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Hatfield Public Schools, I.S.D. #227 Hatfield, MinnesotaDIABETES MELLITUS EMERGENCY Playschool Year___Students name___ DOB ___ Grade ___ Parent/guardian ___ Home phone ___ Mothers work phone___ Fathers
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How to fill out diabetes mellitus emergency plan

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How to fill out diabetes mellitus emergency plan

01
To fill out a diabetes mellitus emergency plan, follow these steps:
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- Start by including the personal information of the individual with diabetes, such as their name, date of birth, and contact information.
03
- Document the emergency contact details of the person's primary healthcare provider, endocrinologist, or diabetes educator.
04
- Include a list of current medications that the person is taking, along with the dosage and frequency.
05
- Provide information about any known allergies or intolerances that the person may have.
06
- Specify the person's target blood sugar range and the steps to be taken if their blood sugar levels are outside of this range.
07
- Include the contact information of a trusted emergency contact person, such as a family member or friend.
08
- Outline the symptoms of hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar), along with the recommended actions for each situation.
09
- Include any additional instructions or precautions that the person should be aware of during an emergency.
10
- Make sure to review and update the emergency plan regularly to reflect any changes in medication, contact information, or healthcare providers.
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- Keep a copy of the completed emergency plan in an easily accessible location, such as a wallet or purse.

Who needs diabetes mellitus emergency plan?

01
A diabetes mellitus emergency plan is essential for anyone with diabetes, especially those who are at a higher risk of experiencing fluctuations in their blood sugar levels.
02
This includes individuals with type 1 diabetes, type 2 diabetes, gestational diabetes, and even individuals with prediabetes.
03
Having an emergency plan in place ensures that proper actions can be taken in case of hyperglycemic or hypoglycemic emergencies, which can be life-threatening if not addressed promptly.
04
Furthermore, individuals who frequently experience severe hypoglycemia or have a history of diabetic ketoacidosis (DKA) should also have an emergency plan to guide others in their care.
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A diabetes mellitus emergency plan is a pre-arranged strategy that informs caregivers and emergency responders on how to manage an individual's diabetes in case of an emergency.
Individuals with diabetes, their guardians, or caregivers are typically required to file a diabetes mellitus emergency plan.
To fill out a diabetes mellitus emergency plan, collect all necessary medical information, including emergency contacts, medication details, treatment protocols, and any special needs, and then document them in the prescribed format.
The purpose of the diabetes mellitus emergency plan is to ensure that individuals with diabetes receive appropriate and timely care during emergencies, thereby reducing risks and improving outcomes.
The information that must be reported includes the individual's name, diabetes type, current medications, usual treatment regimen, emergency contacts, and any other critical health information.
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