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Diabetes in Schools GOALS Keep student in Class (e.g., <=1 low…

- - - - Check for Ketones
        
        Detect DKA
        Lack of insulin > glucose builds up > cells starve > ketone acids build up > acidosis
        
        Signs
        Ketones
        Nausea / vomiting
        Headache
        
        Why it matters
        Brain swelling / death
        
        Check Ketones
        BG over 300 > 3 hrs
        Nausea / vomiting
        
        Trea Moderate-Large Ketones
        1.5 correction by syringe
        Water
        No exercise
        Correction every 2 hours
        
        Causes
        Decreased insulin circulation
        undiagnosed diabetes, insulin pump issue, missed Lantus, illness
      - Correct
      - Recheck
      - Check
    - - Type 1
        Autoimmune destruction of
        insulin-producing beta cells in pancreas
        
        Diet
        Carb-Counting
        
        Treatment
        Insulin daily (life-sustaining)
        
        No known cause / No way to prevent
        "It's not your fault"
        90% of time mom starts balling
        Hot dogs
        
        When
        Commonly in childhoold
        
        Epidemiology
        Most common endocrine disorder
        17,900 annually (200K total)
        
        Blood Glucose
        Highly variable
      - No Diabetes
        Pancreas regulates blood sugar
      - Type 2
        Cells don't respond to insulin very well
        
        When
        Commonly in adulthood
        
        Treatment
        Lifestyle, pills, a/o insulin
        
        Diet
        Individualized, more focused
        
        Can be prevented or delayed but risk factors exist
        overweight and obesity, not being physically active, insulin resistance, genes
        
        Epidemiology
        Most common diabetes (30M in US + 90M at-risk)
        5,300 cases for kids each year
        
        Blood Glucose
        Less Variable
      - Glucose Control
  - - - BG Monitoring
      - Insulin Administration
        
        Honeymoon / diagnosis
        
        Ongoing
      - Glucagon Administration
      - Ketone Testing
      - Basic Carb Counting
    - - Clear identification and understanding of the task as outlined in the student’s DMMP
      - Each student’s symptoms and treatment for hypoglycemia and hyperglycemia
      - Step-by-step instructions on how to perform the task using the student’s equipment and supplies
      - Clear parameters on when to perform the task, when not to do so, and when to ask for help from a health care professional
- - - - Acute (correction)
      - Prolonged (ketones)