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WorksheetsDCM Fall 2025
Total questions: 11
Worksheet time: 8mins
What supplies are required for a diabetic student to remain at school?
Glucometer, lancets/ test strips
Insulin pen or pump, Urine ketone strips
All of the above
Glucagon/ Baqsimi, quick sugars and protein snacks
According to your diabetes medical management plan, what is Luke's target range?
80-150
60-120
80-300
For which of the following blood sugars would you notify Luke's parent/guardian?
100
345
75
375
Luke comes to you for his lunch dose and his blood sugar is 65, what do we do?
Escort Luke to lunch room and put in front of lunch line
Send Luke to lunch after administering his lunch dose
Treat low using 15:15 rule, dose for lunch carbs only once student is in range
Treat the low and then send to lunch with no lunch time coverage
Luke would like a slice of pepperoni pizza (29 g), 1% milk (13g), and a fresh pear (27 g), his blood sugar is currently 275, based on his diabetes medical management plan how much insulin will he need?
6
4
3
7
You have treated Luke for his lunch dose, he comes to you and tells you that he didn't like the shape of the pizza today so he did not eat it. What do we do?
Call your school nurse
Find Luke an alternative snack with same amount of carbs as the pizza
Tell Luke to go back and eat his pizza
Do nothing and monitor Luke
Luke's class is celebrating a birthday party and they are having cupcakes, it is one hour after lunch. According to Luke's CGM his blood sugar is 345, can Luke participate?
Yes, you can dose Luke to cover the carbs only.
No, his blood sugar is too high, he can have the cupcake in another hour.
Yes, dose Luke for his carbs and his blood sugar on sliding scale.
No, you can send the cupcake home with him.
It's time for recess and Luke's blood sugar is 395, what do we do?
Send Luke to recess with water bottle
Check ketones and if moderate, Luke can not participate in recess and parent/guardian needs to be notified, encourage water
Administer 5 units of insulin per sliding scale
Check ketones, if small he can continue to recess and encourage water
Luke comes back from recess and his blood sugar is 63. You notice that Luke is consistently low every day after recess time, right before dismissal. As the DCM, what could you do?
Treat Luke's low following 15:15 rule until he is back in target range
Do not allow Luke to ride bus home with low blood sugar, notify parent/guardian
Talk with school nurse about Luke's trend so that nurse can follow up
Give Luke a snack and put him on the bus, let parent/ guardian know
Lukes's teacher tells you they are going on a field trip to the arboretum, as the DCM what would you do?
Require Luke's parent/ guardian to go on the field trip
Luke is not allowed to go on field trips, find alternative activity at school
Make sure a DCM can accompany Luke on the field trip
Make sure Luke has supplies and backups as needed on field trip
It's almost lunch time and Luke's pump is giving an error message, what do we do?
Reach out to school nurse and parent/guardian and refer to Luke's plan, an alternate method may be needed
Notify parent/guardian that Luke's pump is not working correctly and he needs to be picked up
Google how to fix Luke's pump if it has an error message
Calculate insulin dose based off of sliding scale/ carb ratio and administer insulin via pen
