Back to Ask the Diabetes Team Ask the Diabetes Team

From a middle school clinic aide in College Park, Georgia, USA:

There is a 14 year old student with type 1 diabetes in my school frequently checks his blood sugar (he routinely checks it before meals and prior to physical education) and wants to give insulin with each blood sugar check. Is there a maximum amount of insulin that can be given? How often should he check his blood sugar during school hours?


Congratulations on having such a conscientious student who self-manages his typeá1 diabetes. It is very appropriate to test blood sugar prior to meals and before exercise, both to detect hypoglycemia and adjust for hyperglycemia. Additional insulin can be given as prescribed by the student's diabetes physician. Teens need a lot more insulin to control their diabetes because the physiology of puberty inherently causes insulin resistance.


[Editor's comment: This student may be on a basal/bolus insulin regimen which would require insulin injections at school. SS]

[Editor's comment: There's no maximal amount of insulin that can be given. However, for every individual, there are usual doses, and it would be wise for the student's physician to spell out what is usual, and what would be the maximum dose, for this individual. It should be pointed out that insulin doses will almost always be higher during acute illnesses, such as colds and flus, and might surpass the maximal dose that would be used on average days. WWQ]

Original posting 27 Jan 2002
Posted to School and Daycare


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

Last Updated: Tuesday April 06, 2010 15:09:30
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.