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DIABETES MEDICAL MANAGEMENT PLAN (School Year) Student s Name: Date of Birth: School Name: Grade Diabetes Type 1 ; Homeroom Type 2 Date of Diagnosis : Plan Effective Date(s) : CONTACT INFORMATION
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What is diabetes medical management plan?
A diabetes medical management plan is a written document that outlines the specific needs and requirements for managing diabetes, including medication, diet, exercise, monitoring blood sugar levels, and emergency procedures.
Who is required to file diabetes medical management plan?
Students with diabetes who attend schools are required to have a diabetes medical management plan in place.
How to fill out diabetes medical management plan?
The diabetes medical management plan can be filled out by the student's healthcare provider, in collaboration with the student, parent/guardian, and school nurse.
What is the purpose of diabetes medical management plan?
The purpose of the diabetes medical management plan is to ensure that the student's diabetes is effectively managed while at school, to prevent and respond to emergencies, and to promote the student's health and well-being.
What information must be reported on diabetes medical management plan?
The diabetes medical management plan should include the student's medical history, medication schedule, emergency contacts, blood sugar monitoring instructions, meal/snack plan, and any necessary accommodations or modifications.
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