Substitute Teacher Medical Reference Sheet Student: Caleb Medical Condition: Type 1 Diabetes

Caleb has type 1 diabetes mellitus. This is a condition in which the pancreas is unable to make insulin. Without insulin, the body cannot change glucose (sugar) into the energy a person needs. To compensate for the lack of natural insulin, he wears an insulin pump. With the help of a qualified adult, Caleb uses his insulin pump to administer the correct doses of insulin to match the carbohydrates in the food he eats (bolus) and the amount his body needs without food (basal rates). Caleb will not be left alone or sent alone anywhere if a low blood sugar is suspected or proven. Symptoms indicating a problem may be occurring: • Doesn’t feel well • Lethargy • Paleness • Slurred speech • Stumbling • Not making sense Caleb must check his blood sugar regularly during the day and will be allowed to do so whenever he feels he needs to. Refer to “Daily Routine” schedule for specific times. All of Caleb’s routine checks can be done in the classroom. Caleb will be allowed access to drinking water, the use of the bathroom and snacks as needed without penalty. Caleb’s testing supplies and fast acting carbohydrates must accompany him wherever he goes and be maintained safely. During times of physical activity, the staff member is responsible to carry Caleb’s pump case. In the event of an evacuation/fire drill the adult is responsible to retrieve and carry his pump pack. If Caleb is experiencing a low blood sugar episode, it is imperative that he be able to check his blood sugar in the classroom or wherever he is. This is for the safety of Caleb in order to promptly address a low blood sugar and avoid seizures and other serious reactions. Any action taken in caring for Caleb’s diabetes will be done with the supervision of the school nurse or designated staff member in her absence: School Nurse:

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