1. April 16-17, 2009 Reading 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 Classroom Let’s Educate the Educator - Diabetes Management in a School Setting

2. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator I.The Physiology of Diabetes II.Challenges Children and Teens Face III.District Wellness Initiatives Presentation Topics

3. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator - Physiology of Diabetes The Physiology of Diabetes Mary Giuliana, RN BSN - RMHS/Rise Preschool

4. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Normal Metabolism - Physiology of Diabetes

5. April 16-17, 2009 Reading 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. O besity can be a factor - Physiology of Diabetes

6. April 16-17, 2009 Reading 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

7. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator

8. April 16-17, 2009 Reading 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

9. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Glucagon Administration Kit - Physiology of Diabetes

10. April 16-17, 2009 Reading 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

11. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Insulin Pump - Physiology of Diabetes

12. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Living with Diabetes in Children and Teens … and the many challenges they face! Cindy Ventura, RN BSN – Coolidge Middle School - Living with Diabetes in Children and Teens

13. April 16-17, 2009 Reading 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

14. April 16-17, 2009 Reading 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

15. April 16-17, 2009 Reading 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

16. April 16-17, 2009 Reading 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

17. April 16-17, 2009 Reading 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

18. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Fieldtrips = A lot of additional planning ! Diabetic supplies include: Glucometer Testing strips Lancets Alcohol wipes Insulin on ice Syringes Extra snacks: graham crakers juice boxes glucose tabs Documents Diabetic Emergency Care Plan Parental & Physician Phone #s - Living with Diabetes in Children and Teens

19. April 16-17, 2009 Reading 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

20. April 16-17, 2009 Reading 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

21. April 16-17, 2009 Reading 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

22. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Misconceptions EDUCATION is the Key ! - Living with Diabetes in Children and Teens

23. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Each Student is Unique  Helping each Student control the disease  Helping each Student control the disease Some are more open Most do not like to be different Important to have a close support network for emotional well-being.Important to have a close support network for emotional well-being. - Living with Diabetes in Children and Teens

24. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator - District Wellness Initiatives District Wellness Initiatives Lynn Dunn, RN BSN - Director of Nursing Reading Public Schools

25. April 16-17, 2009 Reading 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 ”

26. April 16-17, 2009 Reading 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

27. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator District Wellness Initiatives “Reduce classroom disruptions and disturbances” - District Wellness Initiatives

28. April 16-17, 2009 Reading 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

29. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Sample Nursing Care Plan - District Wellness Initiatives

30. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Sample 504 Plan - District Wellness Initiatives

31. April 16-17, 2009 Reading Public Schools Diabetes in the Classroom – Let’s Educate the Educator Insulin Delivery (2 min video) - Living with Diabetes in Children and Teens

32. April 16-17, 2009 Reading 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 Classroom Thank you for attending ! - Diabetes in the Classroom