ADA 2004

ADA 2008

IDF 2005

Protocol for the Care of Adolescent Children with Diabetes in School (2010) Extremadura, (Spain)

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1. An individual Plan of diabetes care for the child or adolescent should be attached to the student academic record.

2. Training to all adults who provide education/care for the student on the symptoms and treatment of hypoglycaemia and hyperglycemia and other emergency procedures.

2. Training of an adequate number of personnel

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2.1. It is only recommended an increase in the Regional Teaching training Plan, the number of educational activities in Health Education related to DM (obesity, physical exercise promotion, healthy eating, diabetes education.

3. An adult and back-up adult(s) trained to 1) perform fingerstick blood glucose monitoring and record the results; 2) take appropriate actions for blood glucose levels outside of the target ranges as indicated in the student’s Diabetes Medical Management Plan; and 3) test the urine or blood for ketones, when necessary, and respond to the results of this test.

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4. Immediate accessibility to the treatment of hypoglycaemia by a knowledgeable adult

4.1. The student should remain supervised until appropriate treatment has been administered, and 4.2. The treatment should be available as close to where the student is as possible.

4.3. An adult and back-up adult(s) trained to administer glucagon, in accordance with the student’s Diabetes Medical Management Plan.

4.4. If indicated by the child’s developmental capabilities and the Diabetes Medical Management Plan, an adult and back-up adult(s) trained in insulin administration.

4. Supervision or execution of diabetes tasks

4. To request emergency health care

4.1. To encourage the child/adolescent to be accompanied by a teacher or a social educator when he has to carry out a glycemic control, insulin administration or when a hypoglucemic situation is suspected.

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5. A location in the school to provide privacy during testing and insulin administration, if desired by the student and family, or permission for the student to check his or her blood glucose level and to take appropriate action to treat hypoglycaemia in the classroom or anywhere the student is in conjunction with a school activity, if indicated in the student’s Diabetes Medical Management Plan.

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6. An adult and back-up adult(s) responsible for the student who will know the schedule of the student’s meals and snacks and work with the parent/guardian to coordinate this schedule with that of the other students as closely as possible. This individual also will notify the parent/ guardian in advance of any expected changes in the school schedule that affect the student’s meal times or exercise routine. Young children should be reminded of snack times.

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7. Permission for the student to see school medical personnel, school nurse and other trained school personnel upon request.

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7. Permission for the attendance to external medical appointments or other reasons related to DM

8. Permission for the student to eat a snack anywhere, including the classroom or the school bus, if necessary to prevent or treat hypoglycaemia.

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8. Permission, only when this is integrated in the Organisation and Operation Regulations in schools, to eat or to have a drink in class only to avoid a possible hypoglycaemia It is considered bad monitoring when the frequency of this behaviour is high and the family must be reported.