Take Very Good
Care of YouselvesDeuteronomy 4:15





BS'D


NOW THAT SCHOOL IS IN FULL SWING IT IS IMPORTANT TO GO THROUGH THIS!









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reference.
It is best to fill out and laminate.
style="FONT-FAMILY: Arial; COLOR: #bb2222; FONT-SIZE: 10pt; FONT-WEIGHT: bold">EMERGENCY
SUPPLIES:


  • Glucagon emergency kit

  • Cake Decorating Gel

  • Winkies

Emergency
Information

The
Glucagon Emergency Kit is kept in the Principal's or Nurses (if the school has
one) office. It is to be used in case of unconsciousness or seizure. Simply add
the liquid in the syringe to the powder in the vial and inject into his/her
abdomen.


  1. Call emergency numbers
    listed. If no one is available and he/she has not regained consciousness.

  2. Call Hatzolah at (718) or
    (212) 230-1000, 387-1750 or 911 and state that you need a paramedic.

  3. Cake/glucose gel should be
    used for low blood sugar with consciousness but not alert enough to take Winkies
    on his own. Rub cake gel on the upper palette, cheeks and/or gums. (Details
    below)

  4. Winkies- is what he/she
    uses on their own to raise his/her low blood sugars.

  5. Winkies and testing kit
    must be on his/her possession at all times.

  6. He/she wears a medic-alert
    necklace or bracelet and carries a medic-alert card with emergency numbers.







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Emergency
Numbers

style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Parentís
home:
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style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Father's
work:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Motherís
work:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Parent's
beeper:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Mother's
cell-phone:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Fatherís cell
phone:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Doctorís
phone:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Endocrinologist
phone:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Grandparents
home:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Grandparentís
beeper:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Grandparentís
cell:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">†

















Blood
Glucose Testing

style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">He/she needs to test his blood
glucose:


  • Anytime he/she feels low
    or uncomfortable

  • Before meals
  • Before/after exercise-with
    strenuous exercise test 1 hour later as well

  • When running --> 240 he
    should test every hour or two

  • 10-15 minutes and 1hour
    after having a low blood sugar

      style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">†

Low Blood
Sugars


Mild low
blood sugar between 50-70mg/dl

style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Signs and
Symptoms:


  • Change in personality

  • Acting quiet and withdrawn

  • Acting stubborn or
    restless

  • Tantrums or sudden rage

  • Confusion-difficulty in
    forming words or sentences

  • Inappropriate emotional
    response ex: laughter, crying

  • Poor concentration or
    daydreaming

  • Shakiness, Headache,
    Extreme hunger Sweatiness, and/or increased heart rate.

      style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">†

A low blood sugar can
become very dangerous therefore:
If any of the above or other funny christmas pictures unusual
symptoms is present the child should be asked to test and show the number.
If
he/she is not responding to this request and is symptomatic they must be tested
immediately.
If in doubt always treat for a low and confirm
afterwards.
Never send a child suspected of a low to the Nurses or
Principalís office on their own. If needed, send another student to get
help.


If blood
glucose 80
and child is feeling better they can return to class Test again after15-20
minutes.


High Blood
Sugar --> 240 symptoms:



  • Staggering walk
  • Loss of appetite
  • Inattentiveness
  • Increased thirst
  • Rapid breathing
  • Tiredness, sleepiness

  • Fruity odor to breadth

  • Nausea and/or vomiting

  • Frequent urination

With any of these symptoms
present or any unusual behavior, have the child test. If BGs are above 240 mg/dl
he/she must check for ketones

With
Negative to small ketones:
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt">

  • Give lots of fluids (sugar
    free) water or diet soda

  • Recheck blood and urine in
    1-2 hours
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Moderate to
large:


  • Insulin may need to be
    given, call parent or medical help

  • Encourage drinking









style="FONT-FAMILY: Arial; COLOR: #286b66; FONT-SIZE: 10pt">Pumpers


The pump is a continuous
delivery system with Humalog/Novolog insulin. It needs to be connected at all
times. The maximum time off the pump is 1 hour once a day. It should never be
disconnected without prior approval from a parent or doctor. A Bolus (using the
pump to deliver extra insulin) is taken before eating E.g. 1 unit for every 10
grams of carbohydrate (calculated to the nearest .5 of a unit) Please remind
him/her to bolus before eating. (Each individual has his/her calculations
specified by one of the childís health care team).

style="FONT-FAMILY: Arial; FONT-SIZE: 10pt; FONT-WEIGHT: bold">Correction Bolus
for High Blood Sugars
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1 unit for every 6 points
(1 unit for every 60 points) over 120


Corrections should only be
made once every 4 hours and only if BGs are --> 150. If --> 240 for more
than 3 hours for no apparent reason or if set comes out a new set should be put
in right away. The insulin pump may give an error. It must be tended to right
away. If the problem cannot be solved either call home or Pumpís 800 number (on
the back of the pump).


If basal
rates need adjusting there may be a need to test every hour during certain times
of the day. A note will be sent in if/when this is
necessary.


Supplies
for school
container for
used supplies should be kept in a closed locker or office, and emptied
periodically


  • Extra meter
  • Test strips
  • Replacement batteries

  • Alcohol swabs
  • Ketone test strips
  • Syringes
  • Winkies


For instruction on Insulin
storage, follow guardianís directions. If extra insulin is being kept in the
school it should be refrigerated.


Pump
Supplies


  • Extra batteries,
  • Extra reservoirs,
  • Extra infusion sets,

  • Tape and alcohol pads or
    preps