Top ten things you need to know cj


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Top ten things you need to know cj

  1. 1. Top Ten Things You Need to Know…about Diabetes
  2. 2. 1. Diabetes is managed, not cured <ul><li>It’s a 24/7 condition </li></ul><ul><li>The goal is blood glucose management & the prevention of long-term complications </li></ul><ul><li>Despite our best efforts, it’s not always in good control </li></ul>
  3. 3. 2. Insulin is for life <ul><li>Claire will always need insulin </li></ul><ul><li>Insulin is delivered continuously through an insulin pump attached to her body </li></ul><ul><li>Claire is competent in using her pump to give herself insulin. </li></ul><ul><ul><li> </li></ul></ul>
  4. 4. 3. Monitoring is key to good control <ul><li>Claire checks her BG 4-6 times each day with a glucose meter & finger prick. </li></ul><ul><li>BG checks are before each meal, bedtime, and before extensive periods of exercise. </li></ul><ul><li>Extra checks are needed if BG is too low or too high </li></ul><ul><li>Meter, lancet, & strips (i.e., test kit) must be with Claire at all times! </li></ul>
  5. 5. 4. There are critical conditions that need adult attention: <ul><li>#1: Hypoglycemia= BG is too low (<80) </li></ul><ul><ul><li>Claire will feel shaky, clammy, weak, and appear pale </li></ul></ul><ul><ul><li>She will need assistance in getting sugar immediately: </li></ul></ul><ul><ul><ul><li>15 grams of carbohydrate=15 skittles, 4 oz. Juice or non-diet pop, </li></ul></ul></ul><ul><ul><li>Never leave her unattended during an episode of hypoglycemia (if untreated, hypoglycemia may cause unconsciousness) </li></ul></ul><ul><li>Emergency Condition: if unconscious, administer glucogon treatment, call 911 </li></ul>
  6. 6. 5. There are critical conditions that need adult attention: <ul><li>#2: Hyperglycemia=BG is too high (>240) </li></ul><ul><ul><li>Claire may feel cranky or tired, nauseated, excessively thirsty </li></ul></ul><ul><ul><li>She will need to treat highs with: </li></ul></ul><ul><ul><ul><li>Extra insulin </li></ul></ul></ul><ul><ul><ul><li>Extra water </li></ul></ul></ul><ul><ul><ul><li>Monitor for ketones (keep strips in locker) </li></ul></ul></ul><ul><ul><li>Follow instructions for treatment of ketones </li></ul></ul>
  7. 7. 6. Food is our friend <ul><li>Claire eats a balanced diet to stay healthy </li></ul><ul><li>Snacks are sometimes needed to keep BG stable </li></ul><ul><li>Carbohydrates are counted to give the correct amount of insulin </li></ul><ul><li>Sugar is NOT off-limits, but must be counted </li></ul><ul><li>Claire uses carb-counting at lunchtime to calculate her insulin needs. </li></ul>
  8. 8. 7. Exercise will lower BG <ul><li>Physical activity may lower BG quickly </li></ul><ul><li>For extended periods, Claire may need to: </li></ul><ul><ul><li>Test during the activity or stop to treat low BG </li></ul></ul><ul><ul><li>Disconnect her pump </li></ul></ul>
  9. 9. 8. Diabetes isn’t always predictable… <ul><li>Blood glucose levels are affected by a lot of factors and highs/lows are not uncommon. </li></ul><ul><li>Highs & Lows may mean that Claire needs to: </li></ul><ul><ul><li>Take breaks during class work or tests to check BG or treat symptoms </li></ul></ul><ul><ul><li>Have extra time or additional instruction to make up work due to these breaks </li></ul></ul>
  10. 10. 9. Diabetes requires extra planning for: <ul><li>Field trips </li></ul><ul><li>Substitute teachers </li></ul><ul><li>Evacuation/shelter in place procedures </li></ul><ul><li>Sick Days </li></ul>
  11. 11. 10. Diabetes takes teamwork! <ul><li>Claire’s “team” includes: parents, nurses, faculty, support staff, medical team, family & friends </li></ul><ul><li>Recognize that it is hard work to manage diabetes and let us know if there is a concern </li></ul><ul><li>Claire is our best teacher (and a kid first). </li></ul><ul><li>See Claire's Quick Reference or 504 Plan on file for more specific information about her necessary accommodations. </li></ul>
  12. 12. Resources: American Diabetes Association 1-800- DIABETES National Diabetes Education Program/NIH