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Diabetes Emergency Action Plan (EAP)DIABETES Emergency Action Plan (EAP) Utah Department of Health & Human ServicesSchool Year:STUDENT INFORMATION Student: DOB: Grade: Parent: Phone(s): Physician:
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How to fill out diabetes emergency action plan
How to fill out diabetes emergency action plan
01
Start by filling out your personal information at the top of the form, including your name, emergency contact information, and healthcare provider details.
02
Indicate if you have any allergies or medical conditions other than diabetes that would need to be taken into consideration during an emergency.
03
Specify your current medications, including the name, dosage, and frequency of each one. This will help first responders to provide appropriate care.
04
Include details about your diabetes management plan, such as target blood glucose levels, symptoms of high or low blood sugar, and steps to take in case of an emergency.
05
Sign and date the action plan to confirm that the information provided is accurate and up to date.
Who needs diabetes emergency action plan?
01
Diabetic individuals who are at risk of experiencing emergencies related to their condition, such as severe hypoglycemia or hyperglycemia, should have a diabetes emergency action plan in place.
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What is diabetes emergency action plan?
A diabetes emergency action plan is a document that outlines the necessary steps to take in case of a diabetic emergency.
Who is required to file diabetes emergency action plan?
Individuals with diabetes, caregivers, schools, workplaces, and other organizations may be required to have and file diabetes emergency action plans.
How to fill out diabetes emergency action plan?
To fill out a diabetes emergency action plan, individuals should include important information such as emergency contacts, medical history, medication information, and step-by-step instructions for responding to a diabetic emergency.
What is the purpose of diabetes emergency action plan?
The purpose of a diabetes emergency action plan is to ensure that appropriate actions are taken in case of a diabetic emergency, including providing necessary medical treatment and contacting emergency services if needed.
What information must be reported on diabetes emergency action plan?
Information that should be reported on a diabetes emergency action plan includes emergency contacts, medical history, current medications, symptoms of a diabetic emergency, and steps to take in case of an emergency.
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