Diabetes Management

19. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Blood Sugar

20. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Nutritional Needs

21. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Activity Needs

22. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Taking Insulin All students with Type 1 diabetes take insulin.

23. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Classroom Parties Plan ahead Parents and school nurse need notice

24. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Field Trips Plan ahead with school nurse and parent Bring diabetes supplies Bring diabetes PLANS OF CARE

25. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Social & Emotional Issues The Impact of Diabetes on Children, Adolescents and their Families

26. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Pause : Review Actions for School Staff with Your School Nurse Review Handout: o Actions for the Teacher o Actions for the Coach or PE Instructor o Actions for other School Personnel STOP

27. 2008 NM Department of Health Office of School and Adolescent HealthDiabetes Prevention and Control Program Fact or Fiction 1. The student with diabetes should only eat foods brought from home. 2. Treat the student with diabetes the same as other students, except to meet medical needs. 3. Never put anything in the mouth of an unconscious student. 4. Substitute teachers must be aware when a student with diabetes is in your classroom. 5. Never send a student with diabetes experiencing signs of high or low blood sugar to the health office alone.