The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.
Understanding Diabetes is a Power-point presentation that explains what is diabetes, pre-diabetes and ways by which we can effectively manage it. The aim of the presentation is to create awareness about diabetes and its effective management.
Understanding Diabetes is a Power-point presentation that explains what is diabetes, pre-diabetes and ways by which we can effectively manage it. The aim of the presentation is to create awareness about diabetes and its effective management.
For FOP2 Child Life Studies
Please note that this presentation is posted to share with the class. The information has been sited on a handout they received.
Educational Grand Rounds: Diabetes and Lifestyle ModificationS'eclairer
Dr. Zahida Chaudhary presents a slide deck on Diabetes along with James Ellermeyer as they discuss what our society is doing to contribute to the problem and what we can do to change it in our own lives on a case by case basis.
Lifestyle modifications in Diabetes mellitusPrabhjot Saini
Lifestyle choices in Diabetes mellitus patients, current factors, Dietary modifications, exercises, alcohol and smoking cessation, stress management and personal and foot care required to manage diabetes and blood sugar levels
For FOP2 Child Life Studies
Please note that this presentation is posted to share with the class. The information has been sited on a handout they received.
Educational Grand Rounds: Diabetes and Lifestyle ModificationS'eclairer
Dr. Zahida Chaudhary presents a slide deck on Diabetes along with James Ellermeyer as they discuss what our society is doing to contribute to the problem and what we can do to change it in our own lives on a case by case basis.
Lifestyle modifications in Diabetes mellitusPrabhjot Saini
Lifestyle choices in Diabetes mellitus patients, current factors, Dietary modifications, exercises, alcohol and smoking cessation, stress management and personal and foot care required to manage diabetes and blood sugar levels
All diabetics do not develop complications. If the blood sugar levels are carefully controlled, in both Types 1 and 2 diabetes, complications may never develop. But in order to achieve this, lifestyle changes that are consistently maintained are also necessary.
Maintaining a healthy back and treating disc herniationsSummit Health
Presentation on maintaining a healthy back and treating disc herniations, by Ilya Kupershtein, MD. Dr.Kupershtein specializes in surgery of the cervical, thoracic, and lumbar spine to treat degenerative conditions, deformities, infections, tumors, and metabolic diseases such as osteoporosis.
The statistics are alarming.Currently about 8% of the
world’s population suffers from diabetes and is the 8th leading cause of death in adults.
For more information please visit: http://www.reliablerxpharmacy.com/
Diabetes refers to a group of diseases that affect how the body consumes blood sugar (glucose). Glucose is an important source of energy for the cells that make up muscles and tissues. It is also the main source of energy for the brain.
Dance for Diabetes is a social event to raise founds for diabetic education seminars for school teachers around Poland and to benefit Polish Juvenile Diabetes Foundation soon to become Polish Juvenile Diabetes Research Foundation, registered in Poland as Fundacja CUD Cukrzyca U Dzieci
There are two different types of diabetes. Type I and Type II. Type I Diabetes is usually diagnosed in children and very young adults. Type I Diabetes differs from Type II in that a person with Type I Diabetes does not produce insulin at all. Insulin is needed to take sugar from the blood into the cells. Type I diabetes used to be called Juvenile Diabetes as it was diagnosed in children at early ages. The symptoms of Type I and Type II Diabetes are very similar. Frequent urination, frequent thirst, excessive hunger are three of the most common symptoms.
What Pre-Diabetes Is And What The Risk Factors Are For Pre-DiabetesJamie Madsen
Prevention is always the best way and is even more important with diabetes and the various symptoms of diabetes especially if you think you or a loved one is at risk and are wondering what pre-diabetes is and what the risk factors for pre-diabetes are. Not being ignorant of your risk factors will help you determine the actions you need to take to reduce your risks of developing diabetes and the various symptoms of diabetes.
The brain is one of the largest and most complex organs in the human body. It is made up of more than 100 billion nerves that communicate in trillions of connections called synapses. The brain is made up of many specialized areas that work together: ... The cortex is the outermost layer of brain cells. the brain is how you think.
A volcano is a mountain that opens downward to a pool of molten rock below the surface of the earth. When pressure builds up, eruptions occur. Gases and rock shoot up through the opening and spill over or fill the air with lava fragments. Eruptions can cause lateral blasts, lava flows, hot ash flows, mudslides, avalanches, falling ash and floods. Volcano eruptions have been known to knock down entire forests. An erupting volcano can trigger tsunamis, flash floods, earthquakes, mudflows and rockfalls.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
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Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
2. Understanding Diabetes
O Complex disease
O Digestion breaks down
carbohydrates sugar
(glucose)
O Sugar bloodstream
O Insulin moves sugar into
cells for energy
KBN 2014
3. Definition of terms
O “blood sugar” = “ blood glucose”
O you may it hear it used interchangeably
KBN 2014
5. Type 1 vs. Type 2 Diabetes
No insulin (key) means that sugar
cannot enter the cell.
Insulin (key) cannot unlock the cell
door. Insulin resistance or inability of
body to use insulin.
KBN 2014
6. Type 1 Diabetes
O Insulin-producing cells are destroyed
O Daily insulin replacement necessary
O Age at onset: usually childhood, young
adulthood
O Most common type of diabetes in children
and adolescents
KBN 2014
7. Type 1 Diabetes
Onset of diabetes: can happen relatively
quickly
Symptoms: increased urination, tiredness,
weight loss, increased thirst, hunger, dry skin,
blurred vision
Cause: uncertain, both genetic and
environmental factors
KBN 2014
8. Management Goal
O Diabetes is managed but does not go away
O Goal is to maintain a target glucose range
KBN 2014
11. What a Child Deals With?
Everything that every child deals with
+
Diabetes
KBN 2014
12. Hypoglycemia Unawareness
O Their body can not tell the child the blood
sugar is low
O “I just feel funny”
O The child might simply be distracted
O You know a child is just not acting right
KBN 2014
13. Honeymoon Phase
O Not all newly diagnosed individuals
experience the Honeymoon Phase
O Can last for weeks up to 2 years
O We can not let our guard down
KBN 2014
14. Example of Target Range For Type 1
Diabetes
O Preschool and Kindergarten (3-5 yrs.)
O Before meals, blood sugar range 100mg/dl-180
O The target range is always “ordered” by Health Care
Provider
O School Age (6-12 yrs.)
O Before meals, blood sugar range 90mg/dl-180mg/dl
O The target range is always “ordered” by the Health
Care Provider
KBN 2014
15. Management Priorities
Preschool –Middle School (3-12 yrs.)
O Adult involvement
O Allow for participation
in school/peer activities
O Student learning
based on benefits of
optimal control
KBN 2014
16. Example of Target Range For Type 1
Diabetes
O Adolescents and young adults (13-19 yrs.)
O Before meals 90mg/dL-130mg/dL
O Always Health Care Provider Ordered
The Art and Science of
Diabetes Self-Management
Education Desk Reference, 2011KBN 2014
17. Management Priorities
Early Adolescence
13-15 years
Later Adolescence
16-19 years
O Renegotiating adult/teens
role in diabetes
management
O Learning coping skills to
enhance self management
O Monitoring for signs of
depression, eating
disorders, risky behaviors
O Begin discussion of
transition to a new
diabetes team
O Integrating diabetes
into new lifestyle
O Supporting the
transition to
independence
KBN 2014
Editor's Notes
Diabetes is chronic, progressive metabolic disorder that can cause a child to develop long term complications of the eyes, kidneys, feet and circulation. If blood sugars are not kept in a specific range these complications can start developing quickly.
Abnormalities to break down carbs, fat and protein leading to hyperglycemia (high blood sugar)
So lets talk about diabetes
In people without diabetes, glucose (sugar) enters the cells and the blood glucose level remains in a stable range of about 70-99 mg/dl fasting (or when they have not eaten anything.) Insulin (released from the pancreas) is the key that opens the doors to the cells and lets the cells use the glucose (sugar) for energy and activity.
Insulin controls the rise in the blood glucose level following eating by:
1. stimulating the glucose to go into the cells and the tissues thus “lowering the blood sugar” and
2. preventing the liver from putting out into the blood stream, extra glucose that has been stored there in another form
3. preventing the pancreas from putting out glucagon which would lower the blood sugar
There are some major difference between Type 1 and 2 diabetes:
In Type 1 Diabetes the body does not make or doesn’t make enough insulin so that glucose can be used for energy and activity
Type 1: Must have insulin to survive!!!!! So, individuals with diabetes have to have their “insulin” provided through another route.
At this current time the only route of administration of insulin is by an injection (shot) or by an insulin pump that gives insulin constantly in varying doses.
Type 2: Insulin can and is often used to manage, but life style changes of meal plan, activity level or oral medications are used.
Type 1 Diabetes
The pancreas can no longer produce enough insulin, so people with type 1 diabetes need multiple daily administrations of insulin to live.
Type 1 diabetes can occur at any age, but the disease develops most often in children and young adults.
Type 1 diabetes accounts for about 5 to 10 percent of diagnosed diabetes in the United States.
Symptoms. The symptoms of type 1 diabetes usually develop over a short period of time. They include increased thirst and urination, hunger, weight loss, dry skin, and sometimes blurred vision. Children may also feel very tired all the time. If not diagnosed and treated with insulin, the person with type 1 diabetes will eventually develop a life-threatening condition known as diabetic ketoacidosis (KEY-toe-asi-DOE-sis) or DKA. This will be discussed later in the educational session.
Risk factors. Though scientists have made much progress in predicting who is at risk for developing type 1 diabetes, they do not know exactly what triggers the immune system’s attack on beta cells. They believe that type 1 diabetes is due to a combination of genetic and environmental factors.
Diabetes is managed with medication, nutrition, physical activity and glucose monitoring, but there is NO cure at this time.
When the body doesn’t produce insulin, it must be obtained from another source. All people with type 1 diabetes must take insulin by injection to live.
Many people with type 2 diabetes take glucose-lowering medications which can be taken orally or by injection. Many youth with type 2 diabetes take insulin, often in addition to other glucose lowering medications. People with either type of diabetes also need to manage their diet and physical activity.
Neither insulin nor other medications, however, are cures for diabetes: they only help control the disease.
With either type 1 or type 2 diabetes, the goal of effective diabetes management is to control blood glucose levels by keeping them within a target range that is individually determined for each child.
Optimal blood glucose control is essential to:
Promote normal growth and development and allow for optimal learning.
Prevent the immediate dangers of blood glucose that is either too high or too low.
Additionally, research has shown that maintaining blood glucose levels within the target range can:
Prevent or delay the long-term complications of diabetes such as heart attack, stroke, blindness, kidney failure, nerve disease, and amputations of the foot or leg.*
*While it is important for school personnel to be aware of the potential for these serious life-limiting or life threatening complications, it is not appropriate for school personnel to discuss risks for complications with individual students.
Maintaining good blood glucose control is a juggling act, 24 hours a day, 7 days a week.
The key to optimal diabetes control is a careful balance or balancing of food, physical activity, and insulin and/or oral medication.
As a general rule:
Insulin/oral medication and physical activity makes blood glucose levels go down.
Food makes blood glucose levels go up.
Several other factors, such as stress, illness or injury, also can affect blood glucose levels
Students like adults all have basic needs that must be met in a certain order. We must meet the need for food, water, sleep (physical needs) before emotional or learning needs can be met.
Diabetes interferes with the normal progression of all these needs.
A student with diabetes has the same needs, hopes and dreams as all other students.
Young children, younger then 6-7 years of age have bodies that can not tell them when the blood sugars are dropping (immature counter-regulatory mechanisms)
Any child may not always have the mental awareness because of low blood sugar, to tell someone their blood sugar is dropping or to even respond without assistance to the change in their blood sugar.
A child may only know that he/she may “feel funny”
The Honeymoon Phase is where the pancreas begins to produce insulin (after the diagnosis of diabetes) and some individuals are able to decrease the amount of insulin they take. This can lead the child/teen/parent and us to think the “diabetes has been cured” or there was a child/teen who was mis-diagnosed. Because of this sense of “there’s not much wrong”, there may be a decreased attention to meal planning, eating correctly and checking of blood sugars. We can not let our guard down!!!!!!!!
Target ranges are very specific to the child and age. Based upon the Diabetes Medical Management Plan (DMMP) established by the health care provider. When the Health Care Provider fills out the DMMP plan, they will specify the target blood sugar range for the student.
You can refer to the DMMP to verify the target range and then if needed, you should contact the designated school health provider, the school nurse.
This slide depicts the behavioral activities for the 3-12 year olds
Blood sugar/glucose Management Priorities
Maintaining adult involvement in insulin and blood glucose monitoring tasks while allowing for independent self-care
Making diabetes regimen flexible to allow for child’s participation in school/peer activities
Student learning must be focal point and is of a short and long term benefit of optimal control
Be aware that bedtime/overnight blood sugar range is usually 100 mg/dL-180mg/dL. Upon arrival at school, be aware that some children may not have eaten breakfast or taken their medication before arriving. You may see either highs or lows in their glucose level.
This slide depicts the kinds of behavioral challenges that begin to appear during these age ranges.
Early Adolescence 13-15 years
Managing increased insulin requirements during puberty becomes a challenge because of hormonal changes
Diabetes management and blood glucose control become more difficult
Wt. and body image concerns become an issue for this age group
Renegotiating adult/teens role in diabetes management
Learning coping skills to enhance self management
Monitoring for signs of depression, eating disorders risky behaviors
Later Adolescents (16-19 years)
Begin discussion of transition to a new diabetes team as child is moving into adulthood
Integrating diabetes into new lifestyle and broadening social activities
Supporting the transition to independence
