______________________________________ has Diabetes Mellitus type 1 (insulin-dependent). It does not interfere in any normal

activity, including physical education or the gym. However, the student may need an extra meal before or after vigorous exercises. It is also

necessary to have regular meals at school, in previously planned hours, so that he can balance the insulin received and try to maintain the

blood sugar level as close to normal as possible. All school teachers and staff must be aware of the signs and symptoms of

hypoglycemia (low blood sugar). These symptoms might include:

1 - dizziness

2 - pallor

3 - tremors

4 - sleepiness

5 - headache

6 - visual changes

7 - mental confusion

8 - personality or behavior change, such as inappropriate crying or laughing and difficulty to concentrate

Even though students have been instructed to be aware of these signs, they may not realize that the reaction is taking place and

sometimes it can be very severe. Whenever these signs occur, immediate treatment is required or the problem can become more severe.

Give them glucose (sugar) immediately from the kit they might have on them, or through one of the following alternatives:

1 – fruit juice (non-diet) - 150ml (one glass) or

2 – soda (non-diet) - 150 ml (one glass) or

3 – one tablespoon of sugar and ½ glass of water.

If the symptoms do not disappear in 15 minutes, repeat the procedure. After the symptoms disappear, offer a snack (milk, cheese,

crackers, bread) or anticipate the programmed meal. Keep the student in a sitting position, at rest, and always in the presence of

someone else. We recommend students to always have sugar (sugar tablets, liquid sugar, easy to dissolve candy) on them to treat

hypoglycemia. Sharp decrease in blood glucose can cause unconsciousness or convulsive crisis. In this situation, which is not very

frequent, or if the student cannot swallow, call for medical emergency help.

Another situation that might occur is the increase in blood glucose levels (hyperglycemia). Students have a higher tolerance to

hyperglycemia and it does not place them in any immediate risk situation.

1 – increase in urine volume and frequency

2 – excessive thirst

3 – sleepiness

4 – nausea and vomiting

5 – abdominal pain