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Diabetes Care Tasks at School: What Key Personnel Need to Know. DIABETES BASICS. Overall Goal: Optimal Student Health and Learning. Hypoglycemia & Hyperglycemia. Monitoring Blood Glucose. Ketones. Health & Learning. Legal Rights. Glucagon Administration. Exercise. Insulin

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Presentation Transcript
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Diabetes Care Tasks at School:

What Key Personnel

Need to Know

DIABETESBASICS


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Overall Goal: Optimal Student Health and Learning

Hypoglycemia & Hyperglycemia

Monitoring

Blood Glucose

Ketones

Health

&

Learning

Legal

Rights

Glucagon

Administration

Exercise

Insulin

Regimen

Nutrition


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Learning Objectives

Participants will learn:

  • What is diabetes?

  • Why care at school is required

  • Basic components of diabetes care at school

  • Short and long term consequences of diabetes


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What is Diabetes?

Body does not make or properly use insulin:

  • no insulin production

  • insufficient insulin production

  • resistance to insulin’s effects

    No insulin to move glucose from blood into cells:

  • high blood glucose means:

    • fuel loss. cells starve

    • short and long-term complications


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Type 1 Diabetes

  • auto immune disorder

  • insulin-producing cells destroyed

  • daily insulin replacement necessary

  • age of onset: usually childhood, young adulthood

  • most prevalent type of diabetes in children and adolescents


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SYMPTOMS:

increased urination

tiredness

weight loss

Type 1 Diabetes

ONSET:

relatively quick

increased thirst

hunger

blurred vision

uncertain, likely both genetic and environmental factors

CAUSE:


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Type 2 Diabetes

  • Insulin resistance – first step

  • Age at onset:

  • Most common in adults

  • Increasingly common in children

  • overweight

  • inactivity


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Type 2 Diabetes

some children show no symptoms at diagnosis

in children

variable timeframe

ONSET:

tired, thirsty, hunger, increased urination

SYMPTOMS:


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Diabetes is Managed,But it Does Not Go Away.

GOAL:

To maintain target blood glucose


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Diabetes Management 24/7

Constant Juggling:

Insulin/medication

with:

Exercise

Food intake

BG

BG

&

BG


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Diabetes Management

Proactive

  • keep juggling the balls

Reactive

  • a response is indicated

  • corrective actions for highs or low

  • emergency intervention


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Assistance in Diabetes Management

Routine Care:

  • Many students will be able to handle all or almost all routine diabetes care by themselves

  • Some students, because of age, developmental level, or inexperience, will need help from school staff.

    Urgent Care:

  • Any student with diabetes may need help with emergency medical care.


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Care in the Schools: School Nurses and Others

Nurse most appropriate to:

  • Supervise diabetes care

  • Provide direct care (when available)

    However, a nurse is not always available.

    Non-medical school staff can be trained to assist students

  • For both routine and emergency care

  • Including insulin and glucagon injections


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Diabetes Medical Management Plan

  • A Diabetes Medical Management Plan (DMMP) should be implemented for every student with diabetes.

  • DMMP is

    • developed by the student’s personal health care team and family and signed by a member of student’s personal health care team

    • implemented collaboratively by the school diabetes team, including:

      • school nurse

      • the student

      • parents/guardians

      • other school personnel


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Elements of a DMMP

  • Date of diagnosis

  • Emergency contact information

  • Student’s ability to perform self-management tasks at school

  • List of diabetes equipment and supplies

  • Specific medical orders for blood glucose monitoring, insulin, glucagon, and other medications to be given at school

  • Meal and snack plan

  • Exercise requirements

  • Actions to be taken in response to hypoglycemia and hyperglycemia


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Quick Reference Plan

  • Development based on information from students DMMP

  • Summarizes how to recognize and treat hypoglycemia and hyperglycemia

  • Distribute to all personnel who have responsibility for students with diabetes


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Where to Get More Information

American Diabetes Association

1-800- DIABETES

www.diabetes.org

National Diabetes Education Program/NIH

www.ndep.nih.gov


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