Dear School Nurse,

Please find below the medical information for _________________, who has Type 1 Diabetes and will be attending your school.

Emergency Procedures

• Low Blood Sugar (<70): Give 15g fast-acting sugar, recheck in 15 minutes
• Severe Low (<50 or unconscious): Administer glucagon, call 911
• High Blood Sugar (>300): Check for ketones, contact parent
• Ketones present: Contact parent immediately, may need to go home

Daily Management

• Blood sugar checks: Before meals and as needed
• Insulin administration: _________________
• Snacks: Available for low blood sugar treatment
• Water: Unlimited access
• Bathroom: Unlimited access

Supplies Needed

• Blood glucose meter and test strips
• Insulin and syringes/pens
• Fast-acting sugar (glucose tablets, juice boxes)
• Glucagon emergency kit
• Ketone test strips

Please contact me with any questions. I'm available to provide additional training or information as needed.

Thank you for your support,

Parent/Guardian: _________________

Phone: _________________

Emergency Contact: _________________