Connecticut State Department of Education

Learning and Diabetes


Appendixes


In this section

Appendix A: Sample Health Care Plans
Appendix B: Low/High Blood Sugar Signs and Symptoms
Appendix C: Insulin
  • Insulin Delivery Systems:
    • American Diabetes Association. Insulin Routines. Retrieved on July 24, 2012.
    • PMC. United States National Library of Medicine. National Institutes of Health. Indian Journal of Pharmaceutical Sciences. v.70 (3); May-Jun 2008. PMC2792528. Recent Challenges in Insulin Delivery Systems: A Review. Retrieved on July 24, 2012.
    • WebMD. 2012. Insulin Delivery Systems: An Overview. Retrieved on July 24, 2012.
Appendix D: Nutrition
  • Individualizing Meals Plans for Children with Diabetes
    • The CSDE recommends that children see a Registered Dietitian (preferable a Certified Diabetes Educator) once a year for an individualized meal plan. The meal plan should include three meals and two to three snacks with a specific amount of carbohydrate. The meals and snacks should be timed appropriately with the peak of the child’s insulin. Each child needs a certain amount of carbohydrate based on age, size, gender and activity level.
    • Johns Hopkins Medicine Medical Library. Diabetic: Meal Planning.
    • KidsHealth from Nemours. Meal Plans and Diabetes.
    • American Diabetes Association. Diabetic Diet.
    • American Diabetes Association. Create your Plate.
  • Food Labels
    • Another way of determining how a food may fit into the daily meal plan is the nutrition information found on food labels. Food labels can help determine the appropriate portion size to provide the amount of carbohydrate needed at any given meal or snack.
    • KidsHealth from Nemours. Deciphering Food Labels.
  • Special Nutrition Issues
    • School Parties — Sweets can be eaten on a special occasion such as a birthday or Halloween party. The carbohydrates should be included as part of the child’s meal plan.
    • Field Trips — Children should carry convenient snacks on the bus and field trip. Bus drivers and chaperones should be notified that the child has diabetes and may need to eat a snack on the bus or during the trip.
    • After Care — Children should have a convenient snack if staying after school. Notify school personnel that the child may need to eat during the session.
    • School Meals — Children with diabetes may participate in the U.S. Department of Agriculture (USDA) school nutrition programs. Families can review school menus ahead of time and modify as needed. Families may also wish to contact the school food service director if needed.
  • Emergency Food Supply

    Good overall planning and access to carbohydrates ensures that children with diabetes have the means of obtaining appropriate emergency responses during the school day. Families should furnish emergency food supplies with preferred food choices for children to eat. The food supplies should be in several locations and travel with the child. Appropriate locations for emergency food supplies may be the health office, physical education office, classroom, school office and school bus.

    A typical emergency food supply may contain easy to eat sources of pure carbohydrate such as fruit juice packs or glucose tablets. It may also contain foods to be used as a snack after the low blood sugar level has been raised, such as prepackaged cheese or peanut butter.

    American Diabetes Association. Tips for Emergency Preparedness.

Appendix E: Family Resources
Sick Day Guidelines:
Appendix F: Tips for Students with Diabetes
Includes:

Juvenile Diabetes Research Foundation. (2012). Kids Online.

Includes:
Appendix G: Guidelines for Blood Glucose Self-Monitoring in School

The Connecticut State Department of Education’s Guidelines for Blood Glucose Self-Monitoring in School is located on the Health Promotion Services/School Nurse Web site.