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Diabetes in Children: Care Plan for School or Day Care - Topic Overview

Federal laws protect children with diabetes from discrimination in schools and child care settings. Schools and child care centers must provide reasonable help for the special needs of children with diabetes while disrupting the usual routine as little as possible. Also, children should be allowed to take part in all school activities.1

If your child has diabetes, work with your child care center or school to build a care plan that meets your child's needs and gives specific instructions for how to handle the following:1

  • Blood sugar testing. Include how often and in what situations your child's blood sugar needs testing. For example, your child may need routine testing before lunch and special testing if he or she appears to have low blood sugar.
  • Insulin injections, if needed. Include information on how to give an insulin injection, how much medicine to give, and how to store insulin.
  • Meals and snacks. Make a list of foods that your child can eat, how much, and when. Talk with the staff about what to do when there are parties at the facility.
  • Symptoms of and treatment for low blood sugar. Use the information found under Dealing with low blood sugar level (hypoglycemia) emergencies for people taking insulin in the Home Treatment section of this topic. Give the staff copies of this information for later reference. And tell them how your child acts when his or her blood sugar level is low.
  • Symptoms of and treatment for high blood sugar. Use the information found under Dealing with high blood sugar level (hyperglycemia) emergencies in the Home Treatment section of this topic. Give the staff copies of the information for later reference. And tell them how your child acts when his or her blood sugar level is high.
  • Testing ketonesketones. Include instructions for when and how to test your child for ketones and what to do if ketones are present.
  • Contact persons. Include how to contact both parents or another adult who cares for the child as well as the name and phone number of the child's doctor.
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    Low
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    Normal
    70-130
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    Your level is currently

    If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

    People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

    Congratulations on taking steps to manage your health.

    However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

    Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.

    Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

    One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

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