Type 1 Diabetes training for teachers

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Specializes in Pediatrics, Community Health, School Health.

I am doing a training for my teachers on Friday at 1:45. First grader, diagnosed last year, new to our school and he is starting Tuesday. This all happened very quickly as he was on our waiting list and just got enrolled. The training needs to cover signs of hypo/hyperglycemia, glucose monitoring/testing, actions to take during hyper/hypoglycemia, accommodations for him in the classroom, going over his DMMP (which I am still waiting for), and emergency management. State regs prohibit non medical personnel from giving insulin or glucagon so we will also cover what to do if they are in that situation.

The ADA has great PPT presentation I can use but it is too much information for them. My teachers are young and get overwhelmed easily so I want to keep it simple and matter of fact, so they know what to look for and what to do.

Any recs for basic info you like? Thinking I will just need to make my own, but other than doing it at home tonight and tomorrow night, I have no idea when I will find time for this.

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Specializes in Med-surg, school nursing..

Our district delegates glucagon but not insulin. I typed up a "cheat sheet" for the orders for my T1D student's teachers, that way if I am out they will know what to do instead of having to decipher through the DMMP. It says things like "If glucose is 70 or below give this snack, wait 15 minutes, check again. If still 70 or below give this snack, if above 70 give this snack...etc".

I also let the teachers know that if the student says they are feeling low or high, whether they think they are faking or not, they have to send me the student. I had a teacher at a different school that when the student said he felt low, she looked at his CGM and saw that it said 80 and didn't let him come. By the time he did get to come to me he was 36. I was not a happy camper that day.

I give them a print out that has s/s of hyper/hypoglycemia.

https://www.pausd.org/sites/default/files/pdf-faqs/attachments/HyperHypo-handout.pdf

If the student is a bus rider I make the same cheat-sheet and s/s hand-outs. I also get a small tupper-wear bowl with a few snacks in case they drop on the bus ride.

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If you google Diabetes Emergency Action Plans you'll get quite a few hits. We send these to all of their teachers, bus drivers, admin, etc.

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