Insulin Administration Order
This form is completed by parents/guardian to notify schools of insulin dose instructions. The completed form can be faxed to the Diabetes Center for co-signing. Use fax number (614) 722-3062.
Returning to School With Diabetes - Parents' Guide
Returning to school can be stressful, regardless of whether your child has been living with diabetes for years or was just diagnosed yesterday. Here are suggestions to prepare.
Diabetes Care at School
Provides an overview of diabetes for non-medical personnel.
Hypoglycemia (Low Blood Glucose) Plan
A step-by-step plan to recognize and treat an individual with low blood glucose.
This guide provides instructions to administer glucagon to an individual experiencing mild or moderate low blood glucose.
This resource outlines four key steps to treat low blood sugar.
Hyperglycemia (High Blood Glucose) Emergency Plan
A step-by-step plan to recognize and treat an individual with high blood glucose.
Calculation Sheet for Rapid-Acting Insulin Bolus
This form helps to calculate the insulin dose given to an individual prior to eating.
Diabetes Monitoring Log for the School Year 2015-2016
Use this form to record and monitor blood glucose testing, ketone testing, insulin dosages, vial/cartridge changes and comments.
Diabetes ID Sheets
This quick medical reference is ideal for individuals who are not intensively trained in diabetes management.
Diabetes SOS Forms: Sick Day Self-Management
This flow sheet is designed to assist caregivers when managing a patient’s diabetes while sick. Also includes the Ketone Correction Bolus Worksheet.
Diabetes Blood Glucose/Insulin Record
Log sheet for caregivers to record blood sugars and insulin doses. Form can be faxed to our office for help with insulin dose adjustments.
Insulin Pump Glucose Log
This log sheet allows caregivers to record blood sugars and insulin doses, which can be faxed to our office for assistance with pump settings and insulin dose adjustments.
Safe at School