Diabetes Medical Management Plan Template
This section must be signed and dated by the medical practitioner.
Diabetes medical management plan template. The american diabetes association has partnered with the national diabetes education program to create a diabetes medical management plan template that can be customized for every student. This plan should be completed by the students personal health care team and parentsguardian. Yes no student may eat carbohydrates as desired yes no if no indicate amounts below common carbohydrate amounts and timing of mealssnack. Diabetes medical management plan.
This plan should be completed by the students personal health care team and parentsguardian. Parentsguardians are responsible for getting their childs completed and signed diabetes medical management plan dmmp from their childs diabetes care provider. It should be reviewed with relevant school staff and copies should be kept in a place that is easily accessed by the school nurse rn diabetes trained school personnel dtp and other authorized personnel. It should be reviewed with relevant school staff and copies should be kept in a place that is easily accessed by the school nurse trained diabetes personnel and other authorized personnel.
The diabetes medical management plan dmmp is completed by the students personal diabetes health care team and contains the medical orders that are the basis for the students health care and education plans. Some students get their insulin using a syringe and vial others use insulin pens and still others have insulin pumps. No two people manage their diabetes in the exact same way. This section must be completed by the students physician or advanced practice nurse and provides the medical orders for the students care.
Diabetes medical management plan. The american diabetes association has partnered with the national diabetes education program to create a dmmp template that can be customized for every student. Diabetes medical management plan. It should be reviewed with relevant school staff and copies should be kept in a place that can be accessed easily by the school nurse trained diabetes personnel and other authorized personnel.
Diabetes medical management plan page 5 of 5 mealssnacks at school student independently calculates the amount of carbohydrate in mealssnacks. Some students are in their honeymoon period when they temporarily need less insulin. Diabetes medical management plan dmmp this plan should be completed by the students personal diabetes health care team including the parentsguardians.