Sailing Around Common Diabetes Emergencies
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This presentation is authored by my good friend and colleague, Dr. Barb Schreiner. The presentation is for the Advanced Diabetes Seminar presented at Texas Lions Camp, Saturday, April 26, 2014.
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How to navigate through a diabetes emergency
This document provides guidance on navigating diabetes emergencies by correcting high blood glucose, identifying the cause, learning from the experience, and considering factors like fluids, insulin adjustments, nutrition, and activity level. It also includes examples of blood glucose and ketone levels over time and guidance on when to call the diabetes care team, as well as details on using mini-dose glucagon for hypoglycemia during illness.
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A presentation for the April 26, 2014 Advanced Diabetes Seminar at Texas Lions Camp. Author is my friend and colleague Nelda Rodriguez-Caceres, RN, CDE -
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This document discusses the importance of sick day management for diabetic patients and provides guidance on managing common illness scenarios. It emphasizes that failure to properly manage illness can lead to dangerous complications like DKA, cerebral edema, and death. The document outlines criteria for diagnosing DKA and provides a 5-step approach to prevent DKA during illness. It also discusses guidelines for different scenarios involving hypoglycemia, ketosis, and hyperglycemia during sickness. Overall, the document stresses that educating patients and caregivers on sick day management is critical for safely managing illness and avoiding life-threatening outcomes.
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This document outlines rules for managing sick days in children with diabetes to prevent diabetic ketoacidosis. It discusses increasing insulin needs during illness due to stress hormones and insulin resistance. Key rules include continuing oral intake, frequent blood sugar and ketone monitoring, giving scheduled insulin and extra rapid-acting insulin for high blood sugar or ketones as needed, treating nausea, preventing dehydration, resting, and knowing when to call the doctor for uncontrolled symptoms. Following these sick day rules can help keep diabetic children out of the hospital during illness.
Top ten things you need to know cj
Diabetes is a lifelong condition that requires careful blood glucose management through insulin, monitoring, diet, and exercise. It cannot be cured, and people with diabetes like Claire will always need insulin to regulate their blood sugar levels. Monitoring blood sugar levels several times a day is essential for control, and there are critical conditions like hypoglycemia and hyperglycemia that require treatment. Managing diabetes takes a team effort and planning for daily activities and emergencies.
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Chair Pablo F. Mora, MD, FACE, CDE, prepared hypoglycemia infographics for this CME activity titled "Go Get the Glucagon! Current and Emerging Options for Treating Severe Hypoglycemia." For the full presentation, monograph, complete CME information, and to apply for credit, please visit us at http://bit.ly/2NM5EFH. CME credit will be available until March 12, 2021.Intermittent fasting
The document discusses different methods of intermittent fasting, including the benefits and potential downsides. It describes four popular intermittent fasting methods: the 16:8 method which involves fasting for 16 hours and an 8 hour eating window; the 5:2 method where one eats normally for 5 days and restricts calories to 600 or less for 2 days; Eat Stop Eat which involves extended fasting periods; and alternate day fasting where one fasts every other day. The document stresses that intermittent fasting methods may cause initial mood swings or increased cortisol until the body adapts.
Recommended
How to navigate through a diabetes emergency
This document provides guidance on navigating diabetes emergencies by correcting high blood glucose, identifying the cause, learning from the experience, and considering factors like fluids, insulin adjustments, nutrition, and activity level. It also includes examples of blood glucose and ketone levels over time and guidance on when to call the diabetes care team, as well as details on using mini-dose glucagon for hypoglycemia during illness.
Blood glucosemonitoring
A presentation for the April 26, 2014 Advanced Diabetes Seminar at Texas Lions Camp. Author is my friend and colleague Nelda Rodriguez-Caceres, RN, CDE -
ADA Outpatient Diabetes Program Coordinator
Diabetes Care Coordinator - Shoreline & CHRISTUS Spohn Hospital Corpus Christi.
sick day managment CAN SAFE LIFE FOR DM1
This document discusses the importance of sick day management for diabetic patients and provides guidance on managing common illness scenarios. It emphasizes that failure to properly manage illness can lead to dangerous complications like DKA, cerebral edema, and death. The document outlines criteria for diagnosing DKA and provides a 5-step approach to prevent DKA during illness. It also discusses guidelines for different scenarios involving hypoglycemia, ketosis, and hyperglycemia during sickness. Overall, the document stresses that educating patients and caregivers on sick day management is critical for safely managing illness and avoiding life-threatening outcomes.
Titration of insulin
Titration of insulin over time is critical to improving glycaemic control and preventing diabetes-related complications.
Sick day managment in diabetic children and adolescent
This document outlines rules for managing sick days in children with diabetes to prevent diabetic ketoacidosis. It discusses increasing insulin needs during illness due to stress hormones and insulin resistance. Key rules include continuing oral intake, frequent blood sugar and ketone monitoring, giving scheduled insulin and extra rapid-acting insulin for high blood sugar or ketones as needed, treating nausea, preventing dehydration, resting, and knowing when to call the doctor for uncontrolled symptoms. Following these sick day rules can help keep diabetic children out of the hospital during illness.
Top ten things you need to know cj
Diabetes is a lifelong condition that requires careful blood glucose management through insulin, monitoring, diet, and exercise. It cannot be cured, and people with diabetes like Claire will always need insulin to regulate their blood sugar levels. Monitoring blood sugar levels several times a day is essential for control, and there are critical conditions like hypoglycemia and hyperglycemia that require treatment. Managing diabetes takes a team effort and planning for daily activities and emergencies.
Go Get the Glucagon! Current and Emerging Options for Treating Severe Hypogly...
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Chair Pablo F. Mora, MD, FACE, CDE, prepared hypoglycemia infographics for this CME activity titled "Go Get the Glucagon! Current and Emerging Options for Treating Severe Hypoglycemia." For the full presentation, monograph, complete CME information, and to apply for credit, please visit us at http://bit.ly/2NM5EFH. CME credit will be available until March 12, 2021.Intermittent fasting
The document discusses different methods of intermittent fasting, including the benefits and potential downsides. It describes four popular intermittent fasting methods: the 16:8 method which involves fasting for 16 hours and an 8 hour eating window; the 5:2 method where one eats normally for 5 days and restricts calories to 600 or less for 2 days; Eat Stop Eat which involves extended fasting periods; and alternate day fasting where one fasts every other day. The document stresses that intermittent fasting methods may cause initial mood swings or increased cortisol until the body adapts.
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PCOS can negatively impact mental health due to various factors such as stress from PCOS symptoms, genetic predisposition, chronic inflammation, abnormal hormone levels like anovulation and low progesterone, insulin resistance, and some birth control pills. Adopting an anti-inflammatory diet through weight loss, reducing sugar intake, and time-restricted eating as well as addressing insulin resistance by lowering carbohydrates, avoiding snacking, getting enough sleep, and reducing sitting can help improve mental health issues related to PCOS.
How to Keep Your Child with Diabetes Out of the Hospital or ER
No, it is generally not recommended to treat high blood sugars and ketones with an insulin pump alone. When a person has both high blood sugar and ketones, it means they require more insulin than their basal rates can provide. It is safer in this situation to treat with injections of rapid-acting insulin until blood sugar and ketones start to improve. The pump basal rates may need to be increased temporarily as well. Treating only with the pump risks not delivering enough insulin quickly enough to address the problem. Shots provide a larger, faster-acting dose that is more appropriate in this medical emergency situation.
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This document discusses exercise guidelines and considerations for clients with diabetes. It defines the two main types of diabetes - type 1 where the body does not produce insulin and type 2 where cells are resistant to insulin. Exercise is beneficial for both types as it enhances glucose usage in muscles, improving blood sugar control. The document recommends low impact activities like cycling, walking and water aerobics from 20-60 minutes, 4-7 days per week at 50-90% of maximum heart rate. It stresses being aware of signs of hypoglycemia as exercise can lower blood sugar for hours after. Clients should check blood sugar before, during and after exercise and always have a carbohydrate snack available.
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Early onset diabetes in fathers can lead to lower insulin secretion in offspring, according to studies of metabolic phenotypes and offspring of parents with and without diabetes. Additionally, children diagnosed with diabetes before age 15 are more likely to develop worse renal outcomes than those diagnosed after 15, as the disease acts as an autoimmune condition and causes microalbuminuria. New treatments like insulin pump therapy provide advantages over multiple daily injections for children with diabetes by allowing better glucose control and improved quality of life.
BRM Experimental Autoimmune Encephalomyelitis Models
"The LEW.1WR1 rat is the only model so far that exhibits a low incidence of spontaneous diabetes that can be increased by perturbation. By far the most extensively studied of the models are the two BB rat strains, but all of them have provided interesting information. There are to date no rat models based on the insertion of transgenes, though genetic complementation has been used elegantly to identify the genetic defect in Komeda rats."
Taking Medications Insulin
TAKING MEDICATIONS Why take insulin? How does Insulin work?
Diabetes is a progressive condition. Depending on what type a person has, their healthcare team will be able to determine which medications they should be taking and help them understand how your medications work. They can demonstrate how to inject insulin. Effective drug therapy in combination with healthy lifestyle choices, can lower blood glucose levels, reduce the risk for diabetes complications and produce other clinical benefits.
The goal is for the patient to be knowledgeable about insulin, including its action, side effects, efficacy, toxicity, prescribed dosage, appropriate timing and frequency of administration, effect of missed and delayed doses and instructions for storage, travel and safety.
Eat Healthy To Feel Healthy
The document discusses the ketogenic diet and how it can help with weight loss and health conditions. Key points:
- When carbohydrate intake is limited, the body uses fat for fuel instead of carbohydrates, making it difficult to store fat.
- Two children and one adult saw a 90% reduction in seizures by achieving ketosis on the Atkins diet.
- Staying hydrated is important on a keto diet by drinking at least 3 liters of water per day for men and 2.4 liters for women.
- The author lost weight and improved their health using a low carb ketogenic diet after struggling with cancer and hypoglycemia.
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Mrs. Douglas, a 76-year-old female with type 2 diabetes, hypertension, and a history of heart failure and myocardial infarction, was admitted to the hospital for shortness of breath and swelling in her legs. Her lab values show elevated glucose, sodium, cholesterol, and triglycerides. A nutrition assessment found she consumes around 1800 calories daily but could benefit from following a cardiac diet lower in sodium, saturated fat and refined carbohydrates. A 1500 calorie diet is recommended for weight loss and heart health upon discharge.
Celiac disease
CD is an autoimmune disease where ingesting gluten damages finger-like projections (villi) in the small intestine, preventing nutrient absorption. It affects people genetically susceptible and is diagnosed through blood tests detecting antibodies and intestinal biopsies. Managing CD requires a strict lifelong gluten-free diet to avoid symptoms like diarrhea, weight loss, and malnutrition. While there is no cure, following the diet can control the disease.
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Silverline Hospital has a team of highly experienced and dedicated professionals who treats all kinds of endocrine disorders and diabetic problems in children and teens including thyroid diseases and other hormonal. Silverline Hospital is one of the best diabetic clinics in Cochin which has got MEDIGO and NABH accreditation. Silverline hospital has a team for diabetes management, including the best diabetologist in Kochi, dietician, psychologist and other experts, ensuring complete quality treatment and care that help your child get back on track.
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1) The patient is a 68-year-old female with a history of cancer, malnutrition, and pressure ulcers who has lost 40 pounds over the past year and has difficulty eating due to gagging from nasal drainage.
2) The nutrition assessment identifies two problems - malnutrition from decreased intake and increased nutrient needs for wound healing of a pressure ulcer.
3) The nutrition prescription recommends 1250-1600 calories per day, 50-75g of protein, and 1250mL of fluids to address the patient's needs and support wound healing. Close monitoring of intake and labs is planned.
TLCDBU-2016: Diabetes Emergencies
This document discusses managing diabetes emergencies such as high blood glucose levels and ketones. It provides guidance on correcting high blood glucose and ketone levels, identifying the cause, and learning from the experience. Specific tips are given for fluid management and insulin adjustments when sick with high blood glucose and ketones. Signs for when to call the diabetes care team are outlined. Instructions are also provided for using mini-dose glucagon to treat hypoglycemia during illness. The presentation aims to help patients and care teams find patterns in blood glucose levels to better manage diabetes and emergencies.
Basic Insulin Pumping
This document provides information about basic insulin pumping. It describes what an insulin pump is, potential benefits, and challenges. It discusses calculating basal rates, bolus doses, and correction factors. It provides guidance on pump maintenance like changing sites and settings. It addresses common questions around pump use, troubleshooting, and ensuring settings are optimized. The overall message is that pumps require diligent self-care and monitoring to achieve good blood sugar control.
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This document provides 10 practical tips to help manage type 1 diabetes. It begins with an overview of managing glucose flux and drift, understanding how diabetes tools like insulin, food, exercise, and monitors work and their limitations. It emphasizes recognizing trends versus randomness, making prudent changes, and treating diabetes management like a team sport. The document also covers common emergencies, how other factors like family impact management, and new developments in type 1 diabetes treatment. It aims to help readers better understand and control their condition through mastery of these diabetes management principles and tools.
Diabetes
This document discusses types of diabetes, methods for diagnosing diabetes, goals and treatment for diabetes, carbohydrate counting, medication options, dawn phenomenon and Somogyi effect, complications of uncontrolled diabetes, types of insulin and their onsets and durations. It describes type 1 diabetes as insulin deficient, type 2 as insulin resistance, and gestational diabetes criteria. It also lists common high, medium, and low glycemic index foods and provides examples of portions for various food groups in carbohydrate counting.
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PCOS can negatively impact mental health due to various factors such as stress from PCOS symptoms, genetic predisposition, chronic inflammation, abnormal hormone levels like anovulation and low progesterone, insulin resistance, and some birth control pills. Adopting an anti-inflammatory diet through weight loss, reducing sugar intake, and time-restricted eating as well as addressing insulin resistance by lowering carbohydrates, avoiding snacking, getting enough sleep, and reducing sitting can help improve mental health issues related to PCOS.
How to Keep Your Child with Diabetes Out of the Hospital or ER
No, it is generally not recommended to treat high blood sugars and ketones with an insulin pump alone. When a person has both high blood sugar and ketones, it means they require more insulin than their basal rates can provide. It is safer in this situation to treat with injections of rapid-acting insulin until blood sugar and ketones start to improve. The pump basal rates may need to be increased temporarily as well. Treating only with the pump risks not delivering enough insulin quickly enough to address the problem. Shots provide a larger, faster-acting dose that is more appropriate in this medical emergency situation.
Keeping your child with diabetes out of the hospital prewebinar material
This slide deck is material for preparation for the August 19th 2014 Webinar by the same title to be presented at 7:30-9:00PM Central Standard Time in the USA. To register for the webinar go to
https://baylorscottandwhiteevent.webex.com/mw0307l/mywebex/default.do?siteurl=baylorscottandwhiteevent
Infographic - Ketogenic Diet
The ketogenic diet is a high-fat, low-carbohydrate diet that is prescribed by physicians and monitored by dietitians to help control seizures, especially in children with Lennox-Gastaut syndrome whose seizures are resistant to medication. It works because without carbohydrates, the body uses fat as its primary fuel which produces ketones that may have an anticonvulsant effect in the brain. Strict adherence is required by carefully measuring calories, fluids and proteins. While difficult for adults to follow long-term, a modified Atkins diet can achieve similar effects.
Managing Diabetes During Illness
Diabetes management requires good planning so when something like an illness sneaks in, it can throw everything off. Knowing what to do when you are sick can help cut down on the worry and panic.
Liberty Medical
Diabetes Destroyer
This document summarizes a book called "The Diabetes Destroyer" that claims to provide a method for permanently reversing diabetes. It describes how the author, David Andrews, was able to cure his type 2 diabetes after being hospitalized. His friend Jonathan conducted additional research and they developed a unique method using diet and lifestyle changes to control insulin levels. The book contains their findings on managing diabetes naturally and reversing it within 4 weeks by regulating insulin production and glucose levels without medication. It claims readers can learn the "hidden secrets" doctors don't share to cure diabetes, even pre-diabetes, in as little as one week. Links are provided to posts about the book on Facebook, Pinterest, Google Plus and Academia.edu
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This document discusses exercise guidelines and considerations for clients with diabetes. It defines the two main types of diabetes - type 1 where the body does not produce insulin and type 2 where cells are resistant to insulin. Exercise is beneficial for both types as it enhances glucose usage in muscles, improving blood sugar control. The document recommends low impact activities like cycling, walking and water aerobics from 20-60 minutes, 4-7 days per week at 50-90% of maximum heart rate. It stresses being aware of signs of hypoglycemia as exercise can lower blood sugar for hours after. Clients should check blood sugar before, during and after exercise and always have a carbohydrate snack available.
Review paper presentation
Early onset diabetes in fathers can lead to lower insulin secretion in offspring, according to studies of metabolic phenotypes and offspring of parents with and without diabetes. Additionally, children diagnosed with diabetes before age 15 are more likely to develop worse renal outcomes than those diagnosed after 15, as the disease acts as an autoimmune condition and causes microalbuminuria. New treatments like insulin pump therapy provide advantages over multiple daily injections for children with diabetes by allowing better glucose control and improved quality of life.
BRM Experimental Autoimmune Encephalomyelitis Models
"The LEW.1WR1 rat is the only model so far that exhibits a low incidence of spontaneous diabetes that can be increased by perturbation. By far the most extensively studied of the models are the two BB rat strains, but all of them have provided interesting information. There are to date no rat models based on the insertion of transgenes, though genetic complementation has been used elegantly to identify the genetic defect in Komeda rats."
Taking Medications Insulin
TAKING MEDICATIONS Why take insulin? How does Insulin work?
Diabetes is a progressive condition. Depending on what type a person has, their healthcare team will be able to determine which medications they should be taking and help them understand how your medications work. They can demonstrate how to inject insulin. Effective drug therapy in combination with healthy lifestyle choices, can lower blood glucose levels, reduce the risk for diabetes complications and produce other clinical benefits.
The goal is for the patient to be knowledgeable about insulin, including its action, side effects, efficacy, toxicity, prescribed dosage, appropriate timing and frequency of administration, effect of missed and delayed doses and instructions for storage, travel and safety.
Eat Healthy To Feel Healthy
The document discusses the ketogenic diet and how it can help with weight loss and health conditions. Key points:
- When carbohydrate intake is limited, the body uses fat for fuel instead of carbohydrates, making it difficult to store fat.
- Two children and one adult saw a 90% reduction in seizures by achieving ketosis on the Atkins diet.
- Staying hydrated is important on a keto diet by drinking at least 3 liters of water per day for men and 2.4 liters for women.
- The author lost weight and improved their health using a low carb ketogenic diet after struggling with cancer and hypoglycemia.
British lt pp metabolic syndrome for forum 30.10.11.24.00
Pia Gali de Morgenstern. Module 8. Learning Technologies for the Classroom. British Council. Venezuela
DM2 and CHD Case Study
Mrs. Douglas, a 76-year-old female with type 2 diabetes, hypertension, and a history of heart failure and myocardial infarction, was admitted to the hospital for shortness of breath and swelling in her legs. Her lab values show elevated glucose, sodium, cholesterol, and triglycerides. A nutrition assessment found she consumes around 1800 calories daily but could benefit from following a cardiac diet lower in sodium, saturated fat and refined carbohydrates. A 1500 calorie diet is recommended for weight loss and heart health upon discharge.
Celiac disease
CD is an autoimmune disease where ingesting gluten damages finger-like projections (villi) in the small intestine, preventing nutrient absorption. It affects people genetically susceptible and is diagnosed through blood tests detecting antibodies and intestinal biopsies. Managing CD requires a strict lifelong gluten-free diet to avoid symptoms like diarrhea, weight loss, and malnutrition. While there is no cure, following the diet can control the disease.
2014 typeonenation pump talk for nurses Austin, Texas June 21
Slide Deck for the 2014 School RN talk on Insulin Pump use by Stephen Ponder MD, FAAP CDE on June 21, 2014 in Austin, Texas at the TypeOneNation conference.
Stop Diabetes-Pregnancy-2.ppt
The document discusses diabetes mellitus (DM) in pregnant women. Gestational diabetes mellitus (GDM) is glucose intolerance during pregnancy and its prevalence is increasing due to sedentary lifestyles and changes in diet. As pregnancy progresses, insulin resistance develops necessitating increased insulin secretion. When this compensation is inadequate, GDM develops. Women with GDM are at increased risk of future diabetes and their children are also at higher risk. Screening and managing GDM can help prevent transmitting glucose intolerance between generations.
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Silverline Hospital has a team of highly experienced and dedicated professionals who treats all kinds of endocrine disorders and diabetic problems in children and teens including thyroid diseases and other hormonal. Silverline Hospital is one of the best diabetic clinics in Cochin which has got MEDIGO and NABH accreditation. Silverline hospital has a team for diabetes management, including the best diabetologist in Kochi, dietician, psychologist and other experts, ensuring complete quality treatment and care that help your child get back on track.
Agyeman.finalminicase.doc
1) The patient is a 68-year-old female with a history of cancer, malnutrition, and pressure ulcers who has lost 40 pounds over the past year and has difficulty eating due to gagging from nasal drainage.
2) The nutrition assessment identifies two problems - malnutrition from decreased intake and increased nutrient needs for wound healing of a pressure ulcer.
3) The nutrition prescription recommends 1250-1600 calories per day, 50-75g of protein, and 1250mL of fluids to address the patient's needs and support wound healing. Close monitoring of intake and labs is planned.
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This document discusses managing diabetes emergencies such as high blood glucose levels and ketones. It provides guidance on correcting high blood glucose and ketone levels, identifying the cause, and learning from the experience. Specific tips are given for fluid management and insulin adjustments when sick with high blood glucose and ketones. Signs for when to call the diabetes care team are outlined. Instructions are also provided for using mini-dose glucagon to treat hypoglycemia during illness. The presentation aims to help patients and care teams find patterns in blood glucose levels to better manage diabetes and emergencies.
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This document provides information about basic insulin pumping. It describes what an insulin pump is, potential benefits, and challenges. It discusses calculating basal rates, bolus doses, and correction factors. It provides guidance on pump maintenance like changing sites and settings. It addresses common questions around pump use, troubleshooting, and ensuring settings are optimized. The overall message is that pumps require diligent self-care and monitoring to achieve good blood sugar control.
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This 15-year-old male presented with polyuria, fatigue, and weight loss over the past month. His labs showed severely elevated blood glucose and ketones, along with an A1C of 13%. He was diagnosed with type 1 diabetes and started on basal and bolus insulin therapy. Type 1 diabetes results from beta cell destruction leading to insulin deficiency, whereas type 2 diabetes involves insulin resistance along with relative insulin deficiency. This patient's presentation with ketoacidosis and need for insulin therapy indicates he has type 1 rather than type 2 diabetes.
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This document provides information and advice for managing the emotional challenges of living with type 1 diabetes (T1D). It discusses how the demands of diabetes management can take an emotional toll on families and lead to distress, conflicts, burnout and feelings of being overwhelmed. It emphasizes that distress and burnout are common for all families dealing with T1D and offers suggestions for recognizing signs that outside support is needed. The document provides recommendations for setting realistic goals, using positive language, praising diabetes management behaviors, finding humor, getting support and focusing on living well with T1D despite the challenges.
TLCDBU-2016: Road to the artificial pancreas 2016
Researchers are making progress toward the artificial pancreas (AP) with 2016 focusing on real-world testing of algorithms. Key areas of interest for 2017 include transparency of researcher methods and data, effort required by patients, and reimbursement discussions. Continuous glucose monitoring accuracy and wear time remain barriers, as do pump reliability and immune responses. Both algorithmic and heuristic approaches are being studied, with personalization seen as important. Success has also come from grassroots integration and sharing of existing technologies.
TLCDBU-2016: How, when and why to use advanced features
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TLCDBU-2016: Sugar Surfing workshop - Dr. Steven Ponder
This document contains notes from a presentation on Sugar Surfing, which is described as a metaphor for "Dynamic Diabetes Self-Management" that goes beyond fixed dosing formulas. It involves learning to steer one's glucose responses in the moment using pattern management. Examples are provided of glucose readings from individuals of various ages who practice Sugar Surfing, demonstrating how it can be done regardless of insulin method or diet. Key concepts of Sugar Surfing like pivots, drops, shelves and following trends are defined and illustrated with graphs.
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This document discusses how people with diabetes can participate in sports and exercise safely by managing their blood glucose levels. It explains that all sports are allowed for people with diabetes, but they need a plan to monitor and adjust insulin doses and carbohydrate intake before, during, and after physical activity, as exercise can either increase or decrease blood glucose depending on its intensity and duration. The document provides specific tips, such as checking blood sugar more frequently during exercise and consuming carbohydrates to prevent or treat low blood sugar. It emphasizes the importance of education coaches and teammates about diabetes management as well as having necessary supplies available for physical activity.
Challenging Food Situations
Meaghan Anderson presented on challenging food situations for people with diabetes. She discussed macronutrients and their impact on blood glucose, how to calculate carbohydrates and estimate insulin needs. She explained glycemic index and load, and emphasized the importance of chewing food and using carb counting to estimate blood sugar impact of meals.
Avanced Pumping Techniques
This document provides information on using temporary basal rates and advanced bolus options on insulin pumps. It discusses when to increase or decrease temporary basal rates for situations like illness, exercise, or fasting labs. Examples are given of setting temporary basal rates for activities like basketball practice when blood sugar may run low. The document also covers normal, extended, and dual/extended bolus options and provides examples of when each would be best for different types of meals. The concept of a "super bolus" is introduced which delivers additional insulin by suspending part of the basal rate. Tools for reminders and multiple basal patterns are also mentioned.
Count Your Carbs & Eat Them Too!
This document provides information on counting carbohydrates for managing blood sugar levels for those with diabetes. It discusses that carbohydrates have the greatest effect on post-meal blood sugar, and counting carbs allows for better glucose control and more flexibility. Standard serving sizes are outlined for various food groups containing carbohydrates like breads, fruits, milk, and starchy vegetables. Artificial sweeteners and proper portion sizes are also discussed as important factors for blood sugar management.
Social media 032415
This document discusses the benefits and cautions of using social media related to diabetes. It provides examples of social media platforms and blogs for connecting with others about diabetes experiences and education. Key benefits highlighted include accessing real-time support, educational content, and humor from others dealing with diabetes. However, cautions mentioned include varying treatment needs between individuals, relying too heavily on social media, and potential online safety issues.
Getting support 032415
This document discusses types of support for managing diabetes and provides suggestions for building a supportive network. It identifies emotional and hands-on support, potential support people like family, friends, and care teams, and recommends asking supports to help with specific diabetes tasks. The document also notes that communicating treatment needs calmly, praising behavior, and problem-solving together are most helpful, while blaming, shaming, nagging or denying worries are not supportive. It encourages expressing experiences to gain support and finding balance through fun family activities and self-care.
Living well 032415
This document discusses the challenges of managing diabetes and the toll it can take on families. It notes that while behavior is important for blood glucose control, many other factors also influence levels. Parents often feel responsible for blood glucose numbers outside of their control. The document acknowledges that distress, burnout, conflicts and feeling overwhelmed are common experiences for families dealing with diabetes. However, it provides suggestions for improving diabetes management and quality of life, such as focusing on strengths, catching children being good with their management, using praise over criticism, setting realistic goals, and finding humor.
How, When and Why to Use Advanced Insulin Pump Features
This presentation was authored by Meaghan Anderson MS RD LD CDE, Senior Diabetes Clinical Manager-Houston North - Medtronic Diabetes specially for the Advanced Diabetes Seminar at TLC on April 26, 2014.
Grand parents day cho counting
This presentation was authored by Meaghan Anderson MS RD LD CDE, Senior Diabetes Clinical Manager-Houston North - Medtronic Diabetes specially for the Advanced Diabetes Seminar at TLC on April 26, 2014.
Sweet & low
This document provides guidance on treating low blood sugar, including what to do if someone is unconscious or seizing. It discusses the contents of a "go bag" for treating low blood sugar, such as glucose tabs, juice boxes, candy, glucose gel/honey packets, and Glucagon. It outlines the "Rule of 15" for treating low blood sugar - giving 15 grams of carbohydrates, waiting 15 minutes, then rechecking blood sugar and repeating if needed. It provides instructions for using gel/honey if the person cannot eat or swallow, and using Glucagon if they are unconscious or seizing. The document also briefly discusses guidelines for treating high blood sugar.
Getting down to basics
Authored by Brant P. Foster, RN, a long time friend and contributor to the Texas Lions Camp. This seminar is for the Advanced Diabetes Seminar 2014 at TLC.
Basics of insulin pump theory
Authored by Brant P. Foster, RN, a long time friend and contributor to the Texas Lions Camp. This seminar is for the Advanced Diabetes Seminar 2014 at TLC.
Grandparents: Role on the Diabetes Team
This is a presentation authored and presented by my friend and colleague at Baylor College of Medicine, Dr. Barbara Anderson. This is a module in the 2014 Advanced Diabetes Seminar at Texas Lions Camp.
During this presentation, Dr. Anderson dives deeper to provide insight into the timely and relevant topic: “Grandparents have an important role on the diabetes team.”
Diabetes Family Teamwork with Teens: What is Success?
This is a presentation authored and developed by my friend and colleague Dr. Barbara Anderson of Baylor College of Medicine. The presentation is a module in the 2014 Advanced Diabetes Seminar, hosted by Texas Lions Camp.
In this discussion, Dr. Anderson dives into the topic of “Diabetes Family Teamwork with Teens: What is Success?”
Designing for Special Needs Children
Architects and architecture play a critical role in creating an inviting and safe atmosphere for the end user, but they are not clairvoyant about client culture. Organizations are best served and more likely to achieve their desired outcome by spending time educating designers about their organizational culture, vision and what will spell success when the project is completed.
The more information about the organization concerning outcomes and results that can be conveyed before the design phase even commences, the more likely the desired outcome will be achieved.
It was my privilege to present some of these ideas at the Texas Society of Architects in Austin.
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Sailing Around Common Diabetes Emergencies
- 1. Sailing around common diabetes emergencies Barb Schreiner, PhD, APRN, CDE
- 2. Navigate a diabetes emergency • Correct the blood glucose • Chase down the cause • Consider what you learned
- 3. High BG, ketones, sick days • 2 key concepts: fluids and insulin • What ketones tell you • Fluid management • Insulin adjustments
- 4. Time Blood glucose Ketones What to do ? 7 AM 450 Large 9 AM 380 Large 12 N 350 Moderate 2 PM 260 Moderate 4 PM 346 Small 6 PM 230 Moderate 9 PM 180 Moderate
- 5. When would you call the diabetes team? Yes No, not yet Situation Gave 3 extra doses and child no better (still sleepy and won’t drink) Gave 2 extra doses, child drinking and eating well, ketones coming down Fever, won’t drink Breathing hard, looks sick Sore throat, blood glucose high but no ketones BG high, no ketones, gave usual AM dose, now child won't eat Child vomited twice, BG normal, small ketones, due for supper dose
- 6. Mini Dose Glucagon Rescue for hypoglycemia during illness • Check with your diabetes team • Use for: – BG less than 80 AND – Stomach illness with nausea or vomiting Age Initial Dose (glucagon drawn with an insulin syringe) 2 years and younger 2 units (20 mcg) 2 to 15 years old 1 unit (10 mcg) for year of age 15 and older 15 units (150 mcg)
- 7. Mini Dose Glucagon Rescue for hypoglycemia during illness • BG may rise 60-90 mg/dl; last about one hour. • When to repeat • How to store unused Age Initial Dose (glucagon drawn with an insulin syringe) 2 years and younger 2 units (20 mcg) 2 to 15 years old 1 unit (10 mcg) for year of age 15 and older 15 units (150 mcg)
- 8. Finding patterns in the chaos • What are your BG goals? • When are BG levels out of target? • Why are the BG levels out of target? • How will you bring the BG levels back into target?
- 9. When are levels out of target Brk Lu Su Brk AA BB CC DD EE FF Brk Lu Su Brk AA BB CC DD EE FF Brk Lu Su Brk AA BB CC DD EE FF
- 10. Why are levels out of target? • Insulin • Sites • Growth • Hypo • Ketones • Exercise • Diet • Life • Technical