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Writing A Section 504 Plan For Diabetes

Writing a Section 504 Plan for Diabetes

Writing a Section 504 Plan for Diabetes


by Laura Hieronymus, DNP, MSEd, RN, MLDE, BC-ADM, CDE, FAADE, Alba Morales, MD, and Leslie Scott, PhD, PPCNP-BC, CDE, MLDE
Diabetes is one of the most common chronic illnesses in youth. Approximately 5% of all new diabetes cases are Type 1 , with most of these cases affecting children and adolescents. In fact, more than 18,000 people under age 20 are diagnosed with Type 1 annually. Also of concern is the growing number of new cases of Type 2 diabetes in youth over 5,000 diagnoses annually in the U.S.
As we get ready to head into another school year, it is important that as the parent or guardian of a child with diabetes, you and your childs school have all the information necessary to ensure your child has a successful school year. While about one in every 300 to 350 children has diabetes, that may not be the case in your childs school.
Section 504 of the Rehabilitation Act of 1973, or Section 504, is a federal civil rights law put in place to prevent discrimination of an individual with a disability. It reads, No otherwise qualified individual with a disability in the United Statesshall, solely by reason of her or his disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.
Children and adolescents with diabetes are covered under Section 504. Diabetes is considered a disability, defined as a physical or mental impairment that substantially limits one or more major life activities. With diabetes, the inability of the body to keep blood glucose Continue reading

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Genome | Personalized Insulin Pumps Help Patients With Type 1 Diabetes

Genome | Personalized Insulin Pumps Help Patients With Type 1 Diabetes


Personalized Insulin Pumps Help Patients With Type 1 Diabetes
Managing type 1 diabetes is a full-time job, one that bears an unrelenting reminder of the chronic disease through daily injections and pinpricks. But a new clinical trial for a personalized intervention could pave the way to easing the burden for patients with diabetes.
Sponsored by Medtronic, the multicenter nationwide trial is testing a first-of-its-kind, FDA-approved system that uses artificial intelligence to monitor and control participants blood glucose levels. Medtronic first released the MiniMed 670G device used in the trial in 2016 after the FDA decided to fast-track the systems approval.
Now, investigators are enrolling patients for the second cohort of Medtronics four-year clinical trial with the aim of having 1,000 subjects complete the study. The trial divides subjects into three cohorts: those currently using insulin pumps but not blood glucose sensors ; those using a pump and a sensor; and those using neither pumps nor sensors.
Linda Aman, a sub-investigator on the trial, has patients who drive several hours to participate at the Grunberger Diabetes Institute, one of the trial sites in Bloomfield Hills, Michigan, for the promise of a more automated insulin delivery system.
Basically what this pump does, it is supposed to reduce the burden of taking care of [type 1] diabetes, Aman says. Its a very high burden. You have to deliver your insulin somehow either with a pump or with injections or you can inhale it. But you have to do all this in contest with what your blood sugars are doing, so yo Continue reading

Pump May Beat Shots for Type 1 Diabetes

Pump May Beat Shots for Type 1 Diabetes


Study found young patients had better blood sugar control with insulin pump, but cost is higher
TUESDAY, Oct. 10, 2017 (HealthDay News) -- In young people with type 1 diabetes, insulin pump therapy may offer better blood sugar control and fewer complications than daily injections of the vital hormone, new German research suggests.
"Insulin pumps work, and they work even somewhat better than multiple daily injections overall," said Dr. Robert Rapaport, chief of the division of pediatric endocrinology at the Icahn School of Medicine at Mount Sinai in New York City.
Dr. Siham Accacha, a pediatric endocrinologist at NYU Winthrop Hospital in Mineola, N.Y., explained why that might be so.
"If the pump is really taken care of, you can micromanage your diabetes," she said. "You can stop the pump if your blood glucose is coming down, or you can give a bit more insulin if it's going up."
Both Rapaport and Accacha prefer pump use, but if patients would rather do multiple daily injections, the doctors said that excellent control can also be maintained with shots. It's really a matter of patient preference, they noted.
One issue with the pump is price. The start-up cost for a pump can be as much as $5,000, according to Accacha. And there are monthly costs for supplies as well. Insurers, especially Medicaid, sometimes hesitate to pay, both experts said. But studies like this latest one help provide more evidence about the importance of pump therapy.
"Pumps are more expensive, but I don't think expense should guide quality of therapy," Rapaport said. "Even though pumps are more e Continue reading

Should People With Diabetes Take Aspirin? What Doctors Say | Everyday Health

Should People With Diabetes Take Aspirin? What Doctors Say | Everyday Health


Aspirin has a wide variety of uses, including potentially promoting heart health in people with type 2 diabetes.
When you think about common aspirin uses, you likely think of the drug as falling in line with ibuprofen (Advil, Motrin), acetaminophen (Tylenol), and other common over-the-counter medications for pain relief. But that isnt the only potential benefit of aspirin.
Aspirin has been used in many different treatments for a variety of medical issues, says Deena Adimoolam, MD , an endocrinologist at Mount Sinai in New York City. But predominantly, its mainly for diseases related to heart disease. She adds that you might also consider taking aspirin if you have a history of strokes.
Aspirin is an anti-platelet agent. It thins the blood, and it helps prevent blood clotting, says Jennifer Shrodes, RD, CDE , who is on the diabetes education staff at the Ohio State University Wexner Medical Center in Columbus.
If youre managing type 2 diabetes , aspirin might be helpful for warding off future health complications, too.
Why Aspirin and Diabetes Might Make a Good Match
The main benefit of aspirin for people with type 2 diabetes relates to the drugs potential effect on cardiac health . Heart disease is the primary cause of preventable death worldwide, according to the Centers for Disease Control and Prevention (CDC) , and people with diabetes should be particularly mindful of their increased risk for heart disease. According to the American Heart Association (AHA) , at least 68 percent of people age 65 or older who have diabetes die from some form of heart disease, and Continue reading

Diabetes and Disasters: How To Manage Your Diabetes During Disasters

Diabetes and Disasters: How To Manage Your Diabetes During Disasters


By Elisabeth Almekinder RN, BA, CDE 1 Comment
For years, I have been in the midst of disaster and shelter situations as a nurse for the State of South Carolina, and later North Carolina.
From Red Cross shelters, to special medical needs shelter, from hurricane, to tornado, to flood, Ive seen them all.
A disaster always takes you by surprise. Even if the news has been talking about the hurricane coming, until the tornado from the west side of it spins off and takes your home, you dont believe that it will ever happen to you.
Though this hurricane season is almost over, there are six weeks left to go, with an active Atlantic Ocean that seems to kick up a bigger monster hurricane every week. Hurricanes, and related flooding and tornados, are only a few of the natural or unnatural disasters we could encounter, where we might need emergency supplies for basic survival due to diabetes.
Earthquakes, ice storms, power outages from large thunderstorms, and even wars and terrorism, can present disaster situations. Currently in the United States, active shooter situations and terrorist related events have threatened the safety of some Americans.
The time is now to prepare for a disaster, no matter what it may be. When you have diabetes, there are certain things that you need to do to prepare and plan for any disaster that might come your way.
Ten days after Hurricane Maria hit Puerto Rico, devastating the island and leaving US citizens without power, food, or water, many are still waiting for relief.
The headline on the news tonight is, Many in Puerto Rico without power, wat Continue reading

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