Student does not take insulin Complete this section only if student takes insulin at school. at school. Insulin by injection/ pump is done at the following times: Student takes insulin at school by: pen injection pump syringe* Insulin is given by: Student, independently Student, with supervision Designated staff If BG is above ______ mmol/L, call parent Parent Other _____________ INSULIN Location in school where insulin will be given For students using insulin pen/syringe: Insulin can only be given at breakfast and/or lunchtime _______________________ * Consider using pens at For students using an insulin pump: school because dosing is Insulin can be given anytime the student is eating easier There must be 2 hours between correction doses ROUTINE MANAGEMENT A bolus calculator (which Training is required. The basic steps are: parents will provide) must be used in school settings. The Check BG before the student eats. The reading will: pump is always programmed Be sent to the pump by the meter. at home. Need to be manually entered into the pump. PUMP Designated staff are Enter the total number of carbohydrates to be eaten (provided by parent responsible for ensuring that: or the student) VIA the BG reading and number of The pump will calculate the amount of insulin to be given. Press the carbohydrates are appropriate button to accept and deliver the bolus. entered at each meal/snack time If BG is above _____ mmol/L: the bolus is delivered INSULIN Check ketones Call parent Other _________________________________________
INSULIN Student does not take insulin at school. Student takes insulin at school by: pen injection pump syringe* Insulin is given by: Student, independently Student, with supervision Designated staff Parent Other _____________ Location in school where insulin will be given _______________________ * Consider using pens at school because dosing is easier Complete this section only if student takes insulin at school. Insulin by injection/ pump is done at the following times: If BG is above ______ mmol/L, call parent For students using insulin pen/syringe: Insulin can only be given at breakfast and/or lunchtime For students using an insulin pump: Insulin can be given anytime the student is eating There must be 2 hours between correction doses ROUTINE MANAGEMENT INSULIN VIA PUMP A bolus calculator (which parents will provide) must be used in school settings. The pump is always programmed at home. Designated staff are responsible for ensuring that: the BG reading and number of carbohydrates are entered at each meal/snack time the bolus is delivered Training is required. The basic steps are: Check BG before the student eats. The reading will: Be sent to the pump by the meter. Need to be manually entered into the pump. Enter the total number of carbohydrates to be eaten (provided by parent or the student) The pump will calculate the amount of insulin to be given. Press the appropriate button to accept and deliver the bolus. If BG is above _____ mmol/L: Check ketones Call parent Other _________________________________________
ICP_ENGLISH_WORD_DOC_updated_2017-03-38.docx