anupama rau attawar no of children camps 212 content

Issue : 05 / January /2014

CDiC - INDIA Newsletter


Reaching Out DashBoard

ContentEditorial desk

CDiC - Journey till now

CDiC - The last few months

HCP training

Children camps

Diabetes education tools

CDiC in print media

Talking diabetes in school

Having type 1 diabetes

Diabetes educators column

2014 Diabetes education camp planner

No of Children 4026

212No of Children Camps

No of HCPs Trained 1782

Editorial committee:

Dr. K.M. Prasanna Kumar

P. Dinakaran

Dr. Shuchy Chugh

Dr. Neera Gupta

Anupama Rau Attawar


Dear Colleagues

It gives me immense pleasure to wish you, your family and all your dedicated staff a very happy and prosperous new year 2014. I will like to congratulate all of you and Novo Nordisk Education Foundation for your unrelenting efforts over the last 27 months, for good diabetes care with commitment and passion to more than 4000 children with type 1 diabetes registered in the CDiC program. During this period we have achieved a great leap forward and we need to work together to move ahead towards innovative ways to scale up and to make these efforts sustainable in the long term. Working together prevents “burnout” and the fatigue that comes with managing a chronic illness. I wish this new year brings new hope, joy and health in the lives of all our children with type1 diabetes, Let’s move together with best of our ability to support and help the child with type 1 diabetes, control diabetes.

With Best Wishes Prof. Ashok Kumar Das

Dear Friends

I will like to thank all of you for supporting this largest initiative for children with type 1 diabetes. Without your partnership & commitment, we would not have been able to offer best possible care to these needy children. This programme is built on a long drawn commitment from Novo Nordisk towards better management of diabetes. Last 2 years have been fulfilling in many ways and this would not have been possible without your concrete efforts.

Thanks for your support and guidance and we are sure that we will keep getting your wholehearted care in the coming years.

With Best Wishes and greetings for a very happy and fulfilling New Year 2014

Melvin D’souza, Managing Trustee NNEF & Managing Director Novo Nordisk India Pvt Ltd

Editorial desk

Dear Colleagues and Friends,Wishing you and your family a very happy new year 2014. It gives me immense satisfaction to share that we now have 4026 children with type 1 diabetes registered in the CDiC program. I wish to congratulate each one of you for this achievement, as this has been made possible, only because of all your dedication and commitment to this noble cause. Our continued efforts for proper diabetes care for these children along with the systematic children diabetes camps conducted during the year, are yielding positive outcomes, since more children are now having good control. Let’s increase our efforts for conducting children diabetes camps, as it can also help reduce lost to follow-up cases. We are getting useful data on this large population, our joint efforts on utilizing this useful information can go a long way in improving our understanding of type 1 diabetes and creating standard line of treatment for these children.

Also, I would like to invite all of you for the 2nd International consensus meet on diabetes in children on 12th & 13th April at Delhi.

I once again thank you for your passion and commitment.

With Regards, Dr KM Prasanna Kumar Chairperson CDiC


Today we have 21 centres operating across the country and 4026 children with type 1 diabetes from poor families are getting good diabetes care through them. The past 27 months have been challenging as well as rewarding. And the smiles on the faces on these little ones with diabetes, who with the CDIC program are now assured of getting the best possible treatment and care, makes our task worthwhile.

Infrastructure

• 21Centersand27satellitecentersacrossIndiawithleadingdoctorstakingcareof4,026childrenwithtype1diabetesfrompoorfamilies

Training & education

• 1,440doctorsand432Paramedicalstafftrained throughtype1diabetesworkshops

• 2accreditedHCPworkshopsconductedatMumbai andVellorerespectively

• Morethan2,000booksand1,500CD’sofISPAD bookontype1managementgiven

Free Insulin & supplies

• 3lakhvialsdistributedsofarcostingRs.4.2crores 11lakhsyringesworthRs.40lakhsdistributed

• 4,000Glucometersand18.5lakhglucosestripsfor monitoringcostingRs.3.69croresgiven

• HbA1cs,CBCs,Microalbumin,FundusandTSH> 50,000testsdoneatacostofRs.90lakhs

• Morethan19,000doctorconsultationsundertaken costingRs.39lakhs

Patient education

• Morethan200childrencampsconducted

• InnovativetoolslikeNOTTIdoll,Mishtibooks& video,Snakes&ladders,Makeahealthychange, Makeyourownplate,HbA1ccalculator,HypoKit madeanddistributedtoalltheparticipatingchildren inprogram

Diabetes registry & equipment

• Alldemographicandpatientrelateddatastoredin CRFsandinthesafecustodyofthecenters

• CollaborationtosyncwiththeGovernmentaldata basebeingpursued

Learning & outcome

• Firstinternationalconsensusmeetondiabetesin childrenconductedinJan2013

• BookletondiabetesinchildrenreleasedbyMichael Hurst,PresidentIDFatDiabetesIndia

• Write-uponPlayTherapypublishedinJOSH,Health andSmartlifeAdvertorialsseriesinitiated–Oct’13to Dec’14plannedwitheachcenterhead

• 2ndinternationalconsensusmeetondiabetesin childrenplannedon12th&13thApril2014

Changing Diabetes® in Children (CDiC) Journey till now


CDiC in the last few monthsCDiC India achieved a significant milestone in january 2014 by crossing and exceeding registration target of 4000, we now have a total of 4026 children registered in our CDiC main and satellite centres.

• IndianInstituteofDiabetes,the21stCDiCcentreat Thiruvananthapurambecameoperationalon15th November2013.

• WiththesupportfromthemainandsatelliteCDiC centres,morethan150WDDactivitieswere undertakenacrossthecountry.Wecovered82.7lakh stepsincreatingawarenessandeducationabout diabetes.

• AspartofWDDactivity,32diabeteseducation campswereconducted.Maintopicscoveredincluded livingwithtype1diabetes,dietandtype1 diabetes,exerciseandtype1diabetes,travelingand sickdaymanagement.

• A17setposteronkeyaspectsoftype1diabetes anditsmanagementwerereleasedin16mainand satellitecentresacrossIndia.

• 23walkswereconductedwhichincludedchildren, theirfamiliesandgeneralpublicandmorethan 6,500peopleparticipatedinthesewalks.

• 32drawingcompetitions,tohighlighttheneedfor goodhealthwereconducted.

• 36motivationalcampswhichhelpedinmotivating manychildrentotacklepsychosocialissuesandlive normalliveswereconducted.

• Diabeteseducationworkshopswereconducted forschoolteachersreachingto65teachersatKanpur andto175diabeteseducatorsatBangalore, Ahmedabad,KarnalandMumbai.

• Morethan200spotsinRadiocity,RedFMand RadioMantrawereplayedacrossindiawithmessages ontype1diabetesfromeachoftheCDiCdirectors.


HCP trainingTrainingofhealthcareprofessionalsisoneoftheintegralcomponentsoftheCDICprogramfocusedonenhancingtheircapabilitiesindiagnosisandtreatmentofchildrenwithtype1diabetes.In2013,wehadconducted13suchtrainings,whichincluded2accreditedHCPworkshopsconductedatMumbaiandVellorerespectively.Wealsoconductedspecificprogramesfocusedondiabeteseducators.UndertheguidanceofCDiCcentredirectors,wehavecreatedacurriculumandagendafordiabeteseducatorstraining.Inthiscurriculum,alongwithgeneralaspectsofmanagingtype1diabetes,specialcarehasbeentakentotraineducatorsonhandlingpsychosocialissueswhiledealingwithchildrenwithtype1diabetesandtheirparents.Techniquesenforcingpositivereinforcementweretaughtduringtheseworkshops.Morethan1000booksandCDsofISPAD’sbookontype1managementhavebeendistributed.WelookforwardtoconductmoresuchworkshopswiththecontinuedsupportoftheCDICcentersin2014.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

S.NO Date

20th Jan

20th Jan

21st Jan

24th Feb

17th Mar

17th Mar

31st Mar

31st Mar

14th April

25th May

8th Aug

30th Oct

10th Nov

13th Nov

16th Dec

20th Dec

Place

Bangalore

Pune

Bhubhaneswar

Raichur

Bilaspur

Tirupathi

Mumbai

Bangalore

Davanagere

Kanpur

Vellore

Bangalore

Kanpur

Ahmedabad

Karnal

Mumbai

Topic

Diabetes in children - consensus meet

Treating diabetes in children is different

Treating diabetes in children is different

Treating diabetes in children is different fromAdults

Type 1 diabetes in children

Diabetes in children




Diabetes educators workshop



School Teacher workshop




Consensus meet

Jehangir

KIDS

BDH

BDH

Diabetomics

Wadia

BDH

BDH

SPAD

M V Diabtes

BDH

SPAD

Diacare

Bharti

Wadia

Total

Center Name

311

34

30

35

21

23

110

62

88

92

93

35

67

16

5

115

1137

No of HCPsatended

HCP Training 2013


Toemphasizeandimplementdiabetesself-managementeducation,wehaveconducted116diabeteseducationcampsin2013.Thefocusinthesecampsarethreebasiccomponentstohelpchildrenmanagetheirdiabetesandlivesbetter.

1.Diabeteseducation

2.Experiencesharing

3.Funactivities.

Inthesecampsmanyimportantaspectsfortheirdaytodaydiabetesmanagementarecovered,viz

• Recognizingdifferenttypesofinsulin,learningtomix insulincorrectlyandtakinginsulinproperly

• Self-monitoringindiabetes,importanceoftimely checkingandsignificanceofeachindividualtest report

• HypoglycaemiaandHyperglycaemia,its preventionandtreatment

• Understandingbasicsofdiabetes

• ImportanceofHbA1cinpreventinganddelaying longtermcomplications

• Importanceofbalanceddietincludingdifference betweenwholegrainsandrefinedgrains

Children camps• Importanceof6mealsvs.largemeals.

• Starchexchangeandfruitexchange

• Diabetesandtheprevalingmyths

• Sickdayrules

• TravelingandDiabetes

Wealsohadspecialeducationsessionsinmanycentresonothersignificanttopicslikeexaminationanddiabetes,Ramzaananddiabetesandtalkingdiabetesiinschool.

Total

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

S.NO

22

21

20

City / Town

Bangalore

Bangalore

Hyderabad

Hyderabad

Chennai

Indore

Pune

Aurangabad

Delhi

Mumbai

Kolkata

Delhi

Patna

Bangalore

Mumbai

Karnal

Ahmedabad

Kanpur

Bhubaneswar

Mumbai

Trivandrum

Center

BDH

Samatuvam

Diabetomics

Tapadia

MVDRC

TOTALL

JEHANGIR HOSPITAL

SARDA

DDRC

Wadia

SSKM Kolkata

AIIMS

PMCH

IGICH

KEM - Mumbai

Barati

SPAD

KIDS

Hope & Care

IID

Other Camps

Diacare

Grand Total Recruited YTD

602

171

442

207

253

168

51

255

101

54

100

51

44

151

175

225

507

136

51

26

25

231

4026

23

9

8

8

5

1

7

6

2

2

4

2

2

10

1

2

10

9

1

1

3

No of Children Camps

116

No of Children covered

250

103

166

133

107

70

31

171

67

32

79

21

18

136

60

16

326

109

45

35

248

2223

No of Children attended

818

351

237

245

125

70

87

299

119

69

141

40

30

459

60

37

892

388

45

35

248

4795

Children Camp in 2013


Diabetes educational toolsTomakediabeteseducationeasyandmoreeffective,wehave

comeupwithmanyinnovativediabeteseducationtoolswhich

include Mishti story book (3 issues have been released, 4th

issue will be released shortly), NOTTI toy, Snakes and Ladders

game,“Makeahealthychange”folder,VisualAidforeducators,

HbA1cconvertorsforpatientsandHCPsandHypoKitareother

educationtoolswhichhavebeendistributedtoallthesechildren

andeducatorsatvariouscentres.Apartfromtheaboveeducation

materialswealsohavemadeasmallbooklet,”Livingwellwith

type1diabetes”fordistributiontoallchildrenregisteredthrough

NovoAidprogram.Thisismadeafterkeepinginconsideration

thatthesechildrenarecomingtodoctorsinremoteareas,far

fromCDiCcentresandcannotregularlycometoattendCDiC

diabeteseducationcamps.

“Make your own plate poster” is the latest education tool

whichisbeinggiventoallCDiCcentres.Thisistodemonstrate

that plate of a person with diabetes is not different from a

healthybalanceddiet.Creatingyourplateletsapersonchoose

thefoodshe/shewantstoeat,butchangetheportionsizes.One

cantryvarietyoffoodswithineachfoodcategory.Alloneneeds

isaapproximately9-inchsizeplate.Putanimaginarylinedown

themiddleoftheplate.Thenononeside,cutitagainsothere

are3sectionsinaplate.

1. Fillthelargestsectionwithnonstarchyvegetablessuchas:

spinach, carrots, lettuce, greens, cabbage, cucumber, green

beans, broccoli, cauliflower, tomatoes, okra, mushrooms,

peppers,turnipetc.

2.Nowinoneofthesmallsections,putstarchyfoodssuchas:

wheat chapatti, rice, preferbly whole grains. Cereals such as

oatmeal or corn flakes, pasta, noodles, potatoes, green peas,

corn,limabeans,sweetpotatoes.Youcangettheapproximate

ideaofportionbylookingintoexchangelistinthatgroup.

3.On theother small section,putyourproteinsormeat such

as: wholepulses,grams, soybean ,chicken ,fish suchas tuna,

salmon,cod,orcatfish,tofu,eggs,low-fatcheese/Paneer.

4.Addasmallbowlforyourfruitanddairyproducts.

5. Exchange list programswill give childrenamore structured

systemtocontrolbloodglucosealongwithflexibility tocreate

theirownmenus. It containsgroupofmeasured foodsof the

samecalorificvalueandsimilarproteins,fatsandcarbohydrates

andcanbesubstitutedforoneanotherinamealplan.Aperson

isallowedacertainnumberofexchangechoicesfromeachfood

listperday ( asdirectedbydoctorordietician). Foods canbe

substituted for each other within an exchange list, e.g. Fruit

Exchange1Smallapple=1/2mediumbanana=1/2mango=3

dates=11/4cupwatermelon=1

small chikoo= 1&1/2 guava

=15 grapes=1 orange= 1/2

pomegranate=1 kiwi =2 figs =

2-3sliceofpapaya=3plums=2

slicepineapple.


CDiC in print mediaIn the face of the huge pandemic of type 2 diabetes, problems faced by children with type 1 diabetes (less than 5%) are often over looked. Families need help to cope with the condition, while learning about diabetes and its management. This calls for support not just from health care professionals and family but also from society too. Good awareness and support are essential in ensuring optimal care and improved quality of life for children and young people with diabetes. To create this awareness advertorials on type1 diabetes were placed in leading newspapers and journals which included; Times of India, The Week, Smart life and JOSH(Journal of Social Health and Diabetes) etc.


Talking diabetes in school

Recently, many cases have been reported by various CDiCcentres, that children have been denied admission in aparticularschoolbecauseofhavingtype1diabetes.

“TalkingDiabetesinschool”campaignistocreateawarenessamong schools. This is essential to create healthy andsupportiveenvironmentforthechildwithtype1diabetesinschoolasachildspend6-8hoursintheschool.Thiscampaignaimstostopanykindofdiscriminationforchildrenwithtype1 diabetes and create a safe environment for every childwithtype1diabetesinschool.Wehavemadepresentationsconsistingoffollowingthreesectionsforeducatingteachers:

• BasicsofDiabetes

• Type1Managementinschools

• PreventionandManagementofDiabetes

The first program was conducted on 10th November atKanpur.65teachersattendedthisprogram.ItwillbegreatifwecandoaprogramforteachersthrougheachoftheCDiCcenter.

Wearealsoplanning todoane-mail campaigning to stopdiscriminationforchildrenwithdiabetes.Wewillbesendingthe mailer campaign for the centers and would request tosendthesametoschools intherecities.Pleaseletusknowyourfeedbackandsuggestionsonthiscampaignwhichwillhelp us improve this activity. Kindly send your feedback [email protected].


Having type 1 diabetesGrowth and development are important indicators of a child’s overall health. If a child with diabetes has very good blood glucose control, growth and development should be normal. Appropriate weight according to height is a good indicator for child’s growth. It has been evaluated many times that people living with chronic illnesses report feelings of internalized devaluation, they are feeling shame, guilt and diminished self worth (1). When child with diabetes is either underweight or overweight, the self-esteem of child is further diminished. Helping children develop a healthy self-esteem is very important for any child and is more important for a child with type 1 diabetes.

To evaluate and screen whether child is having healthy weight, is underweight or is overweight or obese, BMI is a reliable calculator. It is a ratio calculated from height and weight.

Metric BMI Formula

BMI = (Weight in Kilograms / (Height in Meters x Height in Meters)

How is BMI interpreted for children and teens?

For children and teens, BMI is age and sex specific

and is often referred to as BMI-for-age. After BMI is calculated for children and teens, the BMI number is plotted on the BMI-for-age growth charts (for either girls or boys) to obtain a percentile ranking. Percentiles are also the most commonly used indicator to assess the growth of individual children.

Underweight- Less than the 5th percentile

Healthy weight- 5th percentile to less than the 85th percentile

Overweight- 85th to less than the 95th percentile

Obese - Equal to or greater than the 95th percentile

The interpretation of BMI-for-age differs by age and sex so if the children are not exactly the same age and of the same sex, the BMI numbers have different meanings.

Children with diabetes and BMI

Being overweight or being underweight is not good for any one. For children with type 1 diabetes, it is more important as weight can influence diabetes and diabetes can influence weight. Discuss with your doctor about ideal BMI & weight and repeat it at regular intervals not more than 6 months apart.

Being under weight and type 1 diabetes

Mostofthechildrenwhendiagnosedwithtype1 diabetes are underweight as undiagnosedoruntreated. Type1diabetescanmakepeople loseweightdespitehavinganormalorincreasedappetite.Once they’re diagnosed and treated properly,theirweightshouldreturntonormal.

Afterfewmonthsofstartingtreatment

• If the child with type 1 diabetes isunderweight,thenitindicatesuncontrolleddiabetes

• Any other auto immune or hormonalproblem like hyperthyroidism, celiacdiseases.

• If the child with diabetes is underweightandhis/hersugarsarecontrolledandthereisnootherproblem,thenitcanbeduetoinappropriatecalorierestricteddiet.

Excess body weight can be a problem forpeoplewithtype1diabetes.

• Someareoverweightbeforetheydevelopthe disease. And some may becomeoverweightafterdiagnosis if they try tocontrolbloodsugarlevelsonlybyinsulinand do not follow healthy eating andexercisehabits.

• Itcanalsobeduetootherautoimmuneorhormonalproblemlikehypothyroidism

• Overweightchildrenwithtype1diabetescanhave trouble controlling their bloodsugarlevelsasexcessbodyfatcanmakeit difficult for the body to use insulinproperly, which is similar to having acondition called as insulin resistancefoundinpeoplewithtype2diabetes.

Maintaining a healthy weightBeing over weight and type 1 diabetes

Maintaining a healthy weight can be a challenge forsome childrenwithdiabetes.Here are some commonproblemstowatchfor;

•Childorparentsaresofearfulofinsulinthattheyaremissinginsulinorgivinglessdoseofinsulinwhichcancausechildtobeunderweight

• Somechildrenwithdiabeteseattoomanysnacksbecause they or their parents are very fearful ofhypoglycaemia(lowbloodsugar).Thiscanleadthechildtobeoverweight.

• Childrenareallowedtohavesweetsorcandywithdose adjustment occasionally. Parents or childrenmay take higher doses of insulin with largequantityofsweets.Thiscyclecanleadtoexcessiveweightgain.

Byfollowingthedoctor’sadviceaboutfoodandexercise,childrencanreachandmaintainahealthyweight.Theyfeellikethey’remoreincontroloftheirdiabetes,theirbodies,andtheirhealth.Whenchildrenwithdiabetesreachandmaintainahealthyweight, they feelbetterandhavemoreenergyand they findmanagementofdiabetestobeeasier.

Ref:1.PersonB,BartholomewLK,GyapongMetal.Health‐relatedstigmaamongwomenwithlymphaticfilariasisfromtheDominicanRepublicandGhana.SocSciMed2009;68:30‐8.


This page is dedicated to diabetes educators, nurse educators, dieticians, social workers and parents who are involved in diabetes care. We hope you will find this column very useful and help us making it better through your valuable feedback and suggestions.

10 tips for the parents & the child with diabetes to travel tension free with diabetes

Lifeisajourneyanddiabetesacompanionwhichtravelsalongwithyou.Whenyouaretravellingwithdiabetesyouhavetotaketheneedsofyourdiabetesintoconsiderationtotravelsafeandenjoytravelandgoodhealth.Planningisthebestwaytomakesurethatyouenjoytheexperiencesoftravellingtonewplacesorvisitingfamilyandfriends.

Diabetes educators column

1. Alwayscarrydiabetessupplieswithyou, inyourhandbagor inaplace

easilyaccessiblewhetheryou’retravelingbysurface,rail,airorsea.Have

more thanenoughdiabetes supplieswithyou, incaseofextra stayor

emergency itwouldhelpyou. It is alwaysgood tocarryaprescription

letterfromyourdoctor,listingnameoftheinsulinandothermedications

youuse.Don’tforgettoincludeontheprescriptionletteritemssuchas

blood glucose testing equipment and syringes. This would help you if

yourdiabetessuppliesarelostorstolen.Theseprescriptionswillalsohelp

youthroughsecuritycheckpointsatairportsalso.Donotthinkyoucan

gowithoutinsulinforevenasingletimeofaday.Highbloodsugarlevels

evenforshortdurationcanmakeyoutired,exhaustedandmoreproneto

anyacutesicknessalongwithbeingareasonforlongtermcomplications.

2. Make sure you pack your medicines in right environment. Keep

your insulin in a cool pouch. Do not keep insulin in direct sun, glove

compartmentofcaroranyhotplace.Extremetemperaturescandenature

yourmedicationsandtestsuppliesandreducepotencyofyourinsulin.Try

tokeepyourinsulininacool,darkplace.

3. In general, you should stick with the exact brand and formulation of

insulinthatyouhavebeenprescribedbyyourdoctor.Inmarket,insulinof

differentstrengthsisavailablelikeU-100orU-40.Ifyouneedtousethese

insulin’s,youmustbuynewsyringestomatchthenewinsulintoavoida

mistakeinyourinsulindose.U-100insulinshouldbetakenwithU-100

syringe.

4. Alongwithmedication,youmustcarryalonggoodamountofsupplyof

glucose /sugarorhardcandiestotreathypoglycaemia.Theremustbe

something toeat in child’spocket, as sometimesduring roamingchild

maygowithfriendsorcousinsandparentsarenottherewhenneeded.

Alwayscarrysomedrysnackssuchasbiscuitsinyourhandbag,asyou

neverknowwhenthereisdelayandyouarestuckatsomeplaceforan

extrahourortwo.Don’tassumeyouwillbeabletofindfoodwherever

youare. Ifpossible take somehealthy foodalongwith you, suchasa

sandwichorothermeal,incasemealsaren’tavailablefromelsewhere.

5. Always,haveawaterbottlewhenyouareout.Weall feel thirstyand

wateralsohelpspreventdehydrationincaseofhighbloodsugars.

6. Whenyouareinhotelorgoingtostayatfriendsorrelativesplace,you

can requestaspecialmeal low insugarandfat.Makeyour request in

advance.Evenwhenyouaretakinghumaninsulin,waituntilyouseeyour

foodcomingbeforeyoutakeyourshot.Otherwise,adelayinthemeal

couldleadtolowbloodglucose.

7. Checking your blood glucose while traveling is as important as when

youareathome.Whiletraveling,checkyoursugarsmorefrequentlyas

different schedulesandunknown foods can cause sugars to fluctuate.

Movingonandphysical effortmadebypeoplewithdiabetesalso can

have impactonblood-sugar.Dodiscuss thiswithyourdoctorandalso

howtomanageit.

8. Wear appropriate clothingaccording to seasonand comfortable shoes

providing yougoodprotection.During travelmake sure shoes arenot

tootightasfeetcanswell.Itisveryimportanttotakecareofshoesifyou

areapersonwithdiabetes.Takecareofyourfeet,includinghygieneand

injury.Avoidwalkingbarefoot;wearprotectivefootwearonthesandand

inthewater.Checkyourfeettwicedaily.Ifyounoticeanyinjury,soreness

orswellingyoushouldseedoctor.

9. Have a diabetes identification bracelet or card with you. In addition

to identifying you as having diabetes, this identification can provide a

smallnoteontreatinglowbloodsugarlevels(hypoglycemia),emergency

contact information. This can help you in case of emergency such as

accidents or hypoglycaemia especially when you are among unknown

people. If possible, your co-travellers should know of your condition

especiallysymptomsoflowbloodsugarlevels,sothattheycanhelpyou

intimeofneed.

10.Alongwiththat,dodiscussandtakefirstaidmedicinealongwithyou

forfever,diarrheaandvomitingandotheracuteillness.

Packing Checklist• Insulin,syringes,bloodglucosemeter,teststrips,lancets.

• Prescriptionsformedicationsandtestingsupplies.

• Treatmentforhypoglycemia

• Nonperishablesnackslikebiscuits

• First-aidmedicationswhichincludesband-aid,antisepticcream,cotton,

gauzepiecesandsoap.

• MedicalID

Try to stick to your routine even while traveling and with proper preparation there is no reason why the trip cannot be a pleasurable, rewarding experience. Take your self-care and you can travel safely.


2014 Planner for diabetes education activities.In 2013, through diabetes education camps we educated more than 2,000 CDiC children. These camps are a great medium to help children learn self-management of diabetes. In 2014, we will further enhance these camps by focusing on scenario based diabetes education. There will be themes for each quarter and pledges for each month. The main idea behind all these efforts is to ensure that each and every child registered in the CDiC program attends these camps and is benefitted from them. Secondly , it will definitely help in reducing dropout rates and support in overall improved health outcomes of these children.

Children Diabetes Camps 2014

Month Topic for the month Pledge for the month

Insulin and glucose monitoring

Q1

Balancing act between hypoglycaemia

and Hyperglycaemia

Q2

Diet and exercise

Q3

Insulin and glucose monitoring

Q4

January

February

March

April

May

June

July

August

September

October

November

December

Site and time of taking insulin Smile while taking Insulin

Monitoring blood sugar levels / ketones and required acton

Write accurate results in dairy

Alternative medicines /options Visit my doctor regularly

Situations leading to hypoglycaemia

Eat food on time

Situations leading to hyperglycaemia Walk daily

Knowledge of insulin actions of various types of insulins and

how to use itLearn something new

Having balanced diet in different situations

3 colours in the food plate

Physical activities - precautions and positive outcomes

Learn a sport

Temptations and dreams- how to achieve Leave 1 temptation

Exams, studies and travelling Never stop Insulin

Myths and misconceptions Create awareness about diabetes

Festivals, parties and friends Make new friends with diabetes

We thank everyone for their kind efforts in implementation of the changing diabetes in children program. Please write to us about your views, stories and ideas which can add value to this program

and to the newsletter at [email protected].

anupama rau attawar no of children camps 212 content

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