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April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Lynn Dunn, RN BSN - Director of Nursing
Mary Giuliana, RN BSN – Nurse - RMHS/Rise Preschool
Cindy Ventura, RN BSN – Nurse – Coolidge Middle School
Diabetes in the ClassroomDiabetes in the Classroom
Let’s Educate the EducatorLet’s Educate the Educator
- Diabetes Management in a School Setting
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
I.I. The Physiology of DiabetesThe Physiology of Diabetes
II.II. Challenges Children and Teens FaceChallenges Children and Teens Face
III.III.District Wellness InitiativesDistrict Wellness Initiatives
Presentation TopicsPresentation Topics
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
- Physiology of Diabetes
The Physiology of DiabetesThe Physiology of Diabetes
Mary Giuliana, RN BSN - RMHS/Rise Preschool
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Normal Metabolism
- Physiology of Diabetes
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Type 1 Vs. Type 2 Diabetes Type 1 Type 2
• “Juvenile diabetes”
• Insulin dependent
• Cause unknown, possible genetic and environmental factors
• “Adult onset”
• May be treated with diet, exercise and oral meds.
• Obesity can be a factor
- Physiology of Diabetes
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Incidence
• Each year over 15,000 children are diagnosed with diabetes in the US
• The prevalence of Type 1 diabetes is 1 per every 523 youth age 1-19.
• Source:JDRF
- Physiology of Diabetes
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Signs of Hypoglycemia
• Dizziness, • nervousness,• personality change,• vision changes, • sweating,• hunger, • lightheadedness, • inability to concentrate
- Physiology of Diabetes
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Glucagon Administration Kit
- Physiology of Diabetes
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Signs of Hyperglycemia
• Headache
• Thirst
• Frequent urination
• Drowsiness
• Lethargy
• Confusion
• Sweating
• Fruity odor on the breath
- Physiology of Diabetes
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Insulin Pump
- Physiology of Diabetes
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Living with Diabetes in Living with Diabetes in Children and Teens …Children and Teens …
andand the many the many challengeschallenges theythey
face!face!
Cindy Ventura, RN BSN – Coolidge Middle School
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
• Life threatening
• Doesn’t go away
Type I - Juvenile Diabetes
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
The Primary Goal
…is to control the diabetes;
Don’t let it control you.
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
• Strikes children suddenly
• Dependent on insulin for life
• Requires injection or pump
Facts about Juvenile Diabetes
Carries the constant threat of devastating complications
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Need for Constant Attention
• Finger-stick 3-5 times/day
• Multiple insulin injections
• Continuous infusion pump
“What bothers me the most is sticking myself several times a day”
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Effect on Students School Day
• Loss of Class time Caused by effects of Hyper- & Hypo-glycemia
Frequent visits to health office
Escorted or phone call to the health office
• Impact on school activities e.g. fieldtrips, special events involving food
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Fieldtrips = A lot of additional planning ! Diabetic supplies include: GlucometerTesting stripsLancetsAlcohol wipes
Insulin on iceSyringes
Extra snacks: graham crakers juice boxes
glucose tabs
Documents Diabetic Emergency Care Plan
Parental & Physician Phone #s- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Fieldtrips – Other Concerns
Students need to find a private place to test themselves.
Student may be non-compliant
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Special Events involving Food
Examples:
- Spanish Luncheon
- Science Olympiad Day
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Other Challenges
• Emotional issues involving students who are diabetic
Unable to snack
Unable to “sleep in”
• May be difficult to manage especially
during adolescence - Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Misconceptions
EDUCATION is the Key !
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Each Student is Unique
Helping each Student control the diseaseHelping each Student control the disease
• Some are more open
• Most do not like to be different
• Important to have a close support network Important to have a close support network for emotional well-being.for emotional well-being.
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
- District Wellness Initiatives
District Wellness InitiativesDistrict Wellness Initiatives
Lynn Dunn, RN BSN - Director of Nursing
Reading Public Schools
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
District Wellness Initiatives
- District Wellness Initiatives
“Promote a healthy productive,
learning environment for
students with diabetes”
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
District Wellness Initiatives
“Reduce the number of absences of diabetic students”
- District Wellness Initiatives
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
District Wellness Initiatives
“Reduce classroom
disruptions and
disturbances”
- District Wellness Initiatives
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
“ Help insure an effective
response in case of
diabetes related
emergencies”
- District Wellness Initiatives
District Wellness Initiatives
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Sample Nursing Care Plan
- District Wellness Initiatives
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Sample 504 Plan
- District Wellness Initiatives
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Insulin Delivery (2 min video)
- Living with Diabetes in Children and Teens
April 16-17, 2009Reading Public Schools
Diabetes in the Classroom – Let’s Educate the Educator
Lynn Dunn, RN BSN - Director of Nursing
Mary Giuliana, RN BSN – Nurse - RMHS/Rise Preschool
Cindy Ventura, RN BSN – Nurse – Coolidge Middle School
Diabetes in the ClassroomDiabetes in the Classroom
Thank you for attending !Thank you for attending !
- Diabetes in the Classroom
