Section 5: Appendixes
Appendix A: Sample Health Care Plans
Appendix B: Low/High Blood Sugar Signs and Symptoms
American Academy of Pediatrics (2012). Healthychildren.org: Causes of High Blood Glucose and Low Blood Glucose. Retrieved on July 24, 2012.
Sentry Health Monitors (2011). Symptoms of Hypoglycemia & Hyperglycemia. Retrieved on July 24, 2012.
TeensHealth (2012). When Blood Sugar is Too Low. Retrieved on July 24, 2012.
Appendix C: Insulin
Connecticut State Department of Education (2012). Clinical Procedure Guidelines for Connecticut School Nurses: Diabetes.
Administration of Insulin:
American Diabetes Association. Diabetes Care: Insulin Administration. Retrieved on July 24, 2012.
Patient & family education / NYU Medical Center. Steps in insulin administration. Retrieved on July 24, 2012.
Insulin Delivery Systems:
PMC. United States National Library of Medicine. National Institutes of Health. Indian Journal of Pharmaceutical Sciences. v.70 (3); May-Jun 2008. PMC2792528. Recent Challenges in Insulin Delivery Systems: A Review. Retrieved on July 24, 2012.
Disposing of Sharps and Medicine:
Connecticut Department of Energy and Environment Protection. How to Dispose of Prescription Medicines & Over-The-Counter (OTC) Products.
Appendix D: Nutrition
Individualizing Meals Plans for Children with Diabetes
The CSDE recommends that children see a Registered Dietitian (preferable a Certified Diabetes Educator) once a year for an individualized meal plan. The meal plan should include three meals and two to three snacks with a specific amount of carbohydrate. The meals and snacks should be timed appropriately with the peak of the child’s insulin. Each child needs a certain amount of carbohydrate based on age, size, gender and activity level.
American Diabetes Association. Diabetic Diet.
American Diabetes Association. Create your Plate.
Another way of determining how a food may fit into the daily meal plan is the nutrition information found on food labels. Food labels can help determine the appropriate portion size to provide the amount of carbohydrate needed at any given meal or snack.
KidsHealth from Nemours. Deciphering Food Labels.
Special Nutrition Issues
- School Parties — Sweets can be eaten on a special occasion such as a birthday or Halloween party. The carbohydrates should be included as part of the child’s meal plan.
- Field Trips — Children should carry convenient snacks on the bus and field trip. Bus drivers and chaperones should be notified that the child has diabetes and may need to eat a snack on the bus or during the trip.
- After Care — Children should have a convenient snack if staying after school. Notify school personnel that the child may need to eat during the session.
- School Meals — Children with diabetes may participate in the U.S. Department of Agriculture (USDA) school nutrition programs. Families can review school menus ahead of time and modify as needed. Families may also wish to contact the school food service director if needed.
Emergency Food Supply
Good overall planning and access to carbohydrates ensures that children with diabetes have the means of obtaining appropriate emergency responses during the school day. Families should furnish emergency food supplies with preferred food choices for children to eat. The food supplies should be in several locations and travel with the child. Appropriate locations for emergency food supplies may be the health office, physical education office, classroom, school office and school bus.
A typical emergency food supply may contain easy to eat sources of pure carbohydrate such as fruit juice packs or glucose tablets. It may also contain foods to be used as a snack after the low blood sugar level has been raised, such as prepackaged cheese or peanut butter.
American Diabetes Association. Tips for Emergency Preparedness.
Appendix E: Family Resources
Travel, Vacations and Camps:
Juvenile Diabetes Research Foundation. Traveling With Type 1 Diabetes. Retrieved on July 24, 2012.
Sick Day Guidelines:
Juvenile Diabetes Research Foundation. Sick Day Management Tips for Parents.Retrieved on July 24, 2012.
WebMD. Sick-Day Guidelines for People With Diabetes — Topic Overview. Retrieved on July 24, 2012.
Appendix F: Tips for Students with Diabetes
National Diabetes Education Program. (2012). Teens.
Juvenile Diabetes Research Foundation. (2012). Life With Diabetes for Teens.
Exercise, Sports and Diabetes
"Diabulimia": Skipping Insulin to Lose Weight
Managing Your Diabetes
Driving and Type 1 Diabetes
Where to Get Facts on Sensitive Subjects Like Depression
Professional Snowboarder with T1D Gives Back to Kids Who Inspired Him
Roundtable Discussion: Diabetes Bloggers Share How Blogging Has Impacted Their Lives
Ask A Student: Going on the Pump
Ask A Peer: Getting Motivated to Care for Your Diabetes
Appendix G: Guidelines for Blood Glucose Self-Monitoring in School
The Connecticut State Department of Education’s Guidelines for Blood Glucose Self-Monitoring in School is located on the Health Promotion Services/School Nurse Web site.