3. First Aid for Diabetes
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Signs of Mild to Moderate Blood Sugar
- Shakiness
- Dizziness
- Sweating
- Hunger
- Blurry vision
For more signs of mild to moderate blood sugar, visit: diabetes@school
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Management Mild to Moderate Low Blood Sugar
Review the information in the student’s Diabetes Support Plan and contact the student’s parent or guardian as indicated.
If the student is not independent with their diabetes care, help the student take a fast acting sugar and call the designated emergency school staff for immediate assistance. This staff member will be able to check the student’s blood sugar level and provide additional support.
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Management Mild to Moderate Low Blood Sugar
If a student is having a mild to moderate low blood sugar, stay with the student, and support them to self-manage the low blood sugar in the location it was discovered. Stay with the student until their blood sugar is back above 4.0 mmol/L.
(Click below for more information)
1. Give 10 to 15g Fast Acting sugar1. Give 10 to 15g Fast Acting sugar
Dextrose tablets, Skittles, 2 packets of white sugar dissolve in water, 2 teaspoons of honey.
*Always consult the student’s support plan*
2. Wait 15 minutes2. Wait 15 minutes
Don’t give anything to eat or drink during this time.
3. Ask student to recheck blood glucose in 15 mins3. Ask student to recheck blood glucose in 15 mins
- if < 3.9mmol/L repeat above steps
- If >4.0mmol/L the child may require an activity snack (i.e. granola bar)
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First signs of Severe Low Blood Sugar
First signs or symptoms of a Severe low blood sugar:
- student is unable to swallow a fast acting sugar or juice box
- seizures
- loss of consciousness
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Management of Severe Low Blood Sugar
The student requires a medication called glucagon. This medication can be supplied by families as a nasal spray or a muscular injection. Each school that has a student with type 1 diabetes will have at least 2 people trained in the school to administer glucagon.
- Stay with the student
- Immediately call the emergency school staff person trained in glucagon administration
- Delegate someone to call 911
- Call the student’s parents or guardians as soon as possible after other emergency personnel have been contacted
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Management High Blood Sugar
Supportive management is appropriate when the student has high blood sugar and is feeling well. High blood sugar is rarely a cause for concern. An example of a common target range may be 4.0 mmol/L – 10.0 mmol/L.
- Allow frequent bathroom breaks
- Allow student to drink water or sugar free beverage
- Contact family as per their support plan
Immediate action is required if the student has very high blood sugar and is feeling unwell with symptoms of rapid/deep breathing, vomiting and fruity smelling breath. If this is the case contact the parents without delay.
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Impact On Student Learning
T1D is with a student 24/7. They never get a break.
Some of the things that affect their blood sugar levels that are out of their control include: stress, hormones, growth and illness.
When a student’s blood sugars are out of range, it can affect their ability to learn and participate. Things you may see include:
(Click below for more information)
Altered Concentration or FatigueAltered Concentration or Fatigue
After a low, it can take a student 60+ minutes to regain their baseline ability to focus and engage. When blood sugars are high, students can feel irritated, thirsty, and need to go to the bathroom frequently.
Anxiety or EmbarrassmentAnxiety or Embarrassment
Students can feel self-conscious about having to check their blood sugar levels or administer insulin. Some students are very open about their diabetes. Others prefer more privacy.
Social ImplicationsSocial Implications
having to pause before eating to manage diabetes, can change a student’s ability to have lunch with their friends, join in games with friends at recess, and other activities that are a natural part of the day for children . Staff can strategize with students and families to reduce the impact.
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