BLOOD SUGAR CHECKING ROUTINE
Joe’s blood sugar may be checked by the School Nurse or designated persons.
2. Check daily prior to lunch.
3. Check prior to P.E.
4. Check daily @ 1:45 – 2:00.
*Joe’s blood sugar must be checked promptly when he appears LOW.
***If Joe’s blood sugar is less than 70 - Give 3 glucose tablets OR a juice box
- Have someone call 911 and then parents
- Give Glucagon (in the red container - needs to be "reconstituted) 1mg into the front of Joe's thigh
- Roll Joe onto his side
- Once he regains consciousness...have him take sips of juice if he is able
WHEN TO GIVE INSULIN
1. Daily with morning snack.
2. Daily with lunch.
3. Daily with any extra food
4. To correct a high blood sugar
*Extra insulin will be needed when there are ketones present…call parents for instructions/or Joe may need to go home for large ketones.
HOW TO GIVE INSULIN (note this is for the Animas Ping Pump - I also give a copy of the Ping Manual to the Nurse for her office - this is a "cheat sheet").
For Carbs with Blood Sugar Check:
- Unlock pump by pressing up and down arrows at the same time (sometimes I have to do it twice)…the pump will make a beep and the home screen will appear.
- Select menu on the pump and press “OK”
- Select “Bolus” and press “OK”
- When having food with carbs select “eZCarb” and press “OK”
- Enter in carbs (using arrows) and select “OK”
- Enter in blood sugar (using arrows…it will start you at 80) and then press “OK”
- The pump will say “show result” select “OK”
- The pump will then show Carb…/BG…/IOB (insulin on board) with numbers by them…then, there will be a row that says “Total”…use the number of units stated by total for dosing. Use the up arrow to get to the number listed by “Total” then press “OK”. You then need to press “OK” again for the pump to deliver the insulin.
- Press the up and down arrows at the same time to lock pump.
For Blood Sugar Correction Only: (correct blood sugars > 200)
- Follow steps 1-3 above
- When correcting for blood sugar only select “eZBG” and press “OK”
- Using arrows, scroll up to the number that corresponds to Joe’s blood sugar and press “OK”
- Select “show result” and select “OK”
- Next to the word “total” there will be the number of units of insulin you should give Joe
- Use the arrows and scroll up to the number displayed by the word “total” and then press “OK”
- Then press “OK” again for the pump to deliver the insulin
- Press the up and down arrows together to lock the pump.
Ketones must be checked if Joe has two consecutive readings greater than 250 and/or if he complains of abdominal pain or vomits. Please call parents if he has moderate to large ketones (a blood ketone reading > 0.6 or moderate to large urine ketones). He may need his pump site changed (parents will change) and extra insulin and/or he may need to go home for closer monitoring. Please have him drink water and have liberal access to the bathroom.
WHAT TO DO FOR P.E.
WHEN TO CALL PARENTS
1. Blood sugar less than 70
2. Blood sugar greater than 250
3. Moderate to large ketones
4. If Joe’s pump becomes disconnected
5. If Joe’s pump is alarming
6. If Joe becomes sick or vomits
7. For questions on carb counting
8. For ANY questions or concerns
And that-is-that...HOPING to make your "day-in-the-life" a little easier FRIENDS.