KBN 2014 Understanding Diabetes Complex disease Digestion breaks down carbohydrates sugar glucose Sugar bloodstream Insulin moves sugar into cells for energy KBN 2014 Definition of terms ID: 372144
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Slide1
Diabetes Basics
KBN 2014Slide2
Understanding Diabetes
Complex disease
Digestion breaks down carbohydrates
sugar (glucose)Sugar bloodstreamInsulin moves sugar into cells for energy
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Definition of terms
“blood sugar” = “ blood glucose”
you may it hear it used interchangeably
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Body Function Without Diabetes
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Type 1 vs. Type 2 Diabetes
No insulin (key) means that sugar cannot enter the cell.
Insulin (key) cannot unlock the cell door. Insulin resistance or inability of body to use insulin
.
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Type 1 Diabetes
Insulin-producing cells are destroyed
Daily insulin replacement necessary
Age at onset: usually childhood, young adulthoodMost common type of diabetes in children and adolescentsKBN 2014Slide7
Type 1 Diabetes
Onset of diabetes:
can happen relatively quickly Symptoms: increased urination, tiredness, weight loss, increased thirst, hunger, dry skin, blurred visionCause:
uncertain, both genetic and environmental factors KBN 2014Slide8
Management Goal
Diabetes is managed but does not go away
Goal is to maintain a target glucose range
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Diabetes Management
Making Diabetes a Part of Life
Insulin/Medication
Physical ActivityFood Intake Other FactorsKBN 2014Slide10
What a Child Needs?
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What a Child Deals With?
Everything that every
child deals with
+ DiabetesKBN 2014Slide12
Hypoglycemia Unawareness
Their body can not tell the child the blood sugar is low
“I just feel funny”
The child might simply be distracted You know a child is just not acting rightKBN 2014Slide13
Honeymoon Phase
Not all newly diagnosed individuals experience
the Honeymoon PhaseCan last for weeks up to 2 yearsWe can not let our guard downKBN 2014Slide14
Example of Target Range For Type 1 Diabetes
Preschool and Kindergarten (3-5 yrs.)
Before meals, blood sugar range 100mg/dl-180
The target range is always “ordered” by Health Care ProviderSchool Age (6-12 yrs.)Before meals, blood sugar range 90mg/dl-180mg/dlThe target range is always “ordered” by the Health Care Provider
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Management Priorities
Preschool –Middle School (3-12 yrs.)
Adult involvement
Allow for participation in school/peer activities
Student learning based on benefits of optimal control
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Example of Target Range For Type 1 Diabetes
Adolescents and young adults (13-19 yrs.)
Before meals 90mg/dL-130mg/
dLAlways Health Care Provider Ordered
The Art and Science of Diabetes Self-Management Education Desk Reference, 2011KBN 2014Slide17
Management Priorities
Early Adolescence
13-15 years
Later Adolescence 16-19 yearsRenegotiating adult/teens role in diabetes managementLearning coping skills to enhance self managementMonitoring for signs of depression, eating
disorders, risky behaviors
Begin discussion of transition to a new diabetes team
Integrating diabetes into new lifestyle
Supporting the transition to independence
KBN 2014