Back to Ask the Diabetes Team Ask the Diabetes Team

From a nurse in Amherst, Massachusetts, USA:

I'd like to know what your thoughts are about the efficacy of glucose gel versus glucagon in case of emergency in a child with diabetes on a school field trip. Since only a licensed person can administer glucagon, we are trying to figure out if we have any safe and realistic alternatives to having either the nurse or parent along for every field trip this 10 year old goes on.


Federal law and state law in Massachusetts mandates that schools have appropriate, reasonable and mandatory education plans -- including medical coverage -- for kid with diabetes. So, first of all, it is the school's responsibility to ensure that a trained adult (nurse or teacher or administrator is up to the school) knows how to recognize and treat hypoglycemic emergencies including the use of glucagon injections.

Glucose gel or any other oral glucose product would work fine for mild or moderate hypoglycemia where swallowing is not impaired. If a child is severely unconscious and in danger of choking or aspiration, it is incorrect to use oral glucose gel since it would place that child at risk -- and would also take too long -- 5-15 minutes -- to raise the glucose levels under such an emergency situation.

I would suggest that you go back to the school and remind the school personnel of the Federal and state laws since they must adhere to such laws.


Original posting 3 Jun 2001
Posted to School and Daycare and Hypoglycemia


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:22
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.