NIAGARA CATHOLIC DISTRICT SCHOOL BOARD

STUDENT DIABETES EMERGENCY ACTION PLAN : APPENDIX C

EMERGENCY PROCEDURES FOR LOW BLOOD SUGAR (HYPOGLYCEMIA)
Symptoms of low blood sugar (BG) may include any of the following:			Symptoms of severe low BG:
☐ Shakiness, poor coordination		☐ Irritability, mood changes	· Unresponsive or unconscious
☐ Dizziness		☐ Cold, clammy, sweaty, or pale skin	· Having a seizure
☐ Blurred vision		☐ Weakness and fatigue	· Uncooperative; will not allow another to give fast-acting sugars by mouth
☐ Headache		☐ Hunger
☐ Confusion / lack of concentration		☐ Other
EMERGENCY ACTION PLAN			EMERGENCY ACTION PLAN
Stay with student at all times. Treat low blood sugar where they are.			1. Place student in recovery position
1. Check blood sugar (BG) as per Management Plan; Students who are normally independent at checking BG may need help if their BG is low.			2. Call 911
			3. Call Parent/Guardian/Emergency Contact
If BG is Under 4:	2. Treat by giving fast-acting sugars.		4. Do not give food or drink to student
	3. Repeat BG check after 10-15 minutes.		5. Stay with student until EMS arrives.
	4. Check-Treat-Repeat until BG is above 4.		6. Provide EMS with student’s medical information
If BG Above 4:	· If snack is more than an hour away, give snack.		7. Parent can administer glucagon
	· If snack is in less than an hour, take no action.

EMERGENCY PROCEDURES FOR HIGH BLOOD SUGAR (HYPERGLYCEMIA)

Symptoms of high blood sugar (BG) may include any of the following:
Symptoms of severe high BG:
☐ Excessive thirst and/or hunger ☐ Frequent urination
· Vomiting
☐ Blurred vision ☐ Warm, flushed skin
· Rapid shallow breathing
☐ Headache and/or abdominal pain ☐ Other
· Fruity-smelling breath
EMERGENCY ACTION PLAN

1. Check blood sugar (BG); Students who are normally independent at checking BG may need help if their BG is low.
2. Treat by allowing student to drink as much water or sugar-free liquids as they like; Allow free access to washroom.
3. When symptoms of illness are present, or BG is above ## mmol/L, call parents immediately.
KETONES ☐ Student does not check for ketone at school. If BG is above ## mmol/L: Choose from drop-down:
If ketones are: Urine Stick Blood Meter Action
Negative to small Less than 0.6 Proceed to treat as hyperglycemic as above.
Moderate to large At or above 0.6 Contact parents for further instructions.

EMERGENCY PROCEDURES FOR HIGH BLOOD SUGAR (HYPERGLYCEMIA)
Symptoms of high blood sugar (BG) may include any of the following:						Symptoms of severe high BG:
☐ Excessive thirst and/or hunger			☐ Frequent urination			· Vomiting
☐ Blurred vision			☐ Warm, flushed skin			· Rapid shallow breathing
☐ Headache and/or abdominal pain			☐ Other			· Fruity-smelling breath
EMERGENCY ACTION PLAN
1. Check blood sugar (BG); Students who are normally independent at checking BG may need help if their BG is low.
2. Treat by allowing student to drink as much water or sugar-free liquids as they like; Allow free access to washroom.
3. When symptoms of illness are present, or BG is above ## mmol/L, call parents immediately.
KETONES	☐ Student does not check for ketone at school.				If BG is above ## mmol/L: Choose from drop-down:
If ketones are:		Urine Stick		Blood Meter			Action
		Negative to small		Less than 0.6			Proceed to treat as hyperglycemic as above.
		Moderate to large		At or above 0.6			Contact parents for further instructions.