When Blood Sugar is too High

[clockwood]

If not outlined by an order, at what upper limit of (blood glucose) do you request that a diabetic's parent pick them up? Kids with Type 1 are very resilient to both highs and lows so how do you judge an unsafe level for school- especially if you are not there at the school to make an assessment? My example: a Kinder student tested at 488 (highest he's been all year) so secretary called me. Secretary said student was acting "fine" but that student said he was "tired." I consider fatigue/brain fog to be a safety issue so I asked parent to pick him up. Parent was not happy. Input?

[clockwood]

Thanks Jen! In hindsight, I think the more appropriate course of action would have been to allow the student to stay at school. The student did not have any ketones in his urine and while I didn't have an order for correction, lunch was only an hour away and he would have received correction then. It's hard to make judgment calls when you are not there to assess the student. It's also easy to get blind-sighted by such large numbers!