I was substituting in a school last week and had a diabetic student with severe ADD. First, it two adults to assists with checking his blood sugar. When I arrived to his room he was jumping from table to table, throwing things, fighting and trashing the room. He literally could not sit still and on top of that he was agitated. The adults had to restrain him several times to keep him safe from harming himself and others. I checked his AM glucose and it was high. Ofcourse the student did not let me test ketones nor was he able to follow directions of holding the strip in the steam of the pee. The health room did not have cups so he was unable to do that too. Fast forward to the afternoon, I go to check his sugar and it was 35. He was still running around, and throwing tandrums. He refused to eat a snack or lunch. Thankfully, I got some juice in him. He has a history to dropping in the 20's and still running around the class room and having tandrums. My worse fear is that one day his body will finally say enough and shut down as a result of hypoglycemia. My question is: How do you manage these types of students? Especially when they are not on any medications. I just feel so sorry for this poor kid.