1. Lesson One Cabin/ Archery Station (Vocabulary)

2. Doctor’s Video What is Type-1 Diabetes What causes Type-1 Diabetes What are the symptoms How is it diagnosed and treated Define Vocabularies

3. Camper’s Video What does your day look like? What is your schedule like? How many times a day do you check your blood glucose and how? Do you use a pump, pen, or a shot to deliver your insulin? What type of foods do you eat? How do you know you know what your blood sugar is during the day? Do you have to eat a special diet? How does diabetes effect your school day?

4. Vocabulary Blood glucose Insulin Carbohydrates Hyperglycemia Hypoglycemia

5. Blood Glucose The amount of glucose circulating in the bloodstream (60-110 mg/dl is the “normal range”)

6. Insulin A hormone made in the pancreas which lowers blood glucose Moves glucose into cells which allows the body to use it for energy

7. Carbohydrates Foods we eat are made up of carbohydrates, protein, and fat. Carbohydrates, have the most significant effect on blood glucose. Foods like sugar and starches convert into glucose upon digestion. Insulin doses at meals will be based on the amount of carbohydrates eaten.

8. Hyperglycemia When the blood glucose is higher than normal level

9. Hypoglycemia When the blood glucose is lower than normal level At camp, a blood glucose of less than 80 mg/gl is considered “low”.

10. Lesson Three Tent

11. Insulin Insulin is delivered as a “basal” and “bolus” dose. “Basal” insulin is a constant amount of delivered to control glucose 24 hours a day. “Bolus” insulin is fast-acting insulin used to cover food or treat a high glucose. “Basal” insulin is injected 1 to 2 times a day or delivered continuously with an insulin pump. “Bolus” insulin is given before or after a meal.

12. Information on Basal Insulin Basal insulin controls blood glucose in the absence of food It can be given by a pump using fast acting insulin. OR By one or two injections of long acting insulin per day. Basal rates in pumps are programmed to be delivered automatically. Children must have a constant amount of basal insulin 24 hours a day.

13. Information on Bolus insulin Types of fast acting insulin –Humalog, Novolog, Apidra, Regular “Burst” of insulin programmed via a pump or given as an injection prior to a meal Determined by amount of carbohydrates to be consumed, the level of blood glucose at the time, and the amount of exercise to follow the meal If blood glucose is elevated at the meal time, a correction amount of fast acting insulin will also be given. All insulin amounts will be determined by clinician.

14. Lesson 3: Audio recorded slides The next two slides will be audio recorded and information will be shown while the voice is reading

15. Procedure for single dose (one type insulin) * show information before video Clean hands If you are drawing up cloudy insulin, mix suspension of (NPH or Novolin N) insulin by rolling bottle between hands 20 times Clean tops of bottle with alcohol swab Replace insulin you are about to draw up with air so that vacuum is not created Put insulin bottle on table Hold syringe up and pull plunger of air to appropriate number of units of insulin Push needle straight down into insulin bottle injecting the air into the air of the bottle (Do not remove needle) Turn insulin bottle/syringe unit so that the insulin bottle is on top and the syringe is on the bottom. Draw down correct number of insulin units by pulling plunger to total insulin dosage. Look for air bubbles in the syringe. IF you see bubble, tap the side of the syringe and push them out. Remove needle/syringe from insulin bottle. Do not allow the exposed needle to touch any surface before administering insulin

16. Lesson 3 Videos Shot video- storyboard word Pen video- storyboard word Pump video- Storyboard word

17. Lesson 5 Video Blood sugar monitoring - Storyboard word