Diabetes

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Specializes in Occupational Health.

When do your students start carrying their meter instead of leaving it in the clinic?

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Specializes in ICU/community health/school nursing.

When I have orders that say they're independent. Even then, I like to have a spare meter and supplies because they'll forget.

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Specializes in Occupational Health.

I guess I was trying to figure out if there is a typical age or grade level that students get those orders. I realize it varies depending on the maturity of each kid as well.

We're working on developing a lock down plan for our diabetics. Mine doesn't currently carry his meter, but I think he's able. Planning to reach out to his endo MD for their thoughts, and to see if we can get a back up meter.

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Specializes in School Health.

Thankfully, mine are on the dexcom app, so I can monitor them throughout the day. They are all also on the pump. They keep their meters with them since it is connected with their pump. I also have a back up meter in my office for emergencies. In the student pods, we have a designated spot with some juice and snacks for them in case of a lock down and they drop.

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Specializes in school nursing, ortho, trauma.

my t1d student is on a dexcom connected to her phone. She offered to connect it to my phone to and remove her sister as a user, i guess they can only have so many monitoring so i told her it was unnecessary and that she could see me as often as she wanted to, call my office from a class if speed was an issue, etc, but that i felt it was more important for the family members to have full access. Not to mention the gray area that i felt of having personal info about a student on my personal phone. If it were a district provided phone, i may have felt different.

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My T1D is in second grade and has always carried his meter. He keeps meter, ketone meter, all his supplies, including his glucagon pen and emergency glucose tabs in an insulated bag and it goes everywhere with him so I never have to worry about an emergency with him and him not having his stuff. It works well for us. He is so used to having it at all times he has never forgotten to bring it with him in the two years he has been here.

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Specializes in school nursing.
34 minutes ago, MHDNURSE said:

My T1D is in second grade and has always carried his meter. He keeps meter, ketone meter, all his supplies, including his glucagon pen and emergency glucose tabs in an insulated bag and it goes everywhere with him so I never have to worry about an emergency with him and him not having his stuff. It works well for us. He is so used to having it at all times he has never forgotten to bring it with him in the two years he has been here.

WOW! That is a responsible young man!

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44 minutes ago, CanIcallmymom said:

WOW! That is a responsible young man!

Sadly, thank goodness. Mom is challenging in terms of follow-through on things so I am so thankful that he has been so eager to be involved in his management. He self tests and self injects too ? Obviously I triple check everything but I love that he is so eager to grab the bull by the horns!

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Specializes in ICU/community health/school nursing.
20 hours ago, BluebellRN said:

I guess I was trying to figure out if there is a typical age or grade level that students get those orders. I realize it varies depending on the maturity of each kid as well.

We're working on developing a lock down plan for our diabetics. Mine doesn't currently carry his meter, but I think he's able. Planning to reach out to his endo MD for their thoughts, and to see if we can get a back up meter.

Ay yi yi. Whelp...can the parent provide one to be kept in the room as well?

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Specializes in Peds, MS, DIDD, Corrections, HH, LTC, School Nurse.

A few years back our district had a diabetic (who carried his own supplies) giving out lancets and those boys were using the lancets to scratch and poke each other and other students (6th graders), SO now policy is that all "sharps" are kept in the clinic and the students come as needed for testing or injections with pen/syringe... Even in high school.

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We keep glucose tabs in EVERY room's emergency kit because in case of lockdown, you never know where (which closest room) kids who are in the hall to head to the bathroom or the nurse might end up. Using the old rule of thumb that too low is much riskier than too high and the assumption that kids won't be testing in lockdown unless it's unusually prolonged, we decided that was sufficient. High school has the most and longest lockdowns and all those students carry their supplies and glucose.

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I have a kinder that carries her Dexcom receiver at all times - keeps it in a little fanny pack and I have a 3rd grader that has an Omnipod pump & Dexcom CGM - she keeps her Omnipod and the Dexcom receiver with her at all times.

As far as lock downs - each of my diabetic kiddos homeroom classrooms along with music, art & PE have glucose tabs and/or juice available.

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