Information about diabetes for child's teacher, sports coach, etc

INFORMATION ABOUT DIABETES FOR CHILD'S TEACHER, SPORTS COACH, ETC

Treatment
An insulin reaction is due to lowering of the amount of glucose in the blood, preventing the brain from functioning properly. The brain can only function normally if there is sufficient glucose to use as a source of energy.
The object in treatment therefore is to give the child sugar in some form.
1. In the early stages, while the child can co-operate, give 3 glucose tablets, or 2 or 3 pieces of barley sugar, or 2-3 teaspoons of ordinary sugar in a drink or 5 or 6 jelly beans. Most hypos are mild and will quickly respond to these measures. All children with diabetes should keep sugar at school and in their school bags. It may be merely necessary for the teacher to allow the child to take sugar in this way if he feels the need.
2. In the middle stages, when the child cannot co-operate, but is conscious and able to swallow, it may be necessary to make him lie down and put a paste of sugar or jam or honey inside his cheek.
If the child does not respond in a few minutes further help will be required. If his mother is available she may be able to treat him, but otherwise a doctor may be needed, or the child may have to be sent to hospital.
3. In the late stages, when the child is unconscious, it is urgently necessary to get medical help, either from a doctor or by sending the child to hospital. Never give fluids to an unconscious child.
After treatment: if the hypo has been mild and the child responds rapidly to sugar, he should be allowed to remain at school. Although the immediate treatment of reactions is most important, it is unwise to place too much emphasis on them. To do so makes the child even more self-conscious.
If the hypo reaction has been severe and the child remains unwell, he should be allowed to rest and be kept warm. ? child should never be sent home alone after a severe hypo in case he has a further one on the way home.
Please report the time and the type of hypo to the mother, so that the insulin dosage can be adjusted if necessary.

A vomiting illness
If the child vomits it is best to give sugar in a form he can tolerate (e.g. flat lemonade or sweets) and notify the parents. If they are unavailable the child's clinic or doctor can give further advice.
The child should not be left on his own in case he loses consciousness or becomes confused.

Self esteem and self confidence
A child's self confidence may have been shaken by finding he has diabetes. He may feel damaged or different, and will be aware of his parent's distress. School may play a major part in restoring self esteem as the child is shown to succeed in learning, maintaining friendships and participating in sport and school activities.

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DIABETES

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