Low Blood Sugar (Hypoglycemia) Management Chart
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1
2LOW BLOOD SUGAR (Hypoglycemia) MANAGEMENT
for Classroom teachers, bus drivers and other support staff
Student:
School:
Gr/Teacher:
Insulin administered at school by: Pump _______
Pen __ Syringe ______ None _______
Causes of Hypoglycemia
• Too much insulin
Onset
• Missed food
• Delayed food
PHOTO HERE
• Sudden
• Extra exercise
• Excitement
IF SYMPTOMS –TAKE ACTION
• Check blood glucose if possible. Treat if below 70
• Always treat if in doubt or blood sugar is unavailable.
• Never leave unattended.
• Always send to clinic accompanied by responsible person.
• If away from school, call parent to inform of situation and
need for intervention
MILD (alert)
MODERATE (not alert)
SEVERE
▪ Hunger
▪ Shaky
▪ Confusion
▪ Seizure
▪ Irritable
▪ Dizzy
▪ Slurred speech
▪ Loss of conscious
▪ Anxious ▪ Sweating
▪ Poor coordination
▪Unable to swallow
▪ Crying
▪ Pale
▪ Behavior changes
▪ Combative
▪ Personality change
▪ Tired, Drowsy ▪ Spacey
MILD
MODERATE
SEVERE
○ Treat = provide sugar source
○ Treat = provide sugar source
○ Call 911
→ 3-4 Glucose Tablets OR
→ Glucose gel/icing
○ Position on side
→ 4-6 Ounces juice OR
○ Wait 10 – 15 minutes
o Disconnect pump
→ 4-6 Ounces regular soda OR
○ Retreat if symptoms persist or
if present.
→ Glucose gel/icing
Blood Glucose under 70
For Seizure or
○ Wait 10 – 15 minutes
○ Provide snack of Carbohydrate,
unconscious give:
○ Retreat if symptoms persist or
protein (e.g. cheese & crackers)
○ Glucagon – if
Blood Glucose under 70
○ Contact parent/guardian
ordered & if staff
○ Provide snack of Carbohydrate,
delegated to
protein (e.g. cheese & crackers)
administer the
Glucagon is
present.
○ Contact parent/
guardian
#303
Colorado Kids with Diabetes Care and Prevention Collaborative
July 2013
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