1. A TRAINING FOR CONSUMERS Presented by: APS Healthcare Southwestern PA Health Care Quality Unit (HCQU) 8-2-2005/tlt

2. DISCLAIMERDISCLAIMER  “ Information or education provided by the HCQU is not intended to replace medical advice from the consumer’s personal care physician, existing facility policy or federal, state and local regulations/codes within the agency jurisdiction. The information provided is not all inclusive of the topic presented.”  "Certificates for training hours will only be awarded to those who attend a training in its entirety. Attendees are responsible for submitting paperwork to their respective agencies."

3. OBJECTIVESOBJECTIVES  THE PARTICIPANT WILL BE ABLE TO:  State 2 ways to stay healthy while having diabetes  List 2 signs of: Hyperglycemia (High blood sugar) Hypoglycemia (Low blood sugar)

4. WHAT IS THE PANCREAS?  Organ in the body that makes: INSULIN

5. WHAT IS INSULIN?  Insulin is needed to keep the body’s BLOOD SUGAR at an even level

6. WHAT IS DIABETES-TYPE 1 ?  A person’s body DOES NOT make insulin

7. WHAT IS DIABETES-TYPE 2 ?  A person’s body can make insulin, but the body CAN NOT use it

8. COULD I HAVE DIABETES?  ARE YOU……? Frequently Thirsty Frequently Hungry

9. COULD I HAVE DIABETES ?  ARE YOU…….? Frequently urinating Always tired

10. COULD I HAVE DIABETES ?  ARE YOU……? Quickly losing weight Having cuts that won’t heal Having blurry vision

11. WHAT DO I DO NEXT ?  REPORT THESE SIGNS AND SYMPTOMS TO YOUR CAREGIVER/ DOCTOR

12. ALWAYS CALL THE DOCTOR IF……  You are unsure of what to do  This has never happened to you  You have these symptoms and you do not have diabetes

13. WHEN BLOOD SUGAR IS LOW….  This can be a dangerous condition  If this happens, you need to seek treatment FAST

14. WHAT CAUSES LOW BLOOD SUGAR?  Not following your meal plan  Too much exercise  Taking the wrong medications

15. WHAT ELSE CAUSES LOW BLOOD SUGAR?  Stress  Alcohol intake

16. SIGNS OF LOW BLOOD SUGAR  Dizziness  Sweating  Confusion

17. MORE SIGNS OF LOW BLOOD SUGAR  Hunger  Headache

18. PREVENTING LOW BLOOD SUGAR  Take your meds at the same time everyday  Always carry a source of sugar  Follow your meal plan

19. TREATING LOW BLOOD SUGAR  If able, get a blood sugar reading  Take a fast acting sugar

20. WHEN BLOOD SUGAR IS HIGH…..  This can also be a very dangerous condition  You need to seek treatment fast

21. WHAT CAUSES HIGH BLOOD SUGAR?  Not following your meal plan  Sickness  Too much stress

22. SIGNS OF HIGH BLOOD SUGAR  Tiredness  Rapid breathing  Increased appetite

23. MORE SIGNS OF HIGH BLOOD SUGAR  Increased urination  Fruity smelling breath

24. PREVENTING HIGH BLOOD SUGAR  Take meds as directed  Follow meal plan  Follow an exercise program  Decrease stress

25. TREATING HIGH BLOOD SUGAR  If able, get a blood sugar reading  Drink Sugar-Free liquid

26. WHAT MEDS WILL I NEED?  DEPENDS ON THE TYPE OF DIABETES YOU HAVE  Pills you can swallow  Insulin

27. HOW DO I KNOW IF I NEED INSULIN?  You may need insulin if you have…. A very high blood sugar A sickness Uncontrolled weight loss

28. WHY ELSE MIGHT I NEED INSULIN?  You may need insulin if you have…  Surgery  Kidney disease  Unable to swallow pills

29. DIET AND DIABETES  Some foods are high in sugar: ~Peas~Corn~Carrots ~Beets~Melons~Grapes ~Bananas **Be cautious of “Low Fat” or “Fat Free” foods

30. EXERCISE AND DIABETES  ALWAYS check with the doctor before starting an exercise program!!!!  Watch for low blood sugar  It is best to exercise ½ hour after eating

31. SMOKING AND DIABETES  Smoking can lead to complications such as: – Heart attack, High Blood Pressure – Stroke, Kidney Problems  Seek Help to “KICK THE HABIT”

32. SKIN CARE AND DIABETES  Check feet daily for sores or blisters  Wear proper fitting shoes  See the foot doctor for trimming of toenails

33. DENTAL CARE AND DIABETES  It is important to see your dentist at least every 6 months  Remember to :BRUSH AND FLOSS  Follow the dentist’s recommendations

34. WHEN I AM SICK………  If unable to eat: check with the doctor before taking your medicine  NEVER take more or less medicine without talking to the doctor  Examples of illnesses

35. EXAMPLES OF ILLNESSES  Congestion  Flu  Vomiting  Toothache  Diarrhea

36. DIABETES CAN LEAD TO PROBLEMS WITH: EyesHeart

37. KidneysLegs

38. REFERENCESREFERENCES  Information taken from the following HCQU presentation: “Understanding Diabetes”

39.  For more information on this or any other physical or behavioral health topic, please visit our website @ www.hcqu.apshealthcare.com www.hcqu.apshealthcare.com

41. THANK YOU!!!!! THANK YOU!!!!!