SDE: Clinical Guidelines Ch7C

Clinical Procedure Guidelines for Connecticut School NursesPrintable version | Back to Contents
Specialized Health Care Procedures

C. Blood Glucose Monitoring


Blood glucose monitoring is the procedure used to determine a studentís blood glucose (sugar) level by the use of a blood glucose monitor (MedlinePlus Encyclopedia, 2010).


To evaluate diabetes control; to adjust insulin dosage and nutritional intake.


Blood glucose monitor, testing strips, sterile disposable lancet, automatic lancet or lancet pen (many diabetics use the same lancet for a period of time and keep that lancet in their pen), alcohol swab, cotton ball, or Band-Aid, disposal container.


  1. Wash hands or clean the childís fingertip with alcohol swab, by rubbing the area for 5Ė10 seconds and letting it dry.
  2. Insert the monitor specific test strip into meter.
  3. Using lancing device on the side of studentís fingertip to get a drop of blood (It is best to draw blood from the side of the fingertip).
  4. Gently squeeze or massage finger until a drop of blood forms. (Required sample sizes vary by meter.)
  5. Touch and hold the edge of the test strip to the drop of blood, and wait for the result.
  6. Blood glucose level will appear on the meterís display.
  7. Wash hands.
  8. Follow health care providerís orders for snacks, hyper or hypoglycemia, or insulin coverage.

Delegation Considerations

This procedure may be performed by a school nurse, RN, or LPN. Blood glucose monitoring may also be delegated to appropriately trained, unlicensed assistive personnel with supervision, evaluation and feedback, and an individualized health care plan (IHCP) in place.

Select Nursing Considerations

There are many different manufacturers of blood glucose meters. The school nurse needs to be familiar with each particular type he or she handles. Every blood glucose machine works differently, therefore it is important to read and understand the specific instructions that accompany the equipment, as well as having a plan for maintaining the device with quality control checks, cleaning, etc., to ensure the machine stays in proper working condition.

Most monitor companies provide manuals and instructional videos and will provide training, if requested. Hospitals are another resource that will provide training to school nurses for the consistent care and management of their patientís diabetes.

Students who are capable should be taught to perform this task independently or semi-independently with assistance.


Connecticut State Department of Education, Guidelines for Blood Glucose Self-Monitoring in Schools

Connecticut State Department of Education, Learning and Diabetes: A Resource Guide for Connecticut Schools and Families

The American Diabetes Association

MedlinePlus Encyclopedia. (2010). Blood glucose monitoring. Retrieved January 3, 2012.


Content Last Modified on 3/1/2016 4:06:44 PM