1.diabetes basics what school personnel should know slideshow

8/8/2019 1.Diabetes Basics What School Personnel Should Know Slideshow

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Diabetes Care Tasks at School:Diabetes Care Tasks at School:What Key PersonnelWhat Key Personnel

Need to KnowNeed to Know

Diabetes Care Tasks at School:Diabetes Care Tasks at School:What Key PersonnelWhat Key Personnel

Need to KnowNeed to Know

DIABETESDIABETES BASICSBASICS


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Overall Goal:

Optimal Student Health and Learning

Exercise

LegalRights

GlucagonAdministration

Health

&

Learning

NutritionNutrition

InsulinRegimen

KetonesKetones

MonitoringMonitoring

BloodBloodGlucoseGlucose

HypoglycemiaHypoglycemia

&&HyperglycemiaHyperglycemia


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Learning ObjectivesLearning Objectives

Participants will learn:

4 What is diabetes?

4 Why care at school is required

4 Basic components of diabetes care at school

4 Short and long term consequences of diabetes


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What is Diabetes?Bodydoes not make or properlyuse insulin:

no insulin production

insufficient insulin production resistance to insulins effects

No insulin to move glucose from bloodinto cells:

high blood glucose means:fuel loss. cells starveshort and long-term complications


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Typ

e 1 Diabetesy auto immune disorder

y insulin-producing cells destroyed

y age of onset: usually childhood, young adulthood

y daily insulin replacement necessary

y most prevalent type of diabetes in childrenand adolescents


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SYMPTOMS:

Type 1 Diabetes

increased urinationtirednessweight loss

CAUSE: uncertain, likely both genetic andenvironmental factors

increased thirsthungerblurred vision

ONSET: relatively quick


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Type 2 Diabetesy Insulin resistance first step

y

Age at onset:y Most common in adults

y Increasingly common in children

y overweight

y inactivity


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SYMPTOMS:

ONSET:

Type 2 Diabetes

some children show nosymptoms at diagnosis

in children

variable timeframe

tired, thirsty, hunger,increased urination


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Diabetes is Managed,But it Does Not Go Away.

GOAL:To maintain target

blood glucose


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Constant Juggling:

Insulin/medication

with:

Exercise

Food intake

Diabetes Management 24/7

BGBG

BGBG

BGBG

&


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Diabetes Management

Proactive

a response is indicated

corrective actions forhighs or low

emergency intervention

keep juggling the balls

Reactive


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Assistance inDiabetes 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 trainedto 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 beimplemented for every student with diabetes.

DMMP is developed by the students personal health care team and family and

signed by a member of students personal health care team

implemented collaboratively by the school diabetes team, including:

sch

ool nursethe studentparents/guardians

other school personnel


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Elements of a DMMP4 Date of diagnosis

4 Emergency contact information

4 Students ability to perform self-management tasks at school

4List of diabetes equipment and supplies

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

4 Meal and snack plan

4Exercise requirements

4 Actions to be taken in response to hypoglycemia and

hyperglycemia


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Quick Reference Plan

y Development based on information from

students DMMP

y Summarizes how to recognize and treat

hypoglycemia and hyperglycemia

y Distribute to all personnel who haveresponsibility for students with diabetes


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Where to Get More Information

American Diabetes Association1-800- D

IABETESwww.diabetes.org

National Diabetes Education Program/NIH

www.ndep.nih.gov

1.diabetes basics what school personnel should know slideshow

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