The Student with Diabetes. 1 Agenda Agenda  Types of diabetes  Management  Hypoglycemia  Hyperglycemia  Responsibilities.

Slides:



Advertisements
Similar presentations
Tips to Help Teachers Keep Kids with Diabetes Safe at School
Advertisements

DIABETES Ardeana Kowalski & Amy Grant-Rau School Health MCHD.
Diabetes & Insulin Pens Prepared by: Alison Deux, 4 th year pharmacy student.
A Guide to Diabetes in the School Setting © McKinney Independent School District.
1-800-DIABETES DIABETES CARE TASKS AT SCHOOL: What Key Personnel Need to Know DIABETES CARE TASKS AT SCHOOL: What Key Personnel Need to.
Tips to Help Teachers Keep Kids with Diabetes Safe at School March 2014.
Type 1 Type 1 means that a person needs insulin for life. It is a chronic illness. The pancreas no longer produces any insulin which is needed to carry.
Understanding Diabetes. The Pancreas  No longer makes insulin with type 1 diabetes.
Paediatric Diabetes Nurses October 2013 Diabetes Update.
Diabetes Care Tasks at School: What Key Personnel Need to Know Diabetes Care Tasks at School: What Key Personnel Need to Know GLUCAGON ADMINISTRATION.
1-800-DIABETES DIABETES CARE TASKS AT SCHOOL: What Key Personnel Need to Know DIABETES CARE TASKS AT SCHOOL: What Key Personnel Need to.
Diabetic Emergencies Jennifer Burgess, Registered Nurse Nurse-Led Outreach Team.
A training module for school staff. What is Diabetes? A disease that causes the body to have trouble making and/or using insulin. Insulin, a hormone made.
The Disease: Type 1 diabetes is an auto-immune condition in which the immune system is activated to destroy the cells in the pancreas which produce insulin.
Diabetes Care Tasks at School: What Key Personnel Need to Know Diabetes Care Tasks at School: What Key Personnel Need to Know DIABETES BASICS.
Diabetes Education Macon County Schools. Senate Bill 911 Requires schools to provide care to the student with diabetes upon parent request. Requires that.
Diabetes Care Tasks at School: What Key Personnel Need to Know Diabetes Care Tasks at School: What Key Personnel Need to Know NUTRITION AND EXERCISE.
BY: HEAVEN ROBINSON Juvenile Diabetes EVERY YEAR, IN THE UNITED STATES ABOUT 13,000 CHILDREN ARE DIAGNOSED WITH TYPE 1 DIABETES. IF FAMILIES CAN HELP.
DIABETES Body does not make or properly use insulin: – no insulin production – insufficient insulin production – resistance to insulin’s effects Insulin.
CHILDREN WITH DIABETES AT SCHOOL Diabetes Specialist Nurses.
Goal: Optimal Student Health and Learning All school staff members should have basic knowledge of diabetes and know who to contact for help.
Diabetes in school What you need to know in school!
WHAT EVERY EDUCATOR SHOULD KNOW…….
Diabetes in the School Setting Mission Consolidated Independent School District Health Services Ph:
This presentation is available for use by school nurses only when the content is approved by the nurse or school district that wishes to use it. It is.
Diabetes *Diabetes is the second most common chronic disease in school aged children. *HB 984 was mandated to provide care for diabetic students in schools.
Care for School Children With Diabetes Senate Bill 911/G.S. 115C-47.
By: Heather Boyd Diabetes is a serious chronic disease that can be managed through lifestyle changes and medication. Almost 24 million Americans have.
Diabetes Care Tasks at School: What Key Personnel Need to Know Diabetes Care Tasks at School: What Key Personnel Need to Know MANAGING HYPOGLYCEMIA AND.
Hypoglycaemia Diabetes Outreach (June 2011). 2 Hypoglycaemia Learning outcomes >Can state what hypoglycaemia is >Be able to assess who is at risk of hypoglycaemia.
DIABETIC ATHLETES Sports Injury Management. There are two types of diabetes. Type I: deficiency of insulin Type I is treated with insulin (injections,
--Instructions-- This is the online training for front office staff and others who will be assisting school nurses care for diabetic students at ECISD.
1-800-DIABETES DIABETES CARE TASKS AT SCHOOL: What Key Personnel Need to Know DIABETES CARE TASKS AT SCHOOL: What Key Personnel Need to.
No cure. No cause. Type 1 Diabetes. What is type 1 diabetes? Type 1 diabetes can occur at any age. However, it is most often diagnosed in children, adolescents,
PAEDIATRIC DIABETES SCHOOL MANGEMENT Jan Reddick PDNS.
Type 1 Type 1 diabetes is what we most commonly see when children get diabetes. “According to the American Diabetes Association, type 1 diabetes is one.
Diabetes at School Level II Training GCISD High School Edition.
Type 1 diabetes management in education and children’s services.
Diabetes Caring for children with diabetes in a community program
Diabetes in the School Setting Level I Training. IDEA - Public Law Student Rights All students are entitled to: –Free and appropriate public education.
WHAT IS DIABETES?. DIABETES Diabetes is a chronic condition for which there is no cure The body does not make or properly use insulin, a hormone needed.
Managing Diabetes in the School Setting Alabama State Department of Education Alabama Board of Nursing.
G LUCAGON A DMINISTRATION S TUDENTS WITH T YPE 1 D IABETES D ECEMBER
INSULIN PUMPS Shelby Polk DNP, FNP-BC, CDE. 2 MANAGEMENT OF DIABETES IN SCHOOLS Exercise Legal Rights Health & Learning Nutrition Insulin Administration.
Managing Diabetes in the School Setting Alabama State Department of Education Alabama Board of Nursing.
Amanda Faulkner Diabetes in Young Children. Diabetes (Type 1 or Juvenile) “A syndrome with disordered metabolism and inappropriately high blood glucose.
 Diabetes occurs when the insulin hormone is not produced naturally within the body.  The body needs insulin in order to breakdown the sugars and starches.
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.
Managing Blood Sugar. Discussion Topics Blood sugar (glucose) tests for people with diabetes. Signs, causes, and prevention of high blood sugar. Signs,
Diabetes. Diabetes Insulin, a pancreatic hormone, is normally released into the body to help the body to use glucose (or sugar) in the body’s cells to.
Measure Your Diabetes Risk US.NMH What Is Diabetes? S=sugar, I=insulin Diabetes affects the way your body uses food. When you eat, food is.
Managing Diabetes All About Blood Glucose. Topics What affects blood glucose levels? What blood glucose tests are important for people with diabetes?
Diabetes & You Scott Austin, Dietetic Intern Sodexo Distance Education Dietetic Internship.
DATA Program Diabetes Awareness, Training, and Action Online Training for School Staff Public Schools of Robeson County Care of School Children with Diabetes.
Spring  There are two types of diabetes ◦ Type 1 and 2  Blood sugar is involved  Insulin is involved  You might need to take your blood sugar.
JUVENILE DIABETES A Brief Overview. Basic Explanation Students with Juvenile (or Type 1) Diabetes are missing the cells in their pancreas needed to break.
Diabetes in the School Setting Level I Training. IDEA - Public Law Student Rights Free and appropriate public education. Least restrictive environment.
Diabetes 101 for Kids Sarah Gleich. What is Diabetes???  Diabetes is a disorder of metabolism- the way our body processes and uses certain foods, especially.
Helping Belton ISD Students Stay Safe & Healthy What BISD Staff Needs to Know About: Helping Belton ISD Students Stay Safe & Healthy What BISD Staff Needs.
Hypo and Hyperglycemia
For Employees of the Randolph County School System
DIABETES THE SIMPLE FACTS.
DIABETES And Nutrition.
Diabetes in the School Setting Level I Training
Diabetes Education.
Diabetes Care Tasks at School: What Key Personnel Need To Know
Diabetes in the School Setting Level I Training
Managing Diabetes in the School Setting
Managing Diabetes in the School Setting
Diabetes: Tips for School Staff
Presentation transcript:

The Student with Diabetes

1 Agenda Agenda  Types of diabetes  Management  Hypoglycemia  Hyperglycemia  Responsibilities

2 What is Diabetes What is Diabetes  Much of the food eaten becomes a sugar called glucose  The pancreas makes a hormone called insulin  Insulin allows the body to use the glucose for energy

3 Types of Diabetes Types of Diabetes Type 1  Auto-immune illness Pancreas not producing enough insulin Requires insulin injections Must test blood glucose (BG) at school  Usually diagnosed at a younger age  Chronic condition  Cannot be prevented Type 2  Most common type of diabetes  Can often control with diet, exercise or pills  May also take insulin  Usually diagnosed at an older age – infrequent in school age child  May not need to test BG sugars at school

4 Each Student with Diabetes is an Individual – Individual Plan of Care Each Student with Diabetes is an Individual – Individual Plan of Care

5 General Diabetes Management Goals General Diabetes Management Goals  Keep student safe from extreme lows and highs  Balance of food choices, exercise, & insulin  Aim for majority of blood glucose levels in target – this is challenging  Normal school routines for student  Optimal learning at school  Promote normal growth & development

6 Target Blood Glucose (BG) Range Target Blood Glucose (BG) Range < 5 years: 6-12 range 5-10 years old: 4-10 range >10 years: 4-7 range Hypoglycemia < 4 (must treat) Hyperglycemia > 15 (additional information needed)

7 Blood Glucose (BG) Testing Blood Glucose (BG) Testing  Tool to assess BG (meter)  Done routinely before meals and if a low is suspected  Must treat immediately if < 4  Avoid placing “judgment value” i.e. good or bad on high or low blood glucose readings

8 Insulin Delivery Systems Insulin Delivery Systems  Most children get insulin before breakfast, supper and bedtime  Some children get insulin at lunch  Syringe  Insulin pen  Pump  Insulin Pump provides an almost continuous flow of insulin

9 Insulin Action – around the clock coverage Insulin Action – around the clock coverage

10 Some Children Wear Insulin Pumps Some Children Wear Insulin Pumps

11 School Nurse Considerations School Nurse Considerations  Assess the level of assistance the student requires  Support with the development of independence  School Nurse Role  Assist with BG testing if needed  Assist with insulin administration via pen or syringe  Assist with entering BG and carb amount into pump for pump bolus  Ideal is to bolus/give insulin pre food  Hypoglycemia: identify and treat  Prompt contact with care givers if concerns

12 Age Appropriate Expectations Age Appropriate Expectations  Pre-Schooler  washes hands before testing  offers finger to be picked  School Age  chose injection site  identifies food groups  tests independently - caregiver supervises  younger child may need more direction  Teen  independent with insulin, food choices, testing  BUT - caregiver still involved to monitor and support

13 Nutrition Basics Nutrition Basics  Main nutrient that increases BG is carbohydrate grains, fruits, milk, sugars  Protein & Fat do not increase BG  Nutritious choices are encouraged, not always made!  No Forbidden Foods  Normalize with same eating times /routines/ food choices as other students  Allow child to eat all food as provided by caregivers

14 Special Occasions at School Special Occasions at School  Children with diabetes can and should participate in all school activities  With advanced planning, diabetes can be managed around all special events and treats  If uncertain how to proceed, contact caregiver for management advice or send the treat home

15 Exercise Exercise  Children with diabetes can be involved in all school activities with some additional precautions  Exercise can lower BG Consider checking BG levels before, during and after activity May need additional glucose or carbohydrate  Important for school staff to be aware of impact of exercise on diabetes  Medical Alert Bracelet

16 Hypoglycemia Low Blood Glucose Hypoglycemia Low Blood Glucose  Treat every BG less than 4  Causes Too much insulin Too little Food  Delayed, inadequate or skipped meal or snack  Extra exercise without extra food or a decrease in insulin

17 Hypoglycemia Symptoms Hypoglycemia Symptoms  Shaking  Headache  Stomach ache  Pale skin  Hunger  Fatigue  Irritability  Blurred vision  Slurred speech  Decreased level of consciousness Important to understand students individual symptoms If unsure if student is low, do a BG test. If unable to test, always treat. Occurrence of a severe low is rare in the school setting

18 Hypoglycemia Treatment for Mild or Moderate Hypoglycemia Hypoglycemia Treatment for Mild or Moderate Hypoglycemia  Junior juice (125 ml)  3-4 dex glucose tablets  2 rolls of rockets  2 tsp. honey  3 tsp. sugar  1/3 cup regular soda

19 Hyperglycemia High Blood Glucose Hyperglycemia High Blood Glucose Above 15 is considered warning of hyperglycemia  Causes Too much food Too little insulin Inaccurate BG test result Decreased activity Illness/infection Stress If BG is > 15mmol/L and child is feeling unwell (flu like symptoms) notify caregivers.

20 Hyperglycemia Hyperglycemia Mild - Moderate  Symptoms  Increased urination  Increased thirst  Blurry vision  Increased hunger  Recommendations Fluids and washroom access Inform parent Contact parent if unwell Severe  Symptoms  Fruity breath  Vomiting  Stomach cramps or pain  Extreme weakness  Sleepiness  Difficulty breathing  Coma  Medical emergency  Contact parent and/or 911

21 Hyperglycemia Management  If the BG > 15mmol and the child feels unwell with flu like symptoms, contact the caregivers immediately  If the BG is > 15mmol and the child is well (able to eat, drink, and be involved in school routines)  contact the caregivers if part of plan of care  continue with the usual school activities of meals and snacks as provided by caregivers  continue with usual activity plan (no additional activity required)  encourage water intake if child is agreeable  expect increased use of the washroom  document BG and any concerns in agenda or planner

22 Emergency Situations Emergency Situations If at any time a student experiences a decreased level of consciousness, call 911

23 Psychosocial Aspects Psychosocial Aspects  Challenging regimen with limitations & restrictions  How you can help treat diabetes matter-of-factly BG variability is common – diabetes is hard to control appreciate no one makes ideal food choices at all times provide encouragement & understanding accommodate diabetes management within classroom routines as much as possible

24 School’s Responsibility School’s Responsibility  Learn about diabetes  Ensure all meals and snacks, as provided by parents, are completed on time  Know symptoms and management of hypo/ hyperglycemia  Communicate regularly with parents  Provide space for testing and storage of diabetes supplies in the classroom  Know when to contact parents/guardians  Educate other students  Consider best location for diabetes care – may prefer privacy  Update annually using Trillium website: drens_services/childrensHealth/familyCareCentre/paediatricDiabetes Clinic.html

25 Student’s Responsibility Student’s Responsibility  Notify teacher when feeling unwell  Accurately document BG in planner/agenda  Take sharps home for safe disposal  Eat all food provided by parents in a timely manner  Educate other students  Participate in all school activities  Tell adults - parents, teacher – when supplies are low  Wear medic alert

26 Caregiver’s Responsibilities Caregiver’s Responsibilities  Establish positive relationship with school  Take sharps home for safe disposal  Provide nutritious lunch and snack choices  Ensure extra supplies are stored at school  Communicate as needed with school and educate as required  Advocate for child’s best care  Update school staff each year: mens_childrens_services/childrensHealth/familyCareCentre/ paediatricDiabetesClinic.html

27 Diabetes Websites Diabetes Websites For additional information on Type 1 diabetes: Canadian Diabetes Association Juvenile Diabetes Research Foundation Trillium Health Centre // /womens_childrens_services/childrensHealth/fa milyCareCentre/paediatricDiabetesClinic.html