m or wherever
the child is (including, but not limited to classrooms, gym, auditorium, playground, field
trips, and school bus) at times designated in the Health Care Plan and whenever needed
to treat hypoglycemia or in response to a change in the student’s regular schedule. A
source of glucose will be immediately available wherever the student is.
A designated ADCP or DCAP will ensure that the student takes snacks at the specified
time(s) each day.
The attached Health Care Plan sets out the regular time(s) for snacks each day, what
constitutes a snack, when the student should have additional snacks, and where snacks
WATER AND BATHROOM ACCESS
The student shall be permitted to have immediate access to water by keeping a water
bottle in the student’s possession and at the student’s desk, and by permitting the
student to use the drinking fountain without restriction.
The student shall be permitted to use the bathroom without restriction.
TREATING LOW BLOOD SUGAR
The student shall have immediate access to blood glucose testing equipment, insulin
and syringes, and to glucose in the form of food, juice, glucose gel or tablets in order to
treat hypoglycemia. The student shall be permitted to carry this equipment with him/her
at all times.
When any staff member believes the student is showing signs of high or low blood
sugar, the staff member will seek a designated ADCP for further assistance while
making sure an adult stays with the student at all times. Never send a student with
actual -- or suspected -- high or low blood sugar anywhere alone.
High or low blood sugar levels should be treated as set out in the attached Health Care
Any staff member who finds the student unconscious will immediately contact the
school office & dial 911. The office will immediately do the following in the order listed:
1. Call 911 (office staff will do this without waiting for the ADCP to administer
glucagon); and ontact the student’s parent/guardian and physician at the
emergency numbers provided below.
2. Contact an ADCP who will confirm the blood glucose level with a monitor and
immediately administer glucagon (glucagon should be administered if no monitor
The location of supplies for treating high and low blood sugar levels, including equipment
for testing blood glucose levels and ketones, glucagon, and snacks, is set out in the
attached Health Care Plan.
Blood glucose tests will be administered in accordance with the level of self-care listed in
the chart in section 3 above and the attached Health Care Plan.
Glucose tests may be done at any location at school, including, but not limited to, the
classroom, on school grounds, at field trips or sites of extracurricular activities, or on the
Glucose tests will be done at the times designated in the student’s Health Plan,
whenever the student feels that her blood sugar level may be high or low, or when an
ACDP or DCAP observes symptoms of hypoglycemia or hyperglycemia.
The student’s usual symptoms of high and low blood sugar levels are set out in the
attached Health Care Plan.
The location of glucose testing equipment is set out in the attached Health Care Plan.
An ADCP will perform glucose tests when the student is unable or chooses not to do the
Insulin will be administered in accordance with the level of self-care listed in the attached
The location of insulin and equipment to administer insulin is set out in the attached
Health Care Plan.
FIELD TRIPS AND EXTRACURRICULAR ACTIVITIES
The student will be permitted to participate in all field trips and extracurricular activities
(such as sports, clubs, and enrichment programs) without restriction and with all of the
accommodations and modifications, including necessary supervision by identified school
personnel, set out in this Plan. The student’s parent/guardian will not be required to
accompany the student on field trips or any other school activity but will need to be
An ADCP will accompany the student on all field trips and extracurricular activities
outside of the school’s premises and will provide all usual aspects of diabetes care
(including