Quick Reference Emergency Plan: plan that provides school personnel with essential information on how to recognize and treat hypoglycemia and hyperglycemia.Schools must do outreach to the parents and child’s health care provider if a DMMP is not submitted by the family This plan is developed and approved by the student’s personal health care team and family. Diabetes Medical Management Plan (DMMP): A plan that describes the diabetes care regimen and identifies the health care needs of a student with diabetes.School accommodations, diabetes care, and other services set out by this Plan will be consistent with the information and protocols contained in the National Diabetes Education Program Helping the Student with Diabetes Succeed: A Guide for School Personnel, June 2010. The goal of this plan is to provide the special education and/or related aids and services needed to maintain blood glucose within this student’s target range, and to respond appropriately to levels outside of this range in accordance with the instructions provided by the student’s personal health care team. Homeroom Teacher: _ Bus Number: _ Objectives/Goals Of This Planĭiabetes can cause blood glucose (sugar) levels to be too high or too low, both of which affect the student’s ability to learn as well as seriously endangering the student’s health both immediately and in the long term. Student’s Name Birth Date Grade Disability Some students will need additional services and accommodations that have not been included in this model plan.] The plan should be individualized to meet the needs, abilities, and medical condition of each student and should include only those items in the model that are relevant to that student. Model 504 Plan For A Student With Diabetes [Note: This model 504 Plan lists a broad range of services and accommodations that mightīe needed by a child with diabetes in school. This sample Section 504 Plan was developed by the American Diabetes Association (ADA) and the Disability Rights Education and Defense Fund, Inc. California Sterilization Compensation Program.
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