Unlicensed Assistive Personnel (UAP)
Unlicensed Assistive Personnel (UAP) is a designated person who will deliver care to students with diabetes mellitus when the school nurse is not available. Therefore, it is important that UAP receives all necessary training for diabetes care during school hours.
The list of required knowledge:
Understand and be able to follow diabetes medical management plan (DMMP)
Blood glucose monitoring
Different types of insulin and how to administer insulin
Management of hypoglycemia including Glucagon administration
Management of hyperglycemia and ketones
1. DMMP: Each county has its own specific DMMP. Each student may have different treatment plans. Therefore, it is recommended that UAP familiarize him or herself with the DMMP of each student. Please be sure to clarify with the treating physician about certain specific instructions such as the frequency of blood glucose monitoring, insulin dose, and emergency plans. An example of DMMP can be found here.
2. Blood glucose monitoring: Most students carry a conventional glucose monitor. However, many students are now using a continuous glucose monitor (CGM) that can read sugar levels in an almost real-time manner. Please review our webinar recording about some of these CGMs.
3. Insulin administration: Some students use insulin pen while others may still use syringe and vial. Please review the instructional videos below on how to deliver insulin of both methods.
4. Management of hypoglycemia: Please review our webinar recording about basic management including hypoglycemia management. Additional videos about glucagon administration can be found here.
5. Management of hyperglycemia and ketones: Please review our webinar recording about sick-day management including ketones management.
6. Insulin Pump: There are many types of insulin pump. Each type has its own specific functions. The webinar recording covers common models and general instructions. More instructional videos can be found here. For additional training, please arrange with your district school nurse.