
Diabetes Management And Action Plans
The Perth Childrens Hospital Diabetes Service and the Department of Education Western Australia endorse use of the diabetes management and action plans listed below for implementation in all early years, primary and secondary school settings. These management and action plans are based on current evidence-based, best practice for young people with type 1 diabetes and are provided here for use in a secure PDF format only. The content and wording is not to be changed. The expectation is that the relevant management and action plans for a young person are printed and personalised by hand (filling in name and other details, ticking relevant boxes where indicated by the parent/carer and young person in consultation with the diabetes treating team). Each student should have one management plan and one action plan, which complement each other according to the current treatment they follow (TDI = twice daily injections; MDI = multiple daily injections or insulin pump therapy). For children and young people in primary and secondary school settings please use the relevant plans below. This applies to children and young people in kindergarten up to year 12. Continue reading >>

Diabetic Emergencies
Tweet Diabetes can become serious in the short term if blood sugar levels become either too high or too low. The following information details what to do in an emergency. This covers low blood sugar (hypoglycemia), very high blood sugar (diabetic ketoacidosis) and what to do if you are left without your diabetes medication and/or supplies. What counts as a diabetic emergency? It can be a difficult area sometimes to know what counts as a genuine emergency. News reports in recent years have highlighted that a significant number of ‘999’ ambulance call-outs have not been necessary - for example to treat mild hypoglycemia which, in some cases, has been successfully treated befor e the ambulance has arrived. This isn’t to say that conditions, such as hypoglycemia, are not dangerous but that it’s important to know when a situation really is an emergency so that an ambulance is not unnecessarily called. When should I call an ambulance? An ambulance will be needed if someone has either very high or very low blood sugar levels that presents an immediate danger and neither they nor anyone around is confidently able to treat them. Ketoacidosis and Hyperosmolar Hyperglycemic Nonketotic Syndrome are both life threatening conditions. Hypoglycemia can also be life threatening in some cases. Someone with diabetes that is unconscious is one of the situations in which you should call for an ambulance. If you have doubts about whether the situation is serious enough to warrant an ambulance, call 111. Severe hypoglycemia Hypoglycemia can become dangerous if it is not treated quickly, particularly if it is a result of an insulin overdose. Severe hypoglycemia is generally recognised as hypoglycemia involving: Convulsions (fitting) Unconsciousness Hypoglycemia can often be treated at Continue reading >>

Medical Emergencies Occurring At School
Selected Emergency-Preparedness Resources and Links American Heart Association: School emergency-response plan Response to Cardiac Arrest and Selected Life-Threatening Medical Emergencies: The Medical Emergency Response Plan for Schools, www.americanheart.org/presenter.jhtml?identifier=3017969 National Asthma Education and Prevention Program, American Diabetes Association, American School Health Association, Epilepsy Foundation, Food Allergy & Anaphylaxis Network, and National School Boards Association Students With Chronic Illnesses: Guidance for Families, Schools and Students, www.nhlbi.nih.gov/health/public/lung/asthma/guidfam.htm Is the Asthma Action Plan Working? A Tool for School Nurse Assessment, www.nhlbi.nih.gov/health/prof/lung/asthma/asth_act_plan_frm.htm Managing Asthma in the School Environment, www.epa.gov/iaq/schools Schooled in Asthma, www.schoolhealth.org/asthma_materials.cfm Suggested Emergency Protocol for Students With Asthma Symptoms, When Should Students With Asthma or Allergies Carry and Self-administer Emergency Medications at School? Schooled in Asthma, www.schoolhealth.org/content/Asthma%20Action%20Plan.pdf Agency for Healthcare Research and Quality: quality tools, www.qualitytools.ahrq.gov/summary/summary.aspx?doc_id=6123 Asthma patient action plan, My Diabetes Action Plan, www.diabetes.com/pdfs/action_plan.pdf Emergency action plan: diabetes health care, www.dhss.mo.gov/diabetes/DMEmergencyAction.pdf Diabetes health care emergency action plan, www.childrenwithdiabetes.com/d_0q_5l0.htm Epilepsy Foundation: school nurse training program, www.epilepsyfoundation.org/programs/schoolnurse/schoolnurse.cfm Food allergy action plan, www.foodallergy.org/actionplan.pdf Children with special health care needs emergency information form Emergency prepare Continue reading >>

Diabetes Emergency Action Plan Australia Not Diet Eat
Diabetes Emergency Action Plan Australia Not Diet Eat Pancreatic Cancer in Chronic Pancreatitis puts the patient at risk for developing pancreatic cancer Between Chronic Pancreatitis and Pancreatic Cancer North Texas Community Health Sanofi-Aventis/American Diabetes Association Esteria Miller Diabetes Health and North Texas Diabetes Strategic Plan In Finland rates of type 1 diabetes have finally leveled off In the year 2005 Finland saw the highest prevalence of type 1 diabetes (T1D) ever How Does Diabetes Affect Blood Sugar? The cancer may grow and spread for some time before Dryness-heat in the Lung and Stomach Main Symptoms : Restlessness polydipsia polyphagia with tendency to hunger dryness of the mouth and tongue polyuria red tongue with yellowish fur slippery and rapid pulse. Diabetes Emergency Action Plan Australia Not Diet Eat parker initially recommends a very-low-carb ketogenic diet for 12 Does insulin make you fat? you would lose weight. Try one of these simple stop-smoking tips today at Health Monitor. However it can sometimes be a symptom of another problem or underlying condition. Pancreatitis in Cats Pet Info. Recombinant DNA Recombinant DNA is a modern technology involving the of crop production or 17 Reasons Why You Need a Mango Every Day. Type 2 diabetes is a condition in which the body either makes too little insulin or cant use the insulin it makes to use blood sugar for energy. PulmCrit Four DKA Pearls. to source foods that provide you with a % of your daily recommended intake of protein making it a fantastic protein-rich food a rapid fall in the blood sugar level. title: the-diabetic-exchange-list-exchange-diet-gl-. primary secondary and tertiary prevention is PREVENTION OF TYPE 1 DIABETES MELLITUS. This makes it hard to diagnose this type of pancr Continue reading >>

Advance Preparation Is A Key Defense For Chronic Disease Management During Emergencies.
Advance preparation is a key defense for chronic disease management during emergencies. When youre dealing with a chronic medical condition like diabetes, diligence and preparation are key. But when an emergency situation or natural disaster strikes at your home or workplace whether fires or floods, hurricanes, blizzards or even something like an unexpected auto breakdown the disruption of a normal routine and limited access to much-needed resources can create chaos. Being caught unprepared for these types of events can be potentially life-threatening to a person with diabetes. Thats why the American College of Endocrinology (ACE) created the My Diabetes Emergency Plan. Launched by ACE in 2006, in response to the aftermath of Hurricane Katrina, the My Diabetes Emergency Plan is a convenient checklist that contains all of the essential items those with diabetes need to have readily available in the event of an emergency. On this site, you can download the plan in English or Spanish and view a step-by-step video demonstration of how to put your kit together. We also offer helpful resources for emergency preparedness officials, *first responders* and healthcare personnel to communicate with community members and patients for whom you care. American Association of Clinical Endocrinologists Continue reading >>

Be Prepared!
During natural disasters, emergencies, and hazards people with diabetes face particular challenges to their health care. If you are an evacuee or are in an emergency situation, it is of prime importance to identify yourself as a person with diabetes and any related conditions, so you can obtain appropriate care. It is also important to prevent dehydration by drinking enough fluids, which can be difficult when drinking water is in short supply. In addition, it is helpful to keep something containing sugar with you at all times, in case you develop hypoglycemia (low blood glucose). To prevent infections, which people with diabetes are more vulnerable to, pay careful attention to the health of your feet, and get medical treatment for any wounds. The CDC has compiled many natural disaster and emergency resources in English, Spanish, and several other languages. Below are additional links which may be especially useful for people with diabetes. Some of the following documents are available in Portable Document Format. Emergency Preparedness Insulin, Drug, and Equipment Advice Information Regarding Insulin Storage and Switching Between Products in an Emergency Patients should try to keep their insulin as cool as possible, avoiding direct heat and direct sunlight as well as freezing if placed on ice. Although a physician should supervise when switching insulin products, here are recommendations for emergency situations. Blood Glucose Meters and Hurricane Disasters Heat and humidity can damage blood glucose meters and test strips. If you use a blood glucose meter, check the meter and test strip package insert for information on use during unusual heat and humidity. Diabetes Disaster Preparedness Find important tips for caring for yourself or a loved one with diabetes in an emer Continue reading >>

Diabetes Emergency Plan - Fill Online, Printable, Fillable, Blank | Pdffiller
Good morning this is lethal and alsowith diverse ideas and i'm here today tobring you day 11 of our spring trainingseries now for the last two weeks I'vebeen coming to you with a short videoevery day talking about some aspects ofthe ideas management low carb eatingtips tricks the whole shebang so we havefive more days left just two week daysthis week bringing you all up to Aprilfirst and this week I was planning totalk to you about how to like Samia andtreatment of hypoglycemia and I wasn'tplanning on doing it this way or todaybut here it is and now i'm hoping i canget through this without crying i havemy computer here with my script so imight end up just reading it I apologizein advance for that but I've alreadytaken a couple take and I can't getthrough it without choking up so here wego yesterday we had a terrible tragedywithin the diverse community and dr.Mandy Harris who had suffered severehypoglycemia seven weeks ago passed awayyesterday and this is something that Iknow a lot of people on in the onlinediabetes community are really grapplingto understand and I'm not sure that weever will understand the how exactly ithappened or of course the why but ithappened and I think we can all learnfrom it and make sure that our emergencyplans are in place to keep us as safe aspossible now dr. Mandy Harris was apediatric neurologist and was extremelyinfluential both in her practice as wellas in the online diabetes community shehad been following dr. Bernstein'srecommendations for low carb eating forI believe two years and I'm possiblythree but she was very she heard I vitaswas very well controlled she was verywell educated and she was suffering fromshort term illness which brought herinsulin resistance higher and as aresult she needed to ta Continue reading >>

Newburyport Public Schools - Diabetes
Diabetes is one of the most common chronic diseases in school-aged children. It is a disease in which the body either does not make or does not properly use insulin. Insulin is a hormone needed to convert sugar and starches into energy for the body. Because the body isnt producing or properly using insulin, glucose (sugar) builds up in the blood and spills into the urine; as a result the body loses its main source of fuel. There are many types of diabetes that affect children. The most common types seen in school settings include: Type 1 (formerly called Insulin-Dependent or Juvenile-Onset) Diabetes Mellitus Type 2 (formerly called Non-Insulin Dependent or Adult-Onset) Diabetes Mellitus Gestational Diabetes (May affect teens who are pregnant) Controlling blood glucose levels within a target range is the goal of effective diabetes management. This requires carefully balancing food, exercise, and insulin or medication. As a general rule, food makes blood glucose levels go up, and exercise and insulin make blood glucose levels go down. Growth and puberty, mental stress, illness, or injury also can affect blood glucose levels. Children with diabetes test their blood glucose levels many times throughout the day. If levels are too low (hypoglycemia) or too high (hyperglycemia), they will need to take corrective action such as eating, changing their activity level, or taking insulin. A childs ability to learn will be affected by blood sugars that are too high or low. In addition, blood sugars that are too high or low can a present life-threatening situation. The school nurse works closely with these students to manage their diabetes. Keeping children with diabetes safe in school requires close collaboration between the teacher, the school nurse, the student and his/her family Continue reading >>

State Form For Diabetes Emergency Action Plan
DIABETES EMERGENCY ACTION PLANPictureStudent Name:_______________________________________________________________________________ DOB __________________________ Grade:______________Parent/Guardian:________________________________________________ Phone(s):_________________________________________________________________________CHECK BLOOD GLUCOSEBelow 70 (or _____)_ (Hypoglycemia)70 9091 125126 250ONSET: Suddenor _____--_____or ____--____or ___--____If exercise isplanned before asnack or meal(including recess)the student musthave a snackbeforeparticipating.Student is fine.*SEVERE HYPOGLYCEMIACombativeInability to swallowUnable to control airwayLoss of consciousnessSeizureMODERATE HYPOGLYCEMIABlurry Vision ConfusionWeaknessHeadacheSleepinessBehavior changePoor coordinationSlurred speechMILD HYPOGLYCEMIAHungerWeaknessPalenessIrritabilityDizziness SweatingCryingAnxietyShakiness HeadachePoor concentrationPersonality changeDrowsinessACTIONS FORSEVERE HYPOGLYCEMIA1. Don't attempt to giveanything by mouth.2. Position on side, if possible.3. Contact trained diabetespersonnel.4. Disconnect insulin pump.5. Administer glucagon, ifprescribed.6. Call 911.7. Contact parents/guardian.8. Stay with student.ACTIONS FORACTIONS FORMODERATEMILD HYPOGLYCEMIAHYPOGLYCEMIAIf students blood sugar1. Give student 15 grams fastresult is immediatelyacting sugar source.following strenuous2. Wait 10 to 15 minutes.3. Recheck blood glucose.activity, give an4. Repeat 15 gramsadditional 15 grams ofcarbohydrate if symptomsfast-acting carbohydrate.persist OR blood glucose isless than 70.5. Follow with a snack of 15gram carbohydrate and aprotein (e.g.,cheese andcrackers).Causes of Hypoglycemia:Too much insulin, missed food, delayed food, or exercise3-4 glucose tabletsOROR6 ounces regular sodaONSET: Over time Continue reading >>

First Aid For People With Diabetes
The prevalence of diabetes increased 382% from 1988 to 2014. According to the National Diabetes Statistics Report, this growth correlates with the upsurge of visits to the emergency room from people in a life-threatening diabetic crisis. As the condition continues to rise so does the likelihood of providing first aid for someone with diabetes. Understanding Diabetes First-aid providers have important choices to make before providing care to a diabetic. The best way to effectively manage a diabetic emergency is through understanding the mechanisms behind the medical condition. Every cell in the body requires glucose as a foundation of energy. People with diabetes, though needing glucose, have an inability to process, or metabolize, it efficiently because the pancreas is either producing too little insulin or none at all—either way, glucose can accumulate to dangerously high levels. A healthy pancreas regulates the production of insulin proportionate to the amount of glucose in the blood. Classification of Diabetes Type 1 diabetes is primarily an autoimmune condition manifesting in children and young adults. These people do not produce insulin; they require routine injections of insulin to aid in glucose metabolism. Without insulin injections type 1 diabetics cannot use the sugar in their blood for energy. People with Type 2 diabetes produce small amounts of insulin, or they cannot properly use the insulin hormone, also known as insulin resistance. This condition usually develops later in life. Many people with type 2 diabetes use diet, exercise, and other non-insulin medications. Some Type 2 diabetics however, may require supplemental insulin. What is a Diabetic Emergency? With six million people using insulin in the United States, the incidence of too much or too litt Continue reading >>

Emergency Care Plans
Bay Trail Middle School Health Office Emergency Care Plans Any child with a severe or life threatening medical condition that may require adult intervention and oversight during the school day, such as but not limited to diabetes, poorly controlled seizures, severe respiratory problems, or anaphylaxis secondary to food or insect allergy, will have an Emergency Care Plan/Emergency Action Plan created by the school nurse in cooperation with the parent and their private health care provider. These plans are updated annually. The purpose of the plan is to provide concrete and simple training and instructions to non-medical personnel acting in a supervisory role for your child to keep your child as safe as possible until medical assistance arrives. If you believe your child needs an Emergency Care Plan/Emergency Action Plan, please bring the school nurse medical documentation from your physician as soon as possible before the start of school, so she/he can work with you to develop a safe plan for your child. Please be advised that you or your designate are encouraged to attend field trips with your child who has a special medical need for medication or management when the RN or an RN may not be available. Please provide adequate supplies of all lifesaving medication and testing materials to the school nurse. If your child is self-carrying life-saving medications on their person, their kit should be maintained in a dedicated, secure place known to the nurse, and a second kit should be stored in the health office for emergency purposes, including things such as misplaced or used medicines your child was carrying, emergency sheltering-in-place, emergency evacuations, etc.Be sure to keep the health office informed of updated cell phone numbers for emergency contact if needed. A Continue reading >>

Diabetes Emergency Plan: Are You Ready?
By DaVita Dietitian, Marisol Avila, RD, CDE Natural disasters such as hurricanes, blizzards, earthquakes, wildfires and floods can suddenly interrupt life as we know it. If you have diabetes and are on dialysis, missing dialysis treatments for a few days due to an emergency can further complicate matters. If you have an action plan in place for an emergency, you have a greater probability of surviving a major disaster and reducing fear and anxiety. The following tips can help you cope with an emergency and improve your chances of survival when you have diabetes. Emergency kit Your emergency kit needs to be portable. Obtain a sturdy, lightweight bag or backpack with wheels to store your diabetes emergency supplies. Keep a smaller pack in your kit to store important papers, medication and some food in case you are not able to take the whole kit with you. Place the emergency kit in a closet near your bedroom, at the entrance door of your house or in the garage. Stock it with: A pair of sturdy shoes A flashlight with fresh batteries An ABC fire extinguisher A whistle A radio and batteries A light blanket Glucose gel or small amounts of juice and hard candy Protein bars An extra pair of glasses A cell phone with extra batteries Personal hygiene items An extra set of keys Local maps A walking aid, if needed Diabetes supplies (see below) Small first aid kit Include a list of important phone numbers such as for your dialysis center, your pharmacy, your physician, your local ESRD network (1-800-MEDICARE), the DaVita Guest Services hotline (1-800-244-0680), any emergency contacts, as well as a copy of your insurance card and a detailed medical history. Medications Keep a current list of all your medications and obtain a week supply to store in your emergency kit. Be sure to rotat Continue reading >>

Colorado Kids With Diabetes | Nurse Files: Includes Individualized Health Plans
Nurse Files: includes Individualized Health Plans Contains Instructions, Individualized Health Plans, Standards of Care, Provider Order forms, Documentation records/logs and resources Standards of Care for Diabetes Management in the School Setting 2017 :These standards of care for students with Type 1 Diabetes are to be used in conjunction with the Colorado Provider Orders & Individualized Health Plans. The students health care provider may indicate exceptions to these standards on the students individual orders. These Standards were originally developed in 2013 by theColorado Kids with Diabetes Care and Prevention Collaborative of local health care providers, nurses and stakeholders and are updated annually. Guidelines of Insulin Management :Practicalguidelines on insulin management in Colorado Collaborative Guidelines for Dexcom G5 Non-Adjunctive Dosing :These guidelines are to be used if parents have requested to use the Dexcom G5 (only) for Non-Adjunctive Insulin dosing. Guiding Principles Chronic Health Conditions : Guidance from the Colorado Department of Education and the American Diabetes Association Bus Emergency Medication on Bus 2013 :Provided by the Colorado Department of Education guidelines for medication administration on school buses. ADA CGM Guidance Nov 2016 : Guidance from the American Diabetes Association regarding the use of CGM in the school setting #502 Insulin Carb Calculation worksheet : Documentation tool for daily Insulin Carb dosing #505 School Reporting Form-BDC : Optional form to report Blood Glucose that are out of range #720 Low-High BS Hands A great visual tool that lists the symptoms, causes and how to problem solve both high and low blood sugars on one piece of paper.Great reference for classroom teachers, substitute teachers, aids an Continue reading >>
- A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
- A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
- Colorado Springs family adapts to reality of Type 1 diabetes as, one after one, children are diagnosed

What To Pack In Your Diabetes Emergency Bag
Thinkstock Plan Ahead for Home and Away For people with diabetes, even a traffic jam can turn into a life-threatening emergency — which is why it’s so important to have an action plan in place, says Vandana Sheth, RDN, a certified diabetes educator in Southern California and a spokesperson for the Academy of Nutrition and Dietetics. The first step: Create a labeled, easy-to-grab emergency kit where you can stash your contact information, medications, testing supplies, food, water, and a source of glucose. The following tips will help you handle any diabetes emergency. Continue reading >>

Emergency Preparedness For Type 1 Diabetes
Emergency Preparedness for Type 1 Diabetes From the wrath of Hurricane Sandy along the eastern seaboard to devastating wildfires in the west, the past two years have shattered previous records for natural disaster destruction in the United States. The hardships and chaos these catastrophes cause are difficult enough. But factor in the added demands of managing type 1 diabetes (T1D), and a bad situation can get much worse. No matter where you live, you should have a plan for taking care of yourself and your diabetes in an emergency situation. Kim Kaar lives in southeastern Connecticut with her husband Marko and their three childrenEmily, 18, Gabriel, 10, and Alex, 14, who was diagnosed with T1D at eighteen months of age. Just blocks from Long Island Sound in one direction, and the Connecticut River in the other, the Kaar family has ridden out their fair share of storms over the years. Possessing a mentality of always be prepared has made it fairly easy to keep type 1 diabetes care consistent, Kim explains. Despite the challenges of two hurricanes and a major blizzard over the past two years, advance planning and a well-stocked diabetes emergency kit has kept Alexs T1D safely in check through flooding and extended electrical power loss. But the Kaars may be in the minority. Even though it is something that I always talk to them about, before Superstorm Sandy hit last year, most of my patients did not have realistic emergency plans in place, laments New York-based diabetes educator Susan Weiner, RD, MS, CDE. People just dont think it will happen to themuntil it happens to them. Organization and checklists are key to making it through an emergency, according to Mrs. Weiner, author of the upcoming book The Complete Diabetes Organizer (Spry Publishing, Fall 2013). Think thro Continue reading >>