Diabetes for Educators. Prepared by Rhonda Philliber, RN. 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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Rhonda Philliber, RN
Hypoglycemia & Hyperglycemia
Body does not make or properly use insulin:
No insulin to move glucose from blood into cells:
To maintain target blood glucose
Glucose - a simple sugar found in the blood; the fuel that all body cells need to function.
HYPOglycemia - a LOW level of glucose in the blood.
Quick-acting glucose - foods containing simple sugar that raises blood glucose levels
Glucose tablets or gel - special products that deliver a pre-measured amount of pure glucose; a fast-acting form of glucose used to counteract hypoglycemia
Glucagon - a hormone given by injection that raises the level of glucose in the blood
Carbohydrate - source of energy for the body
HYPERglycemia - too high a level of glucose in the blood
Ketones - (ketone bodies) Chemicals that the body makes when there is not enough insulin in the blood and the body must break down fat for its energy
Diabetic ketoacidosis (DKA) -the build up of ketones in the body that can lead to serious illness and coma
Ketone testing - a procedure for measuring the level of ketones in the urine or blood
Increased heart rate/palpitations
Moderate to Severe Symptoms
Inability to swallow
Have student eat or drink fast acting carbs (15g)
Treatment for Lows: 15 g Carbohydrate
Rare, but life threatening, if not treated promptly:
Monitor blood-glucose variations on gym days, an extra snack may be required ½ hour before gym or during prolonged vigorous exercise.
Hyperglycemia:Possible Signs &Symptoms
Dry mouth Vomiting
Stomach cramps Nausea
Lack of concentration Thirst
Frequent urination Blurred vision
Flushing of skin Increased hunger
Sweet, fruity breath Weight loss
Fatigue/sleepiness Stomach pains
Goal: lower the blood glucose to a target range
American Diabetes Association
National Diabetes Education Program/NIH