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Transcript

TYPE

1

DIABETES

1

Chronic Condition:

- No Insulin

What

is

T1D

- High Blood Sugar

- Treatment

NORMAL LIFE

The Pancreas

The Pancreas

The Pancreas

High blood Sugar

High blood Sugar and Organ Damage

small Arteries

  • Nerves
  • Eyes
  • Kidneys
  • Heart

INSULIN

INSULIN

1. Testing

2. Insulin replacement

INSULIN

Regimens

30 min before food

Low Blood Sugar

ACUTE

Hypo

glycemia

Under 70 mg/dl

Symptoms

Symptoms

  • fast heartbeat
  • headache
  • nausea
  • nervousness
  • nightmares
  • shakiness
  • slurred speech
  • unusual tiredness or weakness
  • anxious feeling
  • behavior change similar to being drunk
  • blurred vision
  • cold sweats
  • confusion
  • cool pale skin
  • difficulty in concentrating
  • drowsiness
  • excessive hunger

Treatment 15

Treatment 15

  • 15 grams of sugar

( half a glass of non-organic fruit juice)

  • 15 minutes

  • Retest

  • Repeat

(if sugar is not above 70 mg/dL)

The LOW BOX

  • Instructions how to treat a low and test
  • Description of symptoms
  • Instructions for when to call for extra help
  • Juice boxes (at least 15 grams of carbs each)
  • Glucose tablets
  • Snacks like granola bars or crackers
  • Extra vial of test strips and batteries

High Blood Sugar

Try to Prevent it

A reading above 160 mg/dL

Hyper

Glycemia

  • Unquenchable thirst
  • Dry mouth
  • Fatigue
  • Frequent urination
  • Blurred vision
  • Fruity-smelling breath
  • Abdominal pain
  • Confusion
  • Presence of ketones
  • Vomiting
  • Exhaustion

Inform the parents

Food

FOODS

1. Notify the parents before a school or class party

2. Be mindful that the child doesnt overeat

3. Be mindful that the child isnt eating enough

Hormones

Infections

Cortisol and Adrenaline

1

Sick Day Plan

  • Notify parents if the child is feverish

  • Lists of recommended medications you can take to alleviate certain symptoms

  • Nurse or doctor contacts

  • a plan of action (if / then scenarios)

Check blood sugar every 4 hours

Maybe school tests are not a good idea on that day

Less carbohydrate foods

2

Get your gear

  • glucagon kit
  • ketone strips/meter
  • thermometer
  • Tylenol* (or Acetaminophen) for fever
  • cold/flu medication

3

Hygiene

  • Tell everybody to wash their hands

  • Try to eleminate sick contacts

  • Flu Shots for everybody ?

Physical Activity

Hypoglycemia

Notify parents

If changes in PE classes

Notify parents

Test Blood Sugar level if you think the child was more active than usual

SAY NO

If the child is experiencing signs of a low blood sugar, he should not be allowed to do physical exercise

SAY NO

Scenario

Flori is acting differently from usual or is feeling low

Scenario

Blood Sugar < 70mg/dl

Give 15 g of sugar : 1 tbsp, half a cup of juice

Test in 15 min

No physical activity allowed

Blood Sugar < 60

  • 30 grams of sugar

2 tbsp or 1 cup/can of juice

  • Test again in 10 min

Call Nurse or Doctor

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