From a school nurse in Delaware, USA:
I am a school nurse at a Catholic private school, and I have one fifth grade student with typeá1 diabetes who is on an insulin pump. His very knowledgeable about his diabetes, but when his blood glucose is low, he becomes very angry, mean, and nasty. He refuses to check his blood glucose and says he knows that its fine. I try to insist but this makes him even angrier. He is known to have very low blood glucose levels when he is like this. Do I have the right to physically check his blood glucose even if I have to have help restraining him? What do you suggest?
I would review your concerns with his parents and together come up with a solution. It is important to check the blood sugar when possible if you think a child is low, but in a pinch, it's not necessary. You may have better success asking the parents how to change his insulin dosing or meals to decrease the frequency of the low blood sugars in the future.
[Editor's comment: I agree with Dr Brown. This young man's behavior during a hypoglycemic episode is very typical. The rule of thumb has always been, "when in doubt, treat". Giving some quick-acting sugar won't hurt anything, and you can check a blood sugar once he is himself again.
I would not physically restrain him. Having a blood glucose number is not all that important in the larger scope of things. SS]
|Return to the Top of This Page|
Last Updated: Tuesday April 06, 2010 15:09:28
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.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.