20170731 Diabetes Type 1 Pancreas is unable to produce insulin Daily insulin injections required Type 2 Pancreas does not produce enough insulin or body does not effectively use insulin Insulin ID: 935363
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Slide1
Diabetes
Caring for children with diabetes in a community program
2017-07-31
Slide2Diabetes
Type 1
Pancreas is unable to produce insulin
Daily insulin injections requiredType 2
Pancreas does not produce enough insulin or body does not effectively use insulin
Insulin
may be required
Lack of insulin - used to transport glucose from the blood into cells
Slide3Management of Diabetes
Insulin
Food
Exercise
Slide4Food
Eat same amount of food (carbohydrates) each day
Eat same time each day
No trading or disposing of foodPlan for special events
Slide5Needle & syringe
Insulin pen
Insulin pump Community program personnel are
not responsible for giving insulin
Insulin
Slide6Exercise
Regular exercise helps lower blood glucose levels
Plan for vigorous physical activity
Sports or other physical activities that take place during meal time require extra planningNotify parent/guardian of days that involve extra physical activity
Slide77
Hypoglycemia
(low blood glucose)
Blood glucose below 4 mmol/LEmergency situationCan happen within minutes
Possible causes
not eating enough food
missing or delaying a mealmore physical activity than usualtaking too much insulin
Slide88
Signs of Hypoglycemia
Cold, clammy or sweaty skin
Shakiness; lack of coordinationIrritable, hostile, poor behaviorTired
Sudden moodiness or behavior change
Difficulty concentrating, confusion
Staggering gaitChild may complain ofnervousnessexcessive hungerheadacheblurred visiondizziness
abdominal pain or nausea
Fainting, unconsciousness
Slide99
Responding to Hypoglycemia
Give child fast-acting sugar.
Wait 10-15 minutes. If no improvement, give 2
nd
fast acting sugar.
Wait 10-15 minutes. If no improvement, give 3rd fast acting sugar and call parent/guardian.If unable to contact parent/guardian or emergency contact, call 911/EMS.
IF IN DOUBT, TREAT!
Slide10If child seizures or
becomes unconsciousness
Call 911/EMS. Put child in side lying position.3. Notify parent/guardian.
DO NOT give food or drink DO NOT leave the
child alone
10
Severe hypoglycemia
Slide1111
Hyperglycemia
(high blood sugar)
Blood glucose higher than child’s target rangeNot
an emergency situation
Possible causes
too little insulintoo much foodless than the usual amount of activityillnessstress
Slide1212
Signs of
Hyperglycemia
increased thirsttirednessurinating more often
Inform parent/guardian as directed in child’s health care plan.
Slide1313
When Child is Sick
Contact parent/guardian.
If child is vomiting and cannot retain food/fluids
and
parent/guardian or emergency contact cannot be reached, call 911/EMS.
Slide14Child specific information
Type of diabetes
Location of fast acting sugar Plans for meals, exercise, special events and blood glucose monitoring
Health Care Plans are
located in child file and binder