 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, but not limited to, blood glucose testing, responding to hyperglycemia and
hypoglycemia, providing snacks and access to water and the bathroom, and
administering insulin and glucagon).
Either a DCAP or an ADCP will be available at the site of all extracurricular activities that
take place on school premises. An ADCP must be on the school premises whenever the
student is present.
The student’s diabetes supplies will travel with the student to any field trip or
extracurricular activity on or off of school premises.
TESTS AND CLASSROOM WORK
1. If the student is affected by high or low blood glucose levels at the time of regular
testing, the student will be permitted to take the test at another time without
2. If the student needs to take breaks to use the water fountain or bathroom, do a
blood glucose test, or to treat hypoglycemia or hyperglycemia during a test, the
student will be given extra time to finish the test without penalty.
3. The student will be permitted to have extra time to finish classroom work if the
student is affected by high or low blood glucose levels or needs to take breaks to
use the water fountain or bathroom, do a blood glucose test, or to treat
hypoglycemia or hyperglycemia without penalty.
4. The student shall be given instruction to help him/her make up any classroom
time missed due to diabetes care without penalty.
5. The student shall not be penalized for absences required for medical
appointments and/or for illness.
1. An ADCP or DCAP will notify parent/guardian 3 days in advance when there will
be a change in planned activities such as exercise, playground time, fieldtrips,
parties, or lunch schedule, so that the lunch or snack plan can be adjusted
2. The parent/guardian may send the ADCP special instructions regarding the
snack, snack time, or other aspects of the student’s diabetes care in response to
changes in the usual schedule.
3. An ADCP must provide any substitute teacher with written instructions regarding
the student’s diabetes care and a list of all ADCPs and DCAPs at the