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Student Photo ID DIABETIC EMERGENCY ACTION PLAN Target Blood Sugar: mg/DL *** CALL SCHOOL OFFICE & RN IMMEDIATELY Emergency Contact Person: Hypoglycemia: Blood sugar Symptoms Hungry, Shaky Sweaty,

How to fill out diabetic emergency action plan

1. To fill out a diabetic emergency action plan, start by gathering necessary information. This includes the name and contact information of the person with diabetes, as well as emergency contact details for their healthcare provider and closest family or friends.
2. Next, document the person's medical history and any relevant information such as allergies, current medications, and past medical conditions. This will help healthcare professionals provide appropriate care during an emergency.
3. In the plan, outline the signs and symptoms of low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia), as well as the appropriate steps to take in each situation. This could include checking blood sugar levels, administering medication, or seeking immediate medical attention.
4. Include instructions on how to administer glucagon in case of severe low blood sugar. This may involve training family members, friends, or caregivers on how to use the glucagon kit properly.
5. Provide emergency contact information, such as phone numbers for local emergency services, poison control, and the person's healthcare provider. This ensures that anyone using the plan can quickly access help when needed.
6. It is important to review and update the diabetic emergency action plan regularly, especially when there are changes in the person's medical condition, medications, or contact information.

Who needs a diabetic emergency action plan?

1. Individuals with diabetes who are at risk of experiencing hypoglycemia or hyperglycemia should have a diabetic emergency action plan. This includes those with type 1 diabetes, type 2 diabetes, and gestational diabetes.
2. Children and adolescents with diabetes, who may require assistance from caregivers or school staff during an emergency, greatly benefit from having a plan in place.
3. Anyone who spends time with a person with diabetes, such as family members, friends, coworkers, or teachers, should be aware of and familiar with the diabetic emergency action plan. This ensures they can provide effective support and aid during an emergency situation.

By following these steps to fill out a diabetic emergency action plan and understanding who needs one, you can help ensure the safety and well-being of individuals with diabetes in emergency situations.

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