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Top ten things you need to know cj



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