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Sponsors for the Evening. Novo Nordisk Medtronic of Canada Ltd Roche Diagnostics DiNiro Family Golf Tournament Fundraiser to the Pediatric Diabetes Clinic. Transition to Adult Diabetes Care. Dr Robert Wilson Endocrinologist. Objectives.
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Sponsors for the Evening • Novo Nordisk • Medtronic of Canada Ltd • Roche Diagnostics • DiNiro Family Golf Tournament Fundraiser to the Pediatric Diabetes Clinic
Transition to Adult Diabetes Care Dr Robert Wilson Endocrinologist
Objectives • To understand transition to adult care & how it differs from pediatric care • To learn about lifestyle issues faced by young adults • To learn about the roles involved with adult diabetes management
Goal of Transition • To provide care that is uninterrupted, coordinated, developmentally appropriate as youth move from pediatric diabetes care to adult-oriented health care
Reality Check • 25-65% of Young Adults Seek No Medical Follow-up During Transition WHY?
Expect to Meet Alone Know Your Own Condition & Health Know Your Medications Take Responsibility for Your Care Adult Care is Different
Adult Care is Different • Sign Your Own Consents • Advocate for Yourself
What to Expect From Visits? • EKG • Eye Chart Exam (Bring Glasses) • Blood Pressure • Foot Exam • Height and Weight
What to Expect From Visits? • Abdominal Girth • Blood Work/Urinalysis • Meal Plan Review
What to Bring to Visits?? • Diary - 2 Weeks of Numbers • Medications and Side Effects • Meter/Pump • Prescription Needs • Emergency Plan – People to Contact
What to Bring to Visits?? • Know your Family’s Health History • Health Card • Allergy Information • Questions ???
Lifestyle Issues for Teens • Alcohol • Smoking • Drugs • Sexual Health • Driving • Living Out of Town
Alcohol & Diabetes Hypoglycemia • May Appear Intoxicated • Occurs 6-36 Hours after Drinking For Your Safety: • Eat Carbohydrate Rich Foods when Drinking • Tell a Friend to Look for Symptoms of Lows • Check BG Before Bed • Carry Glucose with You Glucagon Does Not Work When Alcohol is in the Body!
Smoking & Diabetes • We Know the Risks! • Diabetes Compounds the Problem
Drugs & Diabetes • All Street Drugs Severely Impair Judgment • Various Drugs Cause Hypoglycemia or Hyperglycemia
Sexual Health • Unplanned Pregnancies Should Be Avoided • Seek Counseling Prior to a Planned Pregnancy • When Pregnant Notify Your Diabetes Team Immediately!
Driving & Diabetes • Avoid Hypoglycemia • Always Carry a Glucose Source • Pull Over & Treat Promptly • Wear Medical Alert Driving is a Privilege
Living Out Of Town • Carry Supplies • Be Prepare for Lows • Wear Medical Alert • Maintain Prescriptions • Keep Medical Appointments • Obtain Referral to Endo • Need a Family Doctor Have a Sick Day Plan. Never Be Alone!
Team Captain’s Role • Have a Say in Decisions Made • Be Fully Informed • Speak for Yourself • Ask for Help
Coach’s Role • Determine Appropriate Medication, Timing & Dose • Assess & Monitor Health Status
Team’s Role • On-going Diabetes Education • Provides Resources • Problem Solving • Support