diabetes in the school setting level i training
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Diabetes in the School Setting Level I Training. IDEA - Public Law 94-142 Student Rights. All students are entitled to: Free and appropriate public education. In the least restrictive environment. - PowerPoint PPT PresentationTRANSCRIPT
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Diabetes in the School Setting
Level I Training
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IDEA - Public Law 94-142Student Rights
• All students are entitled to:– Free and appropriate public education.– In the least restrictive environment.– Eligible students receive services to meet their
individual needs (Individualized Education Plan).
– Diabetes classified as “Other Health Impairment”.
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Rehabilitation Act - Section 504
• Protects persons with disabilities from being excluded from participation in any program or activity receiving federal funding.
• A 504 plan may be written to specifically state the accommodations necessary to meet the student’s needs at school.
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What is Diabetes?
Insulin, a hormone produced by the pancreas, helps the body convert food into energy.
• In diabetes, the pancreas does not make insulin or the body cannot use the insulin properly.
• Diabetes is a serious , chronic disease that impairs the way the body uses food.
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What is Diabetes?
• Diabetes can cause the blood sugar level to be too high or too low.
• Diabetes cannot be cured, only managed.• Diabetics must carefully balance food,
medications and activity levels to keep the blood sugar level as close to normal as possible.
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Types of DiabetesType I
• Pancreas does not produce insulin
• Must receive insulin through injections or a pump
• Most common type afflicting school-age children
Type II• Insulin is not used
properly in the body• May be able to control
the disease with diet and exercise
• May require oral medications and/or injections
• Obesity is a high risk factor
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• The student may have to visit the nurse at scheduled times for blood testing and/or insulin injections, as well as urine testing.
• The student, nurse, teacher and parent should work together to make sure the student follows their in school Diabetes Management Plan.
• Special arrangements should be made in the event of extracurricular and off campus activities.
Diabetic Management at School
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Diabetic Management at School• A diabetic student may need to eat a snack in the
classroom/bus to maintain adequate blood sugar levels.
• With school nurse permission blood sugar testing and/or insulin administration might be performed in the classroom/bus.
• Some students have insulin pumps which automatically administer calculated amounts of insulin.These pumps may look like a cell phone or pager, so ask the student
and confer with the campus nurse if you have questions.
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Diabetic Management at School• The student may need special scheduling for lunch.• The student may require quick acting sugar to be available
at all times. • The student may require free access to water and may
carry a water bottle.• The student will require free access to the restroom.• Students with diabetes may appear to be under the
influence of prohibited substances. Ask your campus nurse.
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Hypoglycemia(Low Blood Sugar)
Caused when the body gets too much insulin,
too little food, a delayed meal, or more
exercise than usual
Symptoms include:• Light-headedness• Irritability• Confusion. Inability to
follow directions• Sleeping in class• Headache• Hunger• Shakiness/Fainting
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Hyperglycemia(High Blood Sugar)
• Occurs when the body gets too little insulin, too much food, or too
little exercise• May also be caused by
stress or an illness
Symptoms include:• Excessive thirst• Frequent
urination/trips to the restroom
• Blurry vision• Fast heart rate, rapid
breathing• Nausea/Vomiting
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• Always contact the campus nurse if you have a student with unresolved symptoms.
• Never allow a student with symptoms to go to the clinic by him/herself. It may be preferable to call the nurse depending on your distance from the clinic and the student’s level of alertness.
• Only staff members who are trained in diabetes management should test blood sugar or administer medication to a symptomatic student.
• Hypoglycemia (low blood sugar) will be treated with glucose tablets/gel, juice, snacks, or soda according to the students Individualized Health Plan (IHP).
• Hyperglycemia will be treated according to the student’s IHP.
Treatment of Symptoms
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• Hypoglycemia and hyperglycemia can both be potentially life-threatening and must be treated immediately.
• 9-1-1 and trained staff members should be contacted immediately.
• Hypoglycemia may cause unconsciousness or seizures and may be treated with Glucagon administered by the nurse or by your campus Unlicensed Diabetes Care Attendant (UDCA).
Emergency Care
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Your student with Diabetes
• Will have an IHP specific to their Diabetes management.
• Will have specific instructions for emergency care management.
• Will have specific equipment/supplies/snacks.
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What YOU need to do• Check with your school nurse to obtain the
Diabetes Staff Notification for students with Diabetes under your supervision.
• Please ask for any clarification about Diabetes and the management of a diabetic student from your school nurse.
• Find out who the UDCA (Unlicensed Diabetes Care Attendant) is for your school campus.
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What YOU need to do• Read the handout “A Guide to Diabetes in
the School”.• Classroom teachers should clip the handout
to their grade/attendance book for substitute’s reference.
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Staff Not Assigned to a School Campus
• If you are not assigned to a school campus and require more information about diabetes you may contact the campus nurse or the Health Services Office by emailing [email protected].
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Klein ISD Health Insurance for Employees
• The Klein ISD Health Insurance plan partners with Diabetes America Center of Excellence to provide resources for insured employees who have a diagnosis of diabetes.
• More information can be found at the following websites:
• Diabetes America• Klein ISD Benefits• Kleinet Benefits
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Bibliography
• Richardson ISD Health Services: Canham RN, Gloria: Jones RN, Erin; Simpson RN, Sharon; Wheeler RN, Sandra.
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Course Completion Confirmation (Print this slide and turn into campus nurse.)
• My signature below is confirmation that I have completed Diabetes in the School Setting Level 1 Compliance Training.
• ______________ ______________• Printed Name Signature
• Date _________________
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