Low BG
Your camper’s CGM reads 72 with a diagonal down arrow. You’re walking to the dining hall for lunch. What should you do?
AID: 8 gms (1/2 juice or 2 tabs)
Non-AID: 15 gm (1 juice or 4 tab)
recheck in 15 min
repeat until BG > 80
Your camper's CGM says 248 with a straight up arrow. It’s been over 3 hours since their last meal. What do you do?
When in doubt change it out. Recheck in 30 minutes and contact med lead.
Your camper’s CGM shows 113 with a steady arrow and they have no IOB, but they insist they feel low and want juice. What should you do?
FSBG
A camper’s CGM is 132 with a sideways arrow at bedtime. Is this okay for lights out, or should you intervene?
Good Night
Your camper’s CGM reads 88 with a diagonal down arrow. Lunch is in 10 minutes. What do you do?
Check with your lead, Likely you will hold off until they are in the dining hall to dose to avoid lows due to delay of meals
A camper’s CGM shows 61 with a straight down arrow. You're about to start a scavenger hunt. What’s your response?
AID: 8 gms (1/2 juice or 2 tabs)
Non-AID: 15 gm (1 juice or 4 tab)
recheck in 15 min
repeat until BG > 80
A camper's blood sugar reads 312 mg/dL. Their CGM has a sideways arrow, and they say their infusion site hurts. What's your next step?
"When in doubt, Change it out"
Your camper has been going low after breakfast. When you look at the pump history, there is a dose every day at breakfast that is not recorded in Views, what do you do?
Inform your lead. This may require a private conversation with the camper, the lead and the cabin head,
You’re doing midnight checks. A camper’s CGM shows 74 with a diagonal down arrow. What’s your next move?
Follow low protocol until arrow is horizontal or rising.
Your Camper covered for 60 carbs for pancake breakfast, they ate about half, now they are super full. What's next?
Talk to lead, offer juice, if refused, campers may need to suspend insulin or start activity mode.
A camper says they feel shaky. Their CGM says 59 with a sideways arrow, and they just finished basketball. How do you respond?
Check trend (was camper high before activity or is BG similar?)
Finger stick to verify BG
Treat per protocol
It’s snack time, and your camper’s CGM reads 295 with a double up arrow. They feel thirsty and tired. How do you respond?
They are symptomatic. Test for ketones and contact med lead staff. Likely they will need hydration and insulin correction
Your camper is 134 with a straight arrow, but refuses to bolus for lunch (subs) and says, “I don’t want to go low.” How do you handle this?
Discuss reason for concern and validate. Remember Patient Centered Care. If doing activity discuss adjustment with camper and lead
A 2 a.m. BG check reads 65, and the camper is asleep. What do you do?
Contact health Center
our camper just finished their plate, but now they are 92 with 2 down arrows. What should you do?
Wait 15 minutes and recheck. Follow with hypoglycemic protocol if indicated
During arts and crafts, your camper's meter reads 49 mg/dL, but they say they feel fine. What should you do?
Finger stick to verify BG
Treat following hypo-BG protocol PRN
A camper is 279 with a sideways arrow and small ketones. It’s a hot afternoon, and they’re resting. What actions should you take?
Hydrate. When in doubt change it out. Speak with Lead: check IOB and determine if dose is indicated.
You camper has been going high after every meal. You look at their bolus history - and it looks like they have not received the full bolus that the provider put in CV for any meal. What do you do?
Discuss with Camper.
Have leads chat with camper, campers should be encouraged to discuss with their med leads for change in dosing.
This may require a conversation including Cabin and Med Lead
At bedtime, your camper is 96 with a straight arrow and had multiple lows today. How do you manage this?
Don't cover snack. Discuss with lead, possible options:
- Temp target
- Discuss with overnight team/Med lead on overnights
Your Camper took 4 units to cover 32 carbs for breakfast, but then they saw that the waffles don't look like their moms, so they want cereal instead. What do you do?
Determine the Carb difference and dose as indicated
A camper is slurring their speech and seems confused. Their CGM reads 42 with a diagonal down arrow. What’s your immediate action?
Make sure the camper is sitting/give treatment per protocol
Contact Cassie
Monitor for signs or symptoms of hypoglycemia
A camper’s meter reads 344, with a CGM trend of a diagonal up arrow. They report nausea. What are your priorities?
Ketones: Hydrate and insulin as indicated by Med Lead
Your Camper is 58 double down with IOB. You offer a juice and they say no. They are refusing low treatment. What do you do?
Suspend, Sit, Monitor. Offer other options, tabs, gummies, etc.
A camper’s CGM reads 289 with a diagonal up arrow at 3:30 a.m. They’re snoring and sweaty. What do you do?
Check for Ketones, and contact Medical Center
Your Camper covered for 78 carbs for dinner. They made a plate, but now they say they are not hungry. They have crossed their arms and are acting off. What do you do?
Check CGM or FSBG. Ask for assistance from Cabin lead to addressing the individual camper behaviors.