Managing Diabetes in the Athletic Population
|
|
- Lucas Reynolds
- 8 years ago
- Views:
Transcription
1 Managing Diabetes in the Athletic Population Michael Prybicien, LA, ATC, CSCS, CES, PES Athletic Trainer, Passaic High School Overlook Medical Center & Adjunct Faculty, William Paterson University
2 Dedicated To Aiden
3 Course Objectives Identify the difference between type 1 and type 2 diabetes Identify the signs and symptoms of a diabetic emergency Recognize and properly treat a diabetic emergency Identify the importance of developing a written diabetic care plan specifically to each diabetic athlete Explain the importance of educating the athlete about his/her specific diabetic condition
4
5 25.8 million children and adults in US (8.3% of population) have diabetes 79 million people are pre-diabetes Pediatric (0-20 years of age) 1 in every 300 children /adolescents have diabetes
6 Diabetes What is it? Occurs when the body can't use glucose (a type of sugar) normally. The levels of glucose in the blood are controlled by a hormone called insulin, which is made by the pancreas. Insulin helps glucose enter the cells.
7 The Diabetic Athlete One Story
8 Type 1 Diabetes AKA Childhood, Adolescent or Juvenille In diabetes, the pancreas does not make enough insulin (type 1 diabetes)
9 Type 1 Diabetes Mean age 8-12 Autoimmune disease Unknown trigger causes alteration in immune response. The immune system attacks the insulin producing beta cells in the pancreas
10 Type 2 AKA Adult-Onset Diabetes The body can't respond normally to the insulin that is made (type 2 diabetes).
11 Risk for Type 2 Diabetes Genetic and environmental factors are strongly implicated in the development of type 2 diabetes Risk increases with: Age Obesity Physical inactivity
12 Onset of Type 2 Diabetes No noticeable symptoms during early stages. Subtle symptoms that may arise include: Feeling of fatigue Dry, itchy skin Tingling or numbness in hands and/or feet Blurred vision Increased hunger and/or thirst Increased urination Problems with sexual function More frequent infections Slow healing wounds
13 Treatment of Type 2 Diabetes The goal of treatment in type 2 diabetes is to achieve and maintain optimal: Blood glucose Lipid Blood pressure
14 Treatment of Type 2 Diabetes Blood glucose control can be obtained by following: Nutritious meal plan Exercise program Losing excess weight Implementing necessary self-care behaviors Taking oral medications or supplemental insulin
15 Exercise with Type 2 Diabetes Exercise is recommended for diabetes management 150 minutes/week of moderate to vigorous aerobic exercise At least 3 days during the week No more than 2 consecutive days Resistance training, At least 2-3 days/week
16 Exercise with Type 2 Diabetes Do NOT need to postpone exercise because of hyperglycemia Provided that they are feeling well Adequately hydrated Patients with type 2 diabetes not using insulin are unlikely to experience hypoglycemia related to physical activity Users of insulin are advised to supplement with carbohydrate to prevent hypoglycemia during and after exercise
17 Diabetes Type 1 Type 2 Diagnosis Mechanism Complications Demographics Typically diagnosed in early childhood, adolescence or early adulthood. 5-10% of cases Insulin Deficiency Hyperglycemia, weight loss, DKA Younger more fit population Usually diagnosed in adulthood but this is changing % of cases Decreased Insulin utilization Obesity, hypertension, hyperlipidemai More common in older, overweight individuals. Rare in competitive athletes.
18 Diagnosing Diabetes Mellitus Blood sugar testing Pre-participation Examination Knowing the Signs and Symptoms
19 Diagnosing Diabetes Mellitus Hemoglobin A1C (test that looks at BS over last 3 months)
20 Pre-Participation Exam Athlete s endocrinologist or primary care physician should provide an assessment of the current level of glycemic control Assess overall long-term glycemic control Annual examinations and screenings Exercise limitations or restrictions for athletes with diabetes-related complications should be determined by the athlete s physician
21 Signs & Symptoms Indicators of T1DM Frequent urination Thirst Hunger Weight loss Visual disturbances Fatigue w/ Ketosis Rapid breathing Fruity odor to the breath Inattentiveness / cognitive issues Loss of appetite / stomach irritation
22 Hyperglycemia - Guidelines Blood Glucose Levels Action 250 mg/dl 300 mg/dl Check urine of blood for ketones Ketone = no exercise No ketones = exercise w/ caution Check for Ketones Exercise in regardless of presence of ketones
23 Acute Hyperglycemia and Ketosis: Signs and Symptoms Athletes should work with physicians to determine insulin adjustments for periods of hyperglycemia
24 Why would an athlete get HYPER Glycemic 1. It can occur with high intensity exercise 2. A Decrease in Insulin combined with an increase of Hepatic Glucose Production (gluconeogenesis) during high intensity exercise. 3. Psychological Stress = Increase in counterregulatory hormones = Blood Glucose
25 Hyperglycemia How does it Effect Performance? Competing in a hyperglycemic state: 1. Risk of dehydration 2. Performance 3. Ketosis 4. Does NOT Risk of Hypoglycemia
26 Hyperglycemia Treatment The treatment plan focuses on a self-care plan predicted on: Monitoring of blood glucose
27 Blood Glucose Monitoring Frequent testing of blood sugar <110mg/dL before meals <140mg/dL after meals Hemoglobin A1C test every 3-6 months Continue to monitor: Blood pressure Cholesterol Vision Skin
28 Hyperglycemia Treatment Insulin Administration The pump Injections
29 Injection Sites
30 The Pump & Sensor The Pump The Sensor
31 Types of Insulin Insulin Action How to Use Length Humalog Rapid Bolus (Inj) Minutes Novalog Rapid Bolus (Inj) Minutes Humilin Fast Bolus (Inj) 2-4 hours Novolin Fast Basal / Bolus (P) 2-4 hours Humulin N Intermediate Basal Dose INJ 4-10 hours Novolin N Intermediate Basal Dose INJ 4-10 hours Lantus Long Basal 24 hours Levimar Long Basal 24 hours
32 Heat and Cold Heat may insulin absorption rates Cold may insulin absorption rates
33 Recognition, Treatment, and Prevention of Hyperglycemia Should avoid exercise during periods of hyperglycemia w/ ketones Should consult with their physician Athletes should drink non-carbohydrate fluids. Athletes should test for ketones when: Pump - single reading over 250 Injections consecutive reading over 250
34 Hypoglycemia
35 Blood Glucose Levels <70 mg/dl Tachycardia Sweating Palpitations Hunger Nervousness Headache Trembling Dizziness
36 Hypoglycemia As glucose continues to fall, symptoms of brain neuronal glucose deprivation occur and may cause: Blurred vision Fatigue Difficulty thinking Loss of motor control Aggressive behavior Seizures Convulsions Loss of consciousness If hypoglycemia is prolonged and severe, brain damage and even death can result
37 Recognition, Treatment, and Prevention of Hypoglycemia PREVENT IT!!! Blood glucose monitoring Before exercise 2-3 times During exercise every 30 min(minimum) After exercise every 2hours x 2 Carbohydrate supplementation Rule of 15
38 Recognition, Treatment, and Prevention of Hypoglycemia Insulin adjustments (consult a physician) Mild Hypoglycemia - if the athlete is conscious and able to swallow and follow directions Severe Hypoglycemia - if the athletes is unable to swallow, follow directions, eat as directed or is unconscious. Treatment requires a requires a glucagon injection
39 Hypoglycemia Causes insulin therapy & exercise (#1) Signs and symptoms occur when blood glucose levels fall below 70 mg/dl but can be different pending the size and makeup of your athlete.
40 Diabetic Athlete Complete in a safe and effective manner ADA recommendation /Maintain blood glucose levels range (100 pre-meal-180 post meal mg/dl) Near-normal blood glucose level reduces: Risk of dehydration Lethargy Hypoglycemia Autonomic counter-regulatory failure
41 Diabetes Figuring it Out Diabetes is best managed by a team of several health care professionals. Critical roles for the healthcare provider include: 1. Prevention, recognition, and immediate care of hypoglycemia and hyperglycemia 2. Exercise nutrition 3. Hydration counseling 4. Recognize the intensity of the exercise session in order to adjust glucose and insulin levels accordingly
42 Proactive Plans Healthcare providers need to have: 1. Diabetes care plan 2. Supplies for medical kits 3. Well-designed pre-participation exam (PPE) 4. Prevention, recognition, and treatment plans for diabetic situations 5. Procedures for insulin administration 6. Travel recommendations 7. Athletic injury and glycemic control plan
43 Diabetes Care Plan The plan should identify and include: Blood glucose targets for practices and game, including exclusion thresholds. Insulin therapy guidelines List of other medications Guidelines for hypoglycemia Guidelines for hyperglycemia Emergency contact information
44 Diabetic Care Plan Athletes with diabetes should have a medic alert tag
45 Supplies for Kit The athlete or parents of the athlete need to supply the following items: A copy of the diabetes care plan Blood glucose monitoring equipment and supplies Supplies to treat hypoglycemia (glucose products / sugary food/drinks) Supplies for urine or blood ketone testing A sharps container for syringes and lancets Spare batteries /Spare infusion sets and reservoirs for insulin pumps
46 Athletic Injury and T1DM Trauma = Stress = Blood Glucose Blood Glucose = Infection = wound/fx healing Target Ranges Important ADA recommendation /Maintain blood glucose levels range (100 pre-meal-180 post meal mg/dl)
47 Diabetic Complications Risk of stroke or heart disease is 4 x higher #1 cause of blindness in US #1 cause of kidney failure in US #1 cause of atraumatic amputations in US 70% of diabetics have neuropathy
48 Avoiding Diabetic Complications Closely monitor blood sugar levels Nutritional habits Exercise regularly Take medications as prescribed Do not smoke Avoid excessive alcohol Regular physical exams
49 Educational Programs Needed to establish: Healthy lifestyle Diet Physical activity Diabetes management Improve self-efficacy and diabetes control Improve safety and quality of care
50 Travel Recommendations Notify airport security screener of the medical condition Prescriptions and letter from the physician Travel with twice the amount of medications and supplies needed for the trip Health insurance card and emergency phone numbers Athletes with diabetes should carry prepackaged meals and/or snacks Discuss the travel plans with his/her diabetes health care team before departure
51 Summary Athletes can compete successfully with type 1 or 2 diabetes Healthcare providers need to be proactive and coordinate a care plan for each athlete Recognition and proper management of diabetic emergencies are critical to the care of the athlete Each athlete needs to be educated about their condition and know how to best manage and control the disease
Diabetes Fundamentals
Diabetes Fundamentals Prevalence of Diabetes in the U.S. Undiagnosed 10.7% of all people 20+ 23.1% of all people 60+ (12.2 million) Slide provided by Roche Diagnostics Sources: ADA, WHO statistics Prevalence
More informationThe Family Library. Understanding Diabetes
The Family Library Understanding Diabetes What is Diabetes? Diabetes is caused when the body has a problem in making or using insulin. Insulin is a hormone secreted by the pancreas and is needed for the
More informationCauses, incidence, and risk factors
Causes, incidence, and risk factors Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both. To understand diabetes,
More informationInsulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both.
Diabetes Definition Diabetes is a chronic (lifelong) disease marked by high levels of sugar in the blood. Causes Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused
More informationN E B R A S K A JAIL BULLETIN NUMBER 102 OCTOBER 1993
N E B R A S K A JAIL BULLETIN NUMBER 102 OCTOBER 1993 The Jail Bulletin is a monthly feature of the Crime Commission Update. The Bulletin may be used as a supplement to your jail in-service training program
More informationX-Plain Diabetes - Introduction Reference Summary
X-Plain Diabetes - Introduction Reference Summary Introduction Diabetes is a disease that affects millions of Americans every year. Your doctor may have informed you that you have diabetes. Although there
More informationPowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY. 12a. FOCUS ON Your Risk for Diabetes. Copyright 2011 Pearson Education, Inc.
PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY 12a FOCUS ON Your Risk for Diabetes Your Risk for Diabetes! Since 1980,Diabetes has increased by 50 %. Diabetes has increased by 70 percent
More informationAnchor Bay School District Diabetic Medical Care Plan. Student Name Date Grade Teacher
Rev: 4/2009 Anchor Bay School District Diabetic Medical Care Plan Place Child s Picture Here Student Name Date Grade Teacher Emergency Contact information (Please list in order to be called) #1 Parent
More informationBlood Glucose Management
Blood Glucose Management What Influences Blood Sugar Levels? There are three main things that influence your blood sugar: Nutrition Exercise Medication What Influences Blood Sugar Levels? NUTRITION 4 Meal
More informationStatistics of Type 2 Diabetes
Statistics of Type 2 Diabetes Of the 17 million Americans with diabetes, 90 percent to 95 percent have type 2 diabetes. Of these, half are unaware they have the disease. People with type 2 diabetes often
More informationDiabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106
EMPOW ERING A COMMUNITY OF LEARNERS AND LEADERS Diabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106 Student DOB School Grade Doctor Phone School Year
More informationMarkham Stouffville Hospital
Markham Stouffville Hospital Adult Diabetes Education Frequently Asked Questions What is diabetes? Diabetes is a disease in which blood glucose levels are above normal. Most of the food we eat is turned
More informationType 2 diabetes Definition
Type 2 diabetes Definition Type 2 diabetes is a lifelong (chronic) disease in which there are high levels of sugar (glucose) in the blood. Type 2 diabetes is the most common form of diabetes. Causes Diabetes
More informationSection 5: Type 2 Diabetes
SECTION OVERVIEW Definition and Symptoms Blood Glucose Monitoring Healthy Eating Physical Activity Oral Medication Insulin Sharps Disposal Definition and Symptoms Type 2 diabetes is occurring more frequently
More informationPost-Transplant Diabetes: What Every Patient Needs to Know
Post-Transplant Diabetes: What Every Patient Needs to Know International Transplant Nurses Society What is Diabetes? Diabetes is an illness that effects how your body makes and uses a hormone called insulin.
More informationDiabetes Hypoglycemia/Hyperglycemia Reaction
Diabetes Hypoglycemia/Hyperglycemia Reaction Hypoglycemic Reaction (Insulin Shock) A. Hypoglycemic reactions (insulin reactions) should be treated according to current nursing and medical recommendations.
More information2. What Should Advocates Know About Diabetes? O
2. What Should Advocates Know About Diabetes? O ften a school district s failure to properly address the needs of a student with diabetes is due not to bad faith, but to ignorance or a lack of accurate
More informationNutrition. Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT
1 Nutrition Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT 2 Type 2 Diabetes: A Growing Challenge in the Healthcare Setting Introduction and background of type 2 diabetes:
More informationIntroduction. We hope this guide will aide you and your staff in creating a safe and supportive environment for your students challenged by diabetes.
Introduction Diabetes is a chronic disease that affects the body s ability to metabolize food. The body converts much of the food we eat into glucose, the body s main source of energy. Glucose is carried
More informationDiabetes. Patient Education. What you need to know. Diabetes Facts. Improving Health Through Education. What is Diabetes?
Diabetes What you need to know Diabetes Facts More than 3 million Canadians have diabetes (Canadian Diabetes Association, 2009). It is the 4th leading cause of death in the world (CDA, 2009). Patient Education
More informationSchool Year 20 / 20. Diabetes Health Care Plan for Southgate Schools
School Year 20 / 20 Diabetes Health Care Plan for Southgate Schools Diabetes Medical Management Plan, Initialized Healthcare Plan and Physician Orders Part A: Contact Information must be completed by the
More informationOther Noninfectious Diseases. Chapter 31 Lesson 3
Other Noninfectious Diseases Chapter 31 Lesson 3 Diabetes Diabetes- a chronic disease that affects the way body cells convert food into energy. Diabetes is the seventh leading cause of death by disease
More informationDIABETES MELLITUS. By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria
DIABETES MELLITUS By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria What is Diabetes Diabetes Mellitus (commonly referred to as diabetes ) is a chronic medical
More informationDIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY
DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY First Edition September 17, 1997 Kevin King R.N., B.S., C.C.R.N. Gregg Kunder R.N., B.S.N., C.C.T.C. 77-120 CHS UCLA Medical Center
More informationManaging children and the young person with diabetes at school. A England September 2009
Managing children and the young person with diabetes at school. A England September 2009 To establish the principles of managing Diabetes Mellitus Discuss the types of diabetes To inform/update staff of
More informationUnderstanding Diabetes
Understanding Diabetes What is diabetes? Diabetes is a condition where there is too much glucose (a type of sugar) in your blood. Your blood glucose level is regulated with the help of insulin, a hormone
More informationDiabetes Mellitus: Type 1
Diabetes Mellitus: Type 1 What is type 1 diabetes mellitus? Type 1 diabetes is a disorder that happens when your body produces little or no insulin. The lack of insulin causes the level of sugar in your
More informationDiabetes. Emergency Checklists. From A Child in Your Care Has Diabetes. A Collection of Information. Copyright 2005 by Elisa Hendel, M.Ed.
Diabetes Emergency Checklists From A Child in Your Care Has Diabetes. A Collection of Information. Copyright 2005 by Elisa Hendel, M.Ed. Hyperglycemia High Blood Sugar * Hyperglycemia occurs when the blood
More informationSection 6: Diabetes Emergencies
Section 6: Diabetes Emergencies SECTION OVERVIEW General Overview Low Blood Glucose (Hypoglycemia) Glucagon High Blood Glucose (Hyperglycemia) Diabetic Ketoacidosis Monitoring Ketones Emergency Medical
More informationFeeling Better, Living Healthier With Diabetes
Feeling Better, Living Healthier With Diabetes A guide for self management 761 S. Nelson Ave. Wilmington, Ohio 45177 (937) 382-9307 www.cmhregional.com What is Diabetes? Those who have diabetes are often
More informationHOW TO CARE FOR A PATIENT WITH DIABETES
HOW TO CARE FOR A PATIENT WITH DIABETES INTRODUCTION Diabetes is one of the most common diseases in the United States, and diabetes is a disease that affects the way the body handles blood sugar. Approximately
More informationSection 504 Plan (pg 1 of 8)
Section 504 Plan (pg 1 of 8) of Birth School Today s Section 504 Plan for: Disability: Diabetes School Year: Grade: Homeroom Teacher: Bus Number: Background Objectives The student has type diabetes. Diabetes
More informationDiabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat?
Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? After eating, most food is turned into glucose, the body s main source of energy. 1 Normal Blood
More informationType 1 diabetes Definition
Type 1 diabetes Definition Type 1 diabetes is a chronic (lifelong) disease that occurs when the pancreas does not produce enough insulin to properly control blood sugar levels. Causes There are several
More informationDepartment Of Biochemistry. Subject: Diabetes Mellitus. Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage.
Department Of Biochemistry Subject: Diabetes Mellitus Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage. Diabetes mellitus : Type 1 & Type 2 What is diabestes mellitus?
More informationGreen Brook Township School District DIABETES- Insulin Pump IHP/IEHP
Green Brook Township School District DIABETES- Insulin Pump IHP/IEHP 1. Personal Information: I. STUDENT INFORMATION NAME: Grade HR.- Teacher: Address Home Phone #: Birth date Bus: # N/A Gender Male Female
More informationStudent Name: Date of Birth:
Place Photo Here ITASCA DISTRICT 10 DIABETES CARE PLAN Student Name: Date of Birth: Date of Conference: School Nurse: Health Data: has diabetes. This is a condition in which the pancreas is unable to make
More informationHUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100)
1 PATIENT INFORMATION HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100) WARNINGS Do not share your syringes with other people, even if the needle has been changed. You
More informationHypoglycemia and Diabetes
My Doctor Says I Should Avoid Low Blood Glucose Reactions... How Can I Prevent Them? BD Getting Started Hypoglycemia and Diabetes What You Should Know About Low Blood Glucose Reactions If you are taking
More informationType 2 Diabetes Type 2 Diabetes
Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine Pub No. 33 Type 2 is the most common form of diabetes. In this form, the body does not produce enough
More informationBackground (cont) World Health Organisation (WHO) and IDF predict that this number will increase to more than 1,3 million in the next 25 years.
Diabetes Overview Background What is diabetes Non-modifiable risk factors Modifiable risk factors Common symptoms of diabetes Early diagnosis and management of diabetes Non-medical management of diabetes
More informationDiabetes Mellitus Type 2
Diabetes Mellitus Type 2 What is it? Diabetes is a common health problem in the U.S. and the world. In diabetes, the body does not use the food it digests well. It is hard for the body to use carbohydrates
More informationDiabetes Medical Management Plan (DMMP)
Diabetes Medical Management Plan (DMMP) This plan should be completed by the student s personal diabetes health care team, including the parents/guardian. It should be reviewed with relevant school staff
More informationHow to Get and Stay Healthy with Diabetes
How to Get and Stay Healthy with Diabetes Target Audience: People with diabetes Objectives: Participants will be able to: 1. Recognize and treat high and low blood glucose levels. 2. Better control wide
More informationUNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH
Teacher Workshop Curriculum UNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH Written by Meg Sullivan, MD with help from Marina Catallozzi, MD, Pam Haller MDiv, MPH, and Erica Gibson, MD UNDERSTANDING AND
More informationManagement of Diabetes
Management of Diabetes Blood Glucose Monitoring MANAGEMENT OF DIABETES Once someone is told they have diabetes, they are usually asked to check their blood glucose at home with a home blood glucose meter
More informationOFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN
PART I OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN Student School Date of Birth Date of Diagnosis Grade/ Teacher Physical
More informationSee, Think, and Act! Diabetes
See, Think, and Act! Diabetes California After School Resource Center (CASRC) Administered for the California Department of Education (C.D.E.) Hello. My name is Joan Edelstein. I am a health trainer for
More informationType 1 Diabetes. Pennington Nutrition Series. Overview. About Insulin
Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine Pub No. 32 Type 1 Diabetes Overview Type 1 Diabetes (DM) is usually diagnosed in children and young adults.
More informationFHUSD Diabetic Management Plan
This plan should be completed by the student s personnel Physician or Licensed Healthcare Provider and parent/guardian. It should be reviewed with relevant school staff and copies should be kept in a place
More informationWHAT I NEED TO KNOW ABOUT MY BLOOD SUGAR
WHAT I NEED TO KNOW ABOUT MY BLOOD SUGAR BLOOD WHAT I NEED SUGAR TO MANAGEMENT KNOW ABOUT GUIDE MY BLOOD SUGAR When you have type 2 diabetes, your body has a problem using the food you eat for energy.
More informationSCHOOL DISTRICT #22 VERNON DIABETES POLICY
SCHOOL DISTRICT #22 VERNON DIABETES POLICY A student with diabetes does not automatically qualify for additional support. The student may qualify as a temporary D category (chronic health) after diagnosis
More informationKnow Your Numbers. The Five-Point Plan
The Five-Point Plan Know Your Numbers 2 My husband didn t even know he had diabetes until he had a heart attack. Lupe Ontiveros Actress on Desperate Housewives 13 What does it mean to Know Your Numbers?
More informationDiabetes. 2. Types. Permafold Topics. What You Need To Know. One test used to diagnose diabetes is a fasting blood glucose test.
1. What Is Diabetes? Diabetes is often called having too much sugar. It is too much sugar (glucose) in the blood and not enough in the body s cells. Glucose needs to get into the cells to be used for energy.
More informationRiley Hospital for Children General Diabetes Medical Management Information- Injections
Riley Hospital for Children General Diabetes Medical Management Information- Injections 1. HEALTH CARE SUPERVISION All school support staff, including: secretaries, cafeteria staff, custodians and bus
More informationGuidelines for the Care Needed for Students with Diabetes
Guidelines for the Care Needed for Students with Diabetes for the implementation of State Board of Education Rule 160-4-8-.18 Diabetes Medical Management Plans Version 1.0 Table of Contents (1) DEFINITIONS:...
More informationDiab.etes Me.dic.al-Ma-nage-me-n-t -P-la-n -.
Date of Plan: Diab.etes Me.dic.al-Ma-nage-me-n-t -P-la-n -. Effective Dates: WJ Student's Name: Date of Birth:,-..,,;... Date of Diabetes Diagnosis: Grade: Homeroom Teacher: Physical Condition: 0 Diabetes
More informationType 2 Diabetes. What is diabetes? Understanding blood glucose and insulin. What is Type 2 diabetes? Page 1 of 5
Page 1 of 5 Type 2 Diabetes Type 2 diabetes occurs mainly in people aged over 40. The 'first-line' treatment is diet, weight control and physical activity. If the blood glucose level remains high despite
More informationLearn about Diabetes. Your Guide to Diabetes: Type 1 and Type 2. You can learn how to take care of your diabetes.
Learn about Diabetes You can learn how to take care of your diabetes and prevent some of the serious problems diabetes can cause. The more you know, the better you can manage your diabetes. Share this
More informationA Training Program for Diabetes Management in the School Setting: The Role of Unlicensed School Staff. Virginia Department of Education 2015
A Training Program for Diabetes Management in the School Setting: The Role of Unlicensed School Staff Virginia Department of Education 2015 Objectives To understand legal authorization and protection for
More informationDiabetes Brief. Pre diabetes occurs when glucose levels are elevated in the blood, but are not as high as someone who has diabetes.
Diabetes Brief What is Diabetes? Diabetes mellitus is a disease of abnormal carbohydrate metabolism in which the level of blood glucose, or blood sugar, is above normal. The disease occurs when the body
More informationALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan
ALVIN INDEPENDENT SCHOOL DISTRICT Diabetes Medical Management Plan of Plan: School Year (must be current): This plan should be completed by the student s personal health care team and parents/guardian.
More informationManaging Diabetes in the School Setting. Alabama State Department of Education Alabama Board of Nursing
Managing Diabetes in the School Setting Alabama State Department of Education Alabama Board of Nursing Diabetes Mellitus: Type I Diabetes Previously called Insulin-dependent or Juvenile Onset Diabetes
More informationWelcome to Diabetes Education! Why Should I Take Control of My Diabetes?
Welcome to Diabetes Education! Why Should I Take Control of My Diabetes? NEEDS and BENEFITS of SELF-MANAGEMENT You make choices about your life and health Controlling diabetes needs every day decisions
More informationWhat is diabetes? Diabetes is a condition which occurs as a result of problems with the production and supply of insulin in the body.
What is diabetes? Diabetes is a condition which occurs as a result of problems with the production and supply of insulin in the body. Most of the food we eat is turned into glucose, a form of sugar. We
More informationX-Plain Hypoglycemia Reference Summary
X-Plain Hypoglycemia Reference Summary Introduction Hypoglycemia is a condition that causes blood sugar level to drop dangerously low. It mostly shows up in diabetic patients who take insulin. When recognized
More informationHumulin (HU-mu-lin) R
1 PATIENT INFORMATION Humulin (HU-mu-lin) R Regular U-500 (Concentrated) insulin human injection, USP (rdna origin) Read the Patient Information that comes with Humulin R U-500 before you start taking
More informationDiabetic Emergencies. David Hill, D.O.
Diabetic Emergencies David Hill, D.O. Class Outline Diabetic emergency/glucometer training Identify the different signs of insulin shock Diabetic coma, and HHNK Participants will understand the treatment
More informationOverview of Diabetes Management. By Cindy Daversa, M.S.,R.D.,C.D.E. UCI Health
Overview of Diabetes Management By Cindy Daversa, M.S.,R.D.,C.D.E. UCI Health Objectives: Describe the pathophysiology of diabetes. From a multiorgan systems viewpoint. Identify the types of diabetes.
More informationDIABETES A chronic, debilitating and often deadly disease A global epidemic Diabetes in Africa
DIABETES A chronic, debilitating and often deadly disease Diabetes is a chronic condition that arises when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin
More informationPreventing Type 2 Diabetes and Its Complications
What is Diabetes? Preventing Type 2 Diabetes and Its Complications Diabetes is a chronic medical condition resulting in high blood sugar (glucose) levels in the blood. High blood sugar over years may cause
More informationType 2 Diabetes. Type 1 Diabetes. What is Diabetes? Diabetes during Pregnancy Very Thirsty Very Tired
FCD2-006 BINGO GAME To Prepare bingo game:!copy Picture Cards with pictures on one side and corresponding words on the other.!cut Bingo Cards apart, duplicate if you have more than ten players.!cut apart
More informationTYPE 2 DIABETES PROCEDURES AND FORMS ELEMENTARY SECONDARY SCHOOL ADMINISTRATOR
TYPE 2 DIABETES PROCEDURES AND FORMS ELEMENTARY SECONDARY SCHOOL ADMINISTRATOR 2013 SCHOOL ADMINISTRATOR TYPE 2 DIABETES PROCEDURES and FORMS: Parent/guardian informs school administrator child/youth has
More informationBLOOD GLUCOSE MONITORING MEDICATION
DIABETES CARE FOR SCHOOL MEDICAL MANAGEMENT PLAN Most Recent A1C and Date: BLOOD GLUCOSE MONITORING Meter Type: Testing Independently: yes no Testing times: Before meals Two hours after insulin dosing
More informationN HUMAN Novo Nordisk Patient Information for Novolin N
N HUMAN Novo Nordisk Patient Information for Novolin N NOVOLIN N (NO-voe-lin) NPH, Human Insulin Isophane Suspension Injection (recombinant DNA origin) 100 units/ml Important: Know your insulin. Do not
More informationAm I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes NATIONAL DIABETES INFORMATION CLEARINGHOUSE
NATIONAL DIABETES INFORMATION CLEARINGHOUSE Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes U.S. Department of Health and Human Services National Institutes of Health
More informationBaskets of Care Diabetes Subcommittee
Baskets of Care Diabetes Subcommittee Disclaimer: This background information is not intended to be a comprehensive scientific discussion of the topic, but rather an attempt to provide a baseline level
More informationDiabetes Health Care Plan
The Public Schools of Brookline School Health Services of Plan: Diabetes Health Care Plan To be completed by the student s health care team and parents/guardian. Plan will be kept with the school nurse
More informationLESSON TWO: COMPARE AND CONTRAST TYPE 1 AND TYPE 2 DIABETES
LESSON TWO: COMPARE AND CONTRAST TYPE 1 AND TYPE 2 DIABETES FOCUS: Students will be given information on the two major types of diabetes, and they will analyze how the two types compare and contrast. OBJECTIVES:
More informationDiabetes mellitus. Lecture Outline
Diabetes mellitus Lecture Outline I. Diagnosis II. Epidemiology III. Causes of diabetes IV. Health Problems and Diabetes V. Treating Diabetes VI. Physical activity and diabetes 1 Diabetes Disorder characterized
More informationDiabetes Medications: Insulin Therapy
Diabetes Medications: Insulin Therapy Courtesy Univ Texas San Antonio Eric L. Johnson, M.D. Department of Family and Community Medicine Diabetes and Insulin Type 1 Diabetes Autoimmune destruction of beta
More informationDIAB-1144149-0015 04/15 Copyright 2015 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved.
THE FACTS ABOUT FASTING DURING RAMADAN An Educational Program FOR people WITH TYPE 2 DIABETES 1 Introduction 2 Preparing for Ramadan Ramadan; one of the five pillars of Islam Fasting is an important spiritual
More informationType 1 Diabetes ( Juvenile Diabetes)
Type 1 Diabetes W ( Juvenile Diabetes) hat is Type 1 Diabetes? Type 1 diabetes, also known as juvenile-onset diabetes, is one of the three main forms of diabetes affecting millions of people worldwide.
More informationSchool Nurse Role in Care and Management of the Child with Diabetes in Colorado Schools and Child Care Settings Position Statement 1 POSITION It is
Schools and Child Care Settings Position Statement 1 POSITION It is the position of the Colorado Diabetes Resource Nurses that the school nurse is the only school staff member who has the skills, knowledge
More informationPlanning Your Diabetes Care...
My Doctor Says I Should Plan for Diabetes Care During a Disaster... What Do I Need to do? BD Getting Started Planning Your Diabetes Care... During Disaster Conditions In 1993, the Garden State Association
More informationwritten by Harvard Medical School Insulin Therapy Managing Your Diabetes www.patientedu.org
written by Harvard Medical School Insulin Therapy Managing Your Diabetes www.patientedu.org What Is Insulin? The cells of your body need energy and one source of energy is sugar in your blood. Insulin
More informationInsulin: A Practice Update. Department of Nursing Staff Development Elizabeth Borgelt, MS, RN
Insulin: A Practice Update Department of Nursing Staff Development Elizabeth Borgelt, MS, RN Learning Outcome The learner will be able to identify the different types of insulins available, their actions,
More informationChallenges in Glycemic Control in Adult and Geriatric Patients. Denyse Gallagher, APRN-BC, CDE Endocrinology Nurse Practitioner
Challenges in Glycemic Control in Adult and Geriatric Patients Denyse Gallagher, APRN-BC, CDE Endocrinology Nurse Practitioner Provide an overview of diabetes prevalence; discuss challenges and barriers
More informationMedical Assistant s Diabetes Survey
Medical Assistant s Diabetes Survey Instructions: Circle one answer for each question. Thank-you. Basic Knowledge 1. Risk factors for developing Type 2 diabetes include: a. Family members with diabetes
More informationTelephone: Home Work Cell E-mail Address Father/Guardian: Address:
SAMPLE Diabetes Medical Management Plan/Individualized Healthcare Plan Part A: Contact Information must be completed by the parent/guardian. Part B: Diabetes Medical Management Plan (DMMP) must be completed
More informationTake Charge of Your Diabetes
Take Charge of Your Diabetes A Reinforcement Booklet for People With Diabetes Purpose and Acknowledgments This simplified and shortened overview of CDC s 1997 publication, Take Charge of Your Diabetes,
More informationWhat is Type 2 Diabetes?
Type 2 Diabetes What is Type 2 Diabetes? Diabetes is a condition where there is too much glucose in the blood. Our pancreas produces a hormone called insulin. Insulin works to regulate our blood glucose
More informationUnderstanding Diabetes
Patient Education Understanding Diabetes This handout describes diabetes, the complications related to the disease, and how you can prevent these complications. Blood Sugar Control Diabetes is a disease
More informationA list of all medications you are taking also include any vitamins, supplements, over-the-counter medicines, or herbal products
This is your customized insulin discussion guide to bring to your next doctor s visit. WHAT TO BRING TO YOUR NEXT CHECK UP A record of your recent blood sugar readings A list of all medications you are
More informationDiabetes, Type 2. RelayClinical Patient Education Sample Topic Diabetes, Type 2. What is type 2 diabetes? How does it occur?
What is type 2 diabetes? Type 2 diabetes is a disorder that happens when your body does not make enough insulin or is unable to use its own insulin properly. The inability to use insulin is called insulin
More informationTypes of insulin and How to Use Them
Diabetes and Insulin Pumps Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012 Objectives Describe the different types of insulin used in diabetes Identify the types of insulin that are compatible with
More informationEmployment Considerations for People who have Diabetes
Employment Considerations for People who have Diabetes What is Diabetes? Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert
More informationDiabetes mellitus is a chronic condition that occurs as a result of problems with the production and/or action of insulin in the body.
International Diabetes Federation Diabetes Background Information Diabetes mellitus is a chronic condition that occurs as a result of problems with the production and/or action of insulin in the body.
More informationDiabetes Related Frequently Asked Questions (FAQs)
Diabetes Related Frequently Asked Questions (FAQs) 1. How do I get a glucose meter? Before leaving the hospital, your doctor will give you a prescription for the meter, strips and lancets. The meter comes
More informationCME Test for AMDA Clinical Practice Guideline. Diabetes Mellitus
CME Test for AMDA Clinical Practice Guideline Diabetes Mellitus Part I: 1. Which one of the following statements about type 2 diabetes is not accurate? a. Diabetics are at increased risk of experiencing
More information