IHP: Type 1 Diabetes

Liam Thompson — Grade 2 · Westmoore Elementary

Created: 2025-08-18·Review: 2026-01-18·Provider: Sarah Mitchell, RN

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Nursing Diagnoses

Risk for unstable blood glucose level
Deficient knowledge (age-appropriate) regarding diabetes self-management

Goals

Maintain blood glucose between 80-180 mg/dL during school hours
Student will recognize and report symptoms of hypo/hyperglycemia
Zero episodes of severe hypoglycemia requiring glucagon at school

Interventions

Check blood glucose at 10:00 AM, 12:30 PM, and PRN
Administer insulin per sliding scale with meals and high BG corrections
Allow unrestricted bathroom and water access
Keep fast-acting glucose (juice boxes, glucose tabs) in health office and classroom
Communicate with teacher re: signs of hypo/hyperglycemia

Expected Outcomes

BG within target range >80% of school checks
Student can verbalize hypo symptoms (shaky, dizzy, sweaty)
No missed school days due to diabetes management issues

Emergency Action Plan

HYPOGLYCEMIA (<70 mg/dL): Give 15g fast-acting carbs (juice box). Recheck in 15 min. If <54 or unconscious: Administer glucagon 1mg IM, call 911, call parent at 405-555-0301. HYPERGLYCEMIA (>300 mg/dL): Check ketones. If moderate/large ketones: call parent, do not exercise, provide water. Call 911 if vomiting, lethargy, or fruity breath.