🏥 Emergency Protocol

🚨 Call 911 for any life-threatening emergency
1

Severe Low (Hypoglycemia)

Symptoms
  • Shakiness, trembling, or dizziness
  • Confusion or difficulty speaking
  • Sweating, pale skin, or rapid heartbeat
  • Loss of consciousness or seizure
What to Do
  • If conscious, give 15g of fast-acting sugar (juice box, glucose tabs, or regular soda)
  • Wait 15 minutes, then recheck blood sugar
  • If still below 70 mg/dL, repeat the treatment
  • Once stable, provide a snack with protein and complex carbs
  • Do not leave the member unattended until fully recovered
When to Call 911
  • Member is unconscious or having a seizure
  • Member cannot swallow safely
  • Blood sugar does not rise after two treatments
  • Glucagon is administered (always call 911 after glucagon)
2

Severe High (Hyperglycemia / DKA)

Symptoms
  • Excessive thirst and frequent urination
  • Nausea, vomiting, or stomach pain
  • Fruity-smelling breath
  • Rapid or labored breathing
  • Fatigue, drowsiness, or confusion
What to Do
  • Check blood sugar and ketones if possible
  • Encourage the member to drink water
  • Administer correction insulin per the member's care plan
  • Allow unrestricted bathroom access
  • Contact the parent/guardian immediately
  • Monitor closely; do not allow physical activity
When to Call 911
  • Blood sugar above 400 mg/dL with moderate/large ketones
  • Member is vomiting repeatedly and cannot keep fluids down
  • Difficulty breathing or rapid, deep breaths
  • Altered consciousness, confusion, or unresponsiveness
3

Glucagon Administration

Step-by-Step Guide
  • Confirm the member is unconscious or unable to swallow safely
  • Locate the member's glucagon kit (check their emergency supplies)
  • For injectable glucagon: mix the powder and liquid as directed on the kit, inject into the thigh or upper arm
  • For nasal glucagon (Baqsimi): insert tip into one nostril and press plunger firmly
  • Turn the member on their side to prevent choking
  • Call 911 immediately after administering glucagon
  • Member should regain consciousness within 10-15 minutes
  • Once awake and able to swallow, offer a sugary drink, then a snack
  • Notify the parent/guardian and document the event
4

Emergency Contacts

Important Numbers
  • Emergency Services: 911
  • Poison Control: 1-800-222-1222
  • Member's parent/guardian: See individual member care plan
  • Member's endocrinologist: See individual member care plan
  • Nurse/Medical contact: Check your emergency contact list
Guidance
  • Keep emergency contact information accessible at all times
  • Review each member's Diabetes Medical Management Plan (DMMP) at the start of their care
  • Ensure backup trained caregivers are identified for absences
  • Update contacts in GlucoGuard whenever changes are reported
📞 Call 911