Sugar Bolus

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Thursday, September 9, 2010

Dear Guest Teacher

Substitute teachers always make me nervous. We are not given the opportunity to train them in managing Jack's diabetes, and while I provide them with a letter and cheat sheet, I always wonder whether they actually read the documents...and if they do, is it at the beginning of the day, or is it when the kids are, for example, taking a math test at 1 p.m.?

So far, we've been lucky. Jack has never encountered any problems at school when he's been under the supervision of a sub. Plus, I know the nurse is always just a phone call and short walk away.

Still, it's probably a good thing I usually don't know about the sub, until after the kids come home from school and Jack tells me that his teacher was absent.

Continuing my back-to-school series, here's the letter I provide for Jack's teacher to leave for her substitutes.

In case you're wondering, the assistant principal, who oversees Jack's care at school, asked me to call the sub "guest teacher" rather than "substitute."

Also, the letter contains of current photo of Jack, so the sub knows exactly who he is.

Okay, now onto the letter...


Dear guest teacher,

Hello! My name is Jack Last Name and that’s my photo. I am a student in Miss B’s class, and I have type 1 diabetes.

Here is important information to keep me healthy and safe at school.

• I have a diabetes kit. It is my survival kit. Please make sure it goes wherever I go (e.g., lunch, specials, playground, and home).

• I will test my blood sugar level before several activities: recess, PE, snack, lunch, a quiz and leaving school at the end of the day. I will also test whenever I feel my blood sugar may be too high or too low. Please remind me to test, if I forget.

• I may need help reading and interpreting the numbers on my blood sugar meter. I may also need direction on how to treat a low or high blood sugar level. (See attached information and call Nurse Name at x1234.)

• Please look at my blood sugar reading at the end of the day before I go home. Here's what I need to do:
     - For 90 or above, no treatment is necessary.
     - For 80-90, I must eat 2 glucose tablets.
     - For 70-80, I must drink a juice box.
     - For below 60, I must drink a juice box AND please call Nurse Name at x1234.

• If I appear droopy, pale, lethargic, shaky, abnormally sweaty, spacey, weak, irritable, or just plain “out of it,” please call the nurse (x1234) immediately. I may have low blood sugar. If I am conscious, you may also give me juice (located in the classroom refrigerator) to play it safe. Please inform the nurse that you gave me juice. I must remain in the company of an adult if I am experiencing a low blood sugar level.

• If I appear too active or I can’t seem to focus or sit still, I may have high blood sugar.

• I am allowed unlimited, immediate access to water, juice, snacks, the bathroom and my diabetes testing supplies at all times.

• If a special event with food will take place (e.g. class party), the nurse or my parents must be consulted in advance to determine whether I can have the same treat(s) as the rest of the class.

Most importantly, believe me when I say I feel low or just don’t feel right and NEVER leave me when I am experiencing low blood sugar.

Please also read the additional information attached and please contact my parents or Nurse Name at x1234 with any questions. Thank you!

Sincerely,
Jack Last Name



Low and High Blood Sugar
Symptoms and Treatment
for Jack Last Name



LOW BLOOD SUGAR (<100)
Symptoms:
Droopiness, Pale Skin, Fatigue, Poor Vision, Shaking, Weakness, Sweating, Hunger, Headache, Irritability, Dizziness, Impaired Thinking/Reasoning

What to do for blood sugar <80:
• Do NOT leave Jack unattended.
• For <50, give juice box AND fruit snack.
• For >50, give juice box OR fruit snack.
• Call Nurse Name (x1234).
• Retest blood sugar 10 min. later.

What to do for blood sugar 80 – 100, only if Jack feels low:
• For 90 - 100, give 1 glucose tablet.
• For 80 - 90, give 2 glucose tablets.
• Retest blood sugar 15 min. later.

If Jack will not or can not eat or drink:
• Call Nurse Name immediately (x1234).
• Rub entire tube of CakeMate or glucose gel into his gums (located in back section of diabetes kit).

If Jack passes out or has a seizure:
• Call 9-1-1 and Nurse Name immediately (x1234).
• Do NOT put food/liquid in his mouth.
• Give Glucagon (red/orange box in back section of diabetes kit).
P.S. Blogger doing some funky things again. I don't know why some of the above underlines are red and some are black. I've tried different ways to fix the problems and make the style sonsistent, but darn Blogger isn't playing nicely. I give up. Blogger, you win.
Glucagon Directions
1. Turn Jack on his side.
2. Open red/orange box.
3. Inject all liquid from syringe into powdered vial.
4. Swirl to mix well. (Do not shake.)
5. Draw mixture out of vial (using syringe/needle provided in orange box).
6. Inject into Jack’s thigh. (Do not inject through clothing.)

HIGH BLOOD SUGAR (>250)
Symptoms:
Thirst, Excess Energy, Nausea, Fatigue, Weakness, Frequent Urination, Blurred Vision, Hunger

What to do for high blood sugar:
• Call Nurse Name immediately (x1234).
• Give water.

EMERGENCY CONTACT #S
Heidi Last Name (Mom)
   Cell: (123) 456-7890
   Home: (123) 456-7890

Gregg Last Name (Dad)
   Cell: (123) 456-7890
   Work: (123) 456-7890

P.S. Blogger is doing some funky things on my cheat sheet above. It's displaying some underlines in red and others in black. I've tried repeatedly to make them all the same, but Blogger is fighting me. I now give up. Blogger, you win.

5 comments:

Reyna said...

Heidi...you can make documents for Joe anytime...YOU ROCK! Subs always scare the be-jeezus out of me. I know they are great and all, but I always wonder, do they "REALLY" get it?

I'll have to link this one to my Education tab...along with your awesome lanyard idea!!!

Wendy said...

AWESOME AND HELPFUL POST!!!! Thanks! I need one of these for Sugar's "Guest Teacher" folder ;)

AjsMommy82 said...

Thanks for sharing! I always print these helpful posts and save them for when Alivia's ready for school!

Donna ((Sweet Momma)) said...

I LOVED this document when we were getting Sugar Boy ready for school! It was one I used and one that Sugar Boys teacher liked the most! =)

my sweet girl said...

Great Idea! I'm in school with Skyler and I still get nervous when there is a sub.