1 / 19

Ardeana Kowalski & Amy Grant-Rau School Health MCHD

DIABETES. Ardeana Kowalski & Amy Grant-Rau School Health MCHD. Diabetes Info Fast and Furious Facts …. 23 million have diabetes in the US 5-10%Type 1 1 in every 400 kids have Type I diabetes Type II diabetes is significantly rising in children CMS has about 400 children with Type1

gotzon
Download Presentation

Ardeana Kowalski & Amy Grant-Rau School Health MCHD

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DIABETES Ardeana Kowalski & Amy Grant-Rau School Health MCHD

  2. Diabetes Info Fast and Furious Facts … • 23 million have diabetes in the US • 5-10%Type 1 • 1 in every 400 kids have Type I diabetes • Type II diabetes is significantly rising in children • CMS has about 400 children with Type1 (unknown how many with Type11) • Diabetes is the 5th leading cause of death • Three types of diabetes • Type I (Insulin Dependent) • Type II (Diet Controlled) • Gestational (Pregnancy Onset)

  3. What Is Diabetes? • A disorder of the pancreas -The pancreas stops making insulin, an essential hormone in the body. • Insulin is the key that allows glucose to enter the cells. • Glucose is used by every cell in the body for energy

  4. The body produces no keys (no insulin production) ( Type 1 Diabetes) Or, the body produces defective keys that will not open, the cell door locks. (Type 2 Diabetes-Insulin Resistance) Diabetes occurs when either:

  5. Diabetes is: • NOT contagious • NOT caused by eating too much sugar • Is caused by the body’s inability to make insulin • Results in high blood sugar levels • Can be treated only with a combination of insulin, diet and exercise

  6. Type 1 Diabetes • Auto-immune component • Cannot be prevented • Defect in carbohydrate metabolism • Pancreas unable to make insulin • Need insulin injections

  7. Type 2 Diabetes • Accounts for more than 90% of the diabetes population in the world! • Cells become resistant to insulin • Usually because of insulin deficiency • Can usually control with diet & exercise • 80% of Type 2 cases are preventable

  8. Blood Sugar Monitoring • Tips for assisting a child with blood sugar monitoring: • Make sure the hands are warm, clean & dry • Wear gloves (Universal Precautions) • Set up meter with the test strip (most meters turn on when you place the strip in) • Make sure the meter is coded for the test strip used

  9. Treatment Options: Type 1 Currently most students are taking insulin by: syringe insulin pen device INSULIN PUMP Insulin pump is a machine that uses a small catheter under the skin to deliver insulin. (The pump is about the size of a pager)

  10. Carbohydrate Counting • Carbohydrate is found • in the food we eat. • When digested, carbohydrates breakdown into sugar. • Examples of carbohydrate include breads, rice, cereal, potatoes, cake, fruit and many others!

  11. Hyperglycemia HIGH (High Blood Sugar Is NOT A Medical Emergency) • May occur if student: • Is becoming ill (even a cold) • Eats too much • Misses insulin dose • Or not enough insulin on board • Is under a lot of stress (exams, emotional, etc) • Certain medications • Can result in ketoacidosis

  12. Treatment of Hyperglycemia HIGH • Test blood sugar • Check Health Care Plan. • Notify parents if over 250mg/dL • Drink water • Insulin

  13. Hypoglycemia LOW (Low Blood Sugar) • Most likely to occur: • When meals or snacks are missed or delayed • An insulin dose that is too high • Extra exercise or activity • When strenuous activity occurs just before lunch • During a lengthy field trip or field day activity. (Remember to have a snack when going out for fire drills)

  14. SYMPTOMS OF LOW BLOOD SUGAR LOW • Weakness or tiredness • Shaking • Headache • Anxious, Pale • Personality Changes

  15. Treatment of Hypoglycemia LOW • Conscious and able to swallow: • Glucose tablets--start with 2-4 • 4 oz. Juice (apple or OJ) • Wheat Crackers & cheese or Ritz Crackers (with Cheese) • Milk • Regular soda (not diet) is an option though just like a candy bar it will spike up the BS quickly, but not last • Symptoms should improve within 10-15 minutes.If not, repeat. • If longer than 1 hour until next meal or snack, give small snack containing protein (cheese crackers or milk) • IF NO METER IS AVAILABLE & THE STUDENT FEELS SICK, GO AHEAD & TREAT AS IF STUDENT IS LOW

  16. Treatment of Hypoglycemia LOW • Conscious, but uncooperative, or disoriented • Give glucose gel, tube of clear frosting or packet of honey • Lay student on side and squeeze into pocket of the cheek (just like Skol !)

  17. Treatment of Hypoglycemia LOW • Unconscious or having a seizure Not enough sugar is getting to brain! • Call 911 immediately • Give Glucagon if ordered • Give nothing by mouth • Notify parents

  18. Hints for Success • Develop good relationship with parents/guardians; they know your student’s health concerns well. • Follow accommodations as listed in the health care plan &/or 504/IEP. • Notify family early of field trip plans. • Notify family of special events that may involve classroom treats or changes in the school lunch schedule. • Don’t hesitate to ask questions about care.

  19. ...Please Remember • Never allow student to walk alone when feeling low (to go check blood sugar) • Allow free bathroom privileges • Allow water bottle or access to fluids • Allow snacks when feeling low &/or certain snack break • Encourage BS testing prior to big exams (EOGs) or allow to re-test if it is felt BS affected the results

More Related