EMERGENCY HAND GUIDE
FOR SCHOOL and/or CAMP
Please read and retain for future reference. It is best to fill out and laminate.
Glucagon emergency kit
The Glucagon Emergency Kit is kept in the Principal's or Nurses (if the school
has one) office. It is to be used in case of unconsciousness or seizure. Simply
add the liquid in the syringe to the powder in the vial and inject into his/her
1. Call emergency numbers listed. If no one is available and he/she has not
2. Call Hatzolah at (718) or (212) 230-1000, 387-1750 or 911 and state that you
need a paramedic.
3. Cake/glucose gel should be used for low blood sugar with consciousness
but not alert enough to take Winkies on their own. Rub cake gel on the
upper palette, cheeks and/or gums. (Details below).
4. Winkies- is what he/she uses on their own to raise his/her low blood sugars.
5. Winkies and testing kit must be on his/her possession at all times.
He/she wears a medic-alert necklace or bracelet and carries a medic-alert
card with emergency numbers.
Blood Glucose Testing:
He/she needs to test their blood glucose:
· Anytime he/she feels low or uncomfortable
· Before meals
· Before/after exercise-with strenuous exercise test 1 hour later as well
· When running --> 240 he should test every hour or two
· 10-15 minutes and 1hour after having a low blood sugar
Severe Low Blood Sugars 50-70mg/dl
Mild low blood sugar between 70-80
· Change in personality
· Acting quiet and/or withdrawn
· Acting stubborn or restless
· Tantrums or sudden rage
· Confusion-difficulty in forming words or sentences
· Inappropriate emotional response ex: laughter, crying
· Poor concentration or daydreaming
· Shakiness, Headache, Extreme hunger Sweatiness, and/or increased heart rate.
A low blood sugar can become very dangerous therefore:
If any of the above or other unusual symptoms are present the child should
be asked to test and show the number.
be tested immediately.
their own. If needed, send another student to get help.
If blood glucose is above 90 and child is feeling better they can return
to class. Test again after 15-20 minutes.
High Blood Sugar --> 240 symptoms:
· Loss of appetite
· Increased thirst
· Rapid breathing
· Tiredness, sleepiness
· Fruity odor to breadth
· Nausea and/or vomiting
· Frequent urination
With any of these symptoms present or any unusual behavior, have the
child test. If BGs are above 240 mg/dl he/she must check for ketones.
With Negative to small ketones:
· Give lots of fluids (sugar free) water or diet drinks
· Recheck blood and urine in 1-2 hours
M Moderate to large ketones:
· Insulin may need to be given, call parent or medical help
· Encourage drinking
Emergency info for Pumpers:
The pump is a continuous delivery system with Humalog/Novolog insulin.
It needs to be connected at all times. The maximum time off the pump is 1 hour
once a day. It should never be disconnected without prior approval from a
parent or doctor.
A Bolus (using the pump to deliver extra insulin) is taken before eating
E.g. 1 unit for every 10 grams of carbohydrate (calculated to the nearest .5
of a unit). Please remind him/her to bolus before eating. (Each individual
has his/her calculations specified by one of the child’s health care team).
Corrections should only be made once every 4 hours and only if
BGs are --> 150. If --> 240 for more than 3 hours for no apparent reason
or if set comes out a new set should be put in right away.
The insulin pump may give an error. It must be tended to right away.
If the problem cannot be solved either call home or Pump’s 800 number
(on the back of the pump).
If basal rates need adjusting there may be a need to test every hour during
certain times of the day. A note will be sent in if/when this is necessary.
Supplies for school:
A container for used supplies should be kept in a closed locker or office
and emptied periodically.
· Extra meter
· Test strips
· Replacement batteries
· Alcohol swabs
· Ketone test strips
For instruction on Insulin storage, follow guardian’s directions. If extra
insulin is being kept in the school it should be refrigerated.
· Extra batteries
· Extra reservoirs
· Extra infusion sets
· Tape and alcohol pads or preps
© Copyright Jewish Diabetes Association updated June 2017