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Diabetes in Emergency Situations Presented by MaryAnn Nicolay, BA, DTR. Health Educator.

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Presentation on theme: "Diabetes in Emergency Situations Presented by MaryAnn Nicolay, BA, DTR. Health Educator."— Presentation transcript:

1 Diabetes in Emergency Situations Presented by MaryAnn Nicolay, BA, DTR. Health Educator

2 Program objective: How to help people with diabetes in emergency situations Learning objectives: Understand basic diabetes management Discuss emergency needs as related to basic diabetes management Use tools for determining medication and SBGM needs

3 What is diabetes?

4 Risk Factors for developing diabetes Being over 45 years old Having blood relatives with diabetes Being over weight Being a person of color Not exercising Having high cholesterol or heart disease Having high blood pressure Having diabetes when pregnant Having a baby that weighed over 9 pounds

5 Symptoms of Diabetes Increased hunger Being very thirsty Frequent urination Being very tired Slow healing wounds Changes in vision Tingling or numbness in hands or feet Unexplained weight loss

6 Types of Diabetes Type 1 diabetes Type 2 diabetes Gestational diabetes

7 Diabetes Management Plan Healthy Food Choices Checking Blood Sugar Physical Activity Diabetes Medication

8 Healthy Food Choices There is no “diabetes diet” General Guidelines Eat 3 meals each day Eat at about the same time each day Do not skip meals Watch the fat! Watch your portion size Learn to read and use food labels

9 Healthy Food Choices in Emergencies Meals every 4-5 hours Between meal snacks Carbs at each meal Fruit, starches / grains, vegetables, milk / yogurt Serve sugar-free beverages Serve heart-healthy foods

10 Meal Ideas Breakfast Cold cereal/milk, toast, yogurt, fruit, yogurt, bagel w/cream cheese, Snack Lunch Deli meat sandwich, soup, salad, fruit, Grilled chicken salad w/low fat dressing, roll or crackers, fruit Snack Dinner Baked chicken, mashed potatoes, green beans, roll w/ margarine, fruit cup Snack Fruit, 100 calorie snack packs, graham crackers, peanut butter w/crackers, yogurt, sandwich, ½ cup ice cream, pudding, cheese and crackers, cottage cheese w/fruit, pretzels

11 Beverage Ideas Beverages Milk, sugar-free beverages like coffee or tea w/sugar substitutes, water, crystal light, sugar-free soda pop

12 Physical Activity Lowers blood sugar Lowers blood pressure Lowers cholesterol Helps you sleep Enhances your mood Helps burn fat Helps build muscle Strengthens bones

13 Physical Activity in Emergencies Depending on the nature of the disaster, there may be a change in regular activity Increase in activity due to repairing damage Hypoglycemia (low blood sugar) Decrease in activity due to being away from routine Hyperglycemia (high blood sugar) Excessive exercise when blood sugar is over 250mg/dl may cause blood sugar to elevate

14 Checking Blood Glucose Tells what your blood glucose number is NOW Is used to make changes in how you manage diabetes How food and activity affects your blood glucose How well diabetes medicines are working Effects of stress or illness

15 Blood Glucose Monitors & Test Strips

16 Diabetes Medications People with diabetes may need to take pills and/or insulin to help manage their diabetes Taking pills and/or insulin does not mean your diabetes is worse than someone else. It means that this is the best way to way to manage your diabetes.

17 Diabetes Medications in Emergencies People with diabetes may or may not be taking diabetes medications Oral medications do not require special storage Insulin or other injectable medications require special storage and equipment Syringes Pen needles Alcohol swaps Pump supplies Sharps container

18 Insulin Pumps and Pens

19 Stress and Diabetes Coping skills may be inadequate for situation Decreased sleep Increased worry Damage to property “Where will I go?” Loss, grief, fear, anger, frustration Change in priorities Preoccupation with survival or clean up

20 Low Blood Sugar Blood glucose of less then 70mg/dl Feeling weak or tired Being hungry Feeling sweaty, having chills or cold hands Feeling shaky, anxious or confused Having a fast heart beat, dizziness, or headache Having blurry vision or numb lips Passing out or having seizures

21 Treating Low Blood Sugar Follow the Rule of grams of quick acting carbohydrate Wait 15 minutes Re-test blood glucose If glucose still below 70mg/dl, retreat

22 15 grams of carbohydrate ½ cup of juice (any kind or REGULAR soda pop) 4 glucose tablets 2 teaspoons of jam or jelly 6-8 lifesaver candies, chewed up 1 tablespoon of sugar dissolved in water Do not treat low blood sugar with diet soda pop. This will not raise your blood sugar. Do not treat low blood sugar with chocolate candy. This will not raise your blood sugar quickly enough.

23 Other Things to Consider in Emergencies Problems with feet Poly-pharmacy Where to get meds Other medical conditions Heart BP Vision Prosthetic devices Dialysis

24 When to call for help Refer to a hospital, clinic or ER when: Hypoglycemia that does not respond to treatment Consecutive blood glucose readings greater than 250 mg/dl Blood glucose reading greater than 250 mg/dl along with vomiting, rapid breathing, fruit breath, stomach ache

25 Emergency or Disaster Situations


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