Tips To Help Teachers Keep Kids With Diabetes Safe At School

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Tips to Help TeachersKeep Kids with DiabetesSafe at SchoolPresenterSchool NameDatewww.diabetes.org1-800-DIABETES

About DiabetesNearly 21 million adultsand children in the U.S.have diabetes.This includes # childrenat Insert School District www.diabetes.org1-800-DIABETES

About DiabetesWhat is diabetes?– Diabetes is a chronic illness in which the body does notproduce insulin (type 1) or does not produce enoughinsulin or properly use it (type 2).– Insulin is vital for everyday life because it converts sugar,starches or other food into energy.– Diabetes is the sixth deadliest disease in the U.S.Diabetes has no cure.www.diabetes.org1-800-DIABETES

About DiabetesType 1 diabetes– Occurs when the pancreas does not produce insulin– Requires multiple doses of insulin every day – via shotsor an insulin pump– Accounts for 5 to 10% of all cases of diabetes and is themost prevalent type of diabetes among children andadolescentsType 1 diabetescannot be prevented.www.diabetes.org1-800-DIABETES

About DiabetesType 2 diabetes– Occurs when the pancreas does not produce enoughinsulin or use insulin properly– Increased type 2 diagnoses among children andadolescents in the U.S.– African Americans and Hispanic/Latino Americans are athigher risk– Managed with insulin shots, oral medication, diet andother healthy living choicesType 2 diabetes may be prevented.www.diabetes.org1-800-DIABETES

About DiabetesPossible long-term complications–––––––Heart diseaseStrokeKidney diseaseBlindnessNerve diseaseAmputationsImpotenceThese chronic complications may occurover time, especially if blood sugar levelsare not controlled.www.diabetes.org1-800-DIABETES

Symptoms of DiabetesType 1 diabetesType 2 diabetes–––––––– Increased thirstFrequent urinationExcessive thirstExtreme hungerDramatic weight lossIrritabilityWeakness and fatigueNausea and vomiting– Frequent or night time urination– Blurry vision– Unusual fatigue– Dark skin around the neck orarmpits (Acanthosis Nigricans)These symptoms usuallyoccur suddenly and canThese symptoms usually occurbe deadly if left untreated. gradually and may go unnoticed.www.diabetes.org1-800-DIABETES

Diabetes Management at SchoolDiabetes management is 24/7 Every student with diabetes will be different Diabetes requires constant juggling ofinsulin/medication with physical activity and food It’s important to recognize the behaviors and signs of“high” and “low” blood sugar levels A student with a diabetes emergency willneed help from school staff (ex. low blood sugar) Students with diabetes can do the same every dayactivities as students without diabeteswww.diabetes.org1-800-DIABETES

Diabetes Management at SchoolMost immediate concerns in managingtype 1 diabetes Hypoglycemia low blood glucose Hyperglycemia high blood glucose Ketoacidosis (key-toe-ass-i-DOE-sis) ketone (acid) build up in the blood becausethere is not enough insulin in the bodywww.diabetes.org1-800-DIABETES

Diabetes Management at SchoolCauses of Hypoglycemia (low blood sugar):– Administering too much insulin– Skipping or delaying meals/snacks– Too much insulin for the amount of food eaten– Exercising longer or harder than planned– More likely to occur before lunch, at end of school day orduring/after PE– Combination of the above factorsNever leave a student alone or send them away whenexperiencing hypoglycemia. Treat on the spot.www.diabetes.org1-800-DIABETES

Diabetes Management at SchoolSymptoms of mildhypoglycemia:– Sudden change inbehavior (lethargic,confused, uncoordinated,irritable, nervous)Response:1.Give the student a quickacting sugar equivalent to15 grams of carbohydrate: Examples: 4 oz. of juice, ½ a canof regular soda, or 3-4 glucosetabletsAsk parents to provide you withwhat works best for their child– Sudden change inappearance (shaky,sweaty, pale or sleepy)2. Check blood glucose (BG)level 10 to 15 minutes later– Complaints of headacheor weakness3. Repeat treatment if BG isbelow student’s target rangewww.diabetes.org1-800-DIABETES

Diabetes Management at SchoolMILD HYPOGLYCEMIA(low blood sugar)Shaky, weak, tired, paleQuick-acting sugar snacklike juice, regular soda, glucose tabswww.diabetes.org1-800-DIABETES

Diabetes Management at SchoolSymptoms of severehypoglycemia:– Inability to swallow– Seizure or convulsion– UnconsciousnessThis is the most immediatedanger to kids with diabetes.Response:– Position student on side– Contact school nurse ortrained diabetes staff– Administer prescribedglucagon– Call 911– Call student’s parentsGLUCAGON IS A HORMONE THAT RAISES BLOOD GLUCOSE LEVELS.It is only administered when hypoglycemic symptoms are SEVERE.Glucagon may cause nausea or vomiting, but.GLUCAGON IS A LIFE-SAVING TREATMENT THATCANNOT HARM A STUDENT!www.diabetes.org1-800-DIABETES

Diabetes Management at SchoolDiabetesCausesof ManagementHyperglycemiaat School(high blood sugar):– Too little insulin– Illness, infection or injury– Stress or emotional upset– Decreased exercise or activity– Combination of the above factorswww.diabetes.org1-800-DIABETES

Diabetes Management at SchoolSymptoms ofhyperglycemia:– Increased thirst– Frequent urination– Nausea– Blurry vision– FatigueResponse:– Allow free and unrestrictedaccess to liquids and restrooms– Allow student to administerinsulin or seek a trained staffperson to administer– Encourage student to test bloodglucose levels more frequentlyIn the short term, hyperglycemia can impair cognitive abilities andadversely affect academic performance.In the long-term, high blood glucose levels can be very dangerous.www.diabetes.org1-800-DIABETES

Diabetes Management at SchoolBathroom breaks, water, insulinIncreased urination, thirst,blurry vision , nauseaHYPERGLYCEMIA(high blood sugar)www.diabetes.org1-800-DIABETES

Diabetes Management at SchoolAs a teacher, you can help by: Supporting self-care by capable students Providing easy-access to diabetes supplies Ensuring students eat snacks at ascheduled time and make sure snacks areavailable to treat low blood sugar Allowing students reasonable time to makeup missed homework or tests Learning about diabetes and complyingwith the individual student’s 504 and healthcare planswww.diabetes.org1-800-DIABETES

Diabetes Management at SchoolOther Classroom Tips: Keep a contact sheet of trained diabetesstaff at your desk for emergencies Create a diabetes info sheet for substitute teachers Learn signs and responses to low/high blood sugar levels Allow blood glucose monitoring and free access tobathrooms/water during class Teach your class about diabetes Let parents know, in advance, changes to the classschedule (field trips, special events, etc.)www.diabetes.org1-800-DIABETES

Diabetes InformationFor More Information: Visit www.diabetes.org/schools Visit www.diabetes.org/safeatschool Download the following free tools:– NDEP’s Helping the Student with DiabetesSucceed: A Guide for School Personnel– ADA’s Diabetes Care Tasks at School: WhatKey Personnel Need to Know Visit www.diabetes.org/schoolwalkfor free lesson plans about diabeteswww.diabetes.org1-800-DIABETES

Thank You!School Staff Support Diabetes Knowledge Student Successwww.diabetes.org1-800-DIABETES

What is diabetes? – Diabetes is a chronic illness in which the body does not produce insulin (type 1) or does not produce enough insulin or properly use it (type 2). – Insulin is vital for everyday life because it converts sugar, starches or other food into energy. – Diabetes is the sixth deadliest disease in the U.S. Diabetes has no cure.

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