Summary: Glucagon tips for people with type 1 diabetes including dosing amount, labeling the box with the dosing amount, an app tutorial, and keeping track of expiration dates.
Earlier this week I described how I use expired glucagon kits to train our school staff each fall. Today I have a little more info and tips to share.
Half Dose or Full Dose?
Q was diagnosed with diabetes at the age of three and was a tiny little thing. We were instructed to mix all of the glucagon and only inject half. It didn’t occur to me until I was filling out the FIFTEEN page diabetes medical management plan (DMMP) for the school year that maybe she needs the full dose. The endo and CDE have never said to start giving her the full amount. I looked it up on Lilly’s website and lo and behold, her weight indicates that she should be getting the full dose. Maybe all endos should actually TELL their patients when they get to be over 44 pounds to start using the full dose!
From the Glucagon website: “The usual adult dose is 1 mg (1 unit). For children weighing less than 44 lb (20 kg), give 1/2 adult dose (0.5 mg). For children, withdraw 1/2 of the solution from the bottle (0.5 mg mark on syringe). Discard unused portion.”
(Ask your healthcare team what dose your child should get.)
All these years that we were supposed to give a half dose (or thought she was still supposed to get the half dose), I labelled the red glucagon boxes to try to help us or caregivers remember. I used a simple labelmaker.
Did you know that there is a Glucagon App for your iPhone? I downloaded it sometime in the past year, but when I train teachers this year I am going to make a point of telling them about the app and suggesting that they download it too.
The app has a tutorial and training video as well as step by step “emergency instructions” and a button to call 911. This could be very helpful for caregivers or school personnel in an emergency since they will likely not remember how to use it.
Within the app you can even manage your kits by entering in the location and expiration of your kits. You can set a reminder as the expiration approaches.
Back to School with Diabetes: Lots of information and links!
I have an entire chapter about school in my book Kids First, Diabetes Second.
Read more posts about Diabetes at School.
Please remember that I never give medical advice. Ask your endocrinologist or pediatrician for advice about your own child. Make your own informed decisions for your own child.