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DATA  Program Diabetes Awareness, Training, and Action Training Curriculum  North Carolina Public School System  NC Session Law 2002-103, Senate Bill 911 Care of School Children with Diabetes Update #1 August, 2005
Supported by : Blue Cross and Blue Shield of North Carolina Foundation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object]
Introduction continued… ,[object Object],[object Object],[object Object]
DATA (Diabetes Awareness, Training and Action) Program Master Training By:  State partners and Certified Diabetes Educators Target of Training:  Two from Each LEA; One from each Charter School From LEA:  504 Coordinator responsible for assuring implementation of general training plan And One RN or other Health Professional responsible for intensive training General Training for 504 Contacts By:  504 Coordinator Master Trainer Target:  504 Contact Person or Other Person from each school in the LEA who becomes the trainer responsible for providing general training to all staff in his/her school Intensive Training By:  RN Master Trainer or Certified Diabetes Educator Target:  Diabetes Care Manager (DCM) providing care management in each school in the LEA Two per school General Training of All School Staff By:  504 Contact or Other Person Target:  All school personnel within the specific school
Part 1 Overview of SB 911   Care of School Children With Diabetes
Part 1:  Overview of SB 911:  Care of School Children with Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of SB 911 continued… ,[object Object],[object Object]
Overview of SB 911 continued… ,[object Object]
Overview of SB 911 continued… ,[object Object],[object Object]
Overview of SB 911 continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of SB 911 continued… ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Overview of SB 911 continued…
Overview of SB 911 continued… ,[object Object],[object Object],[object Object]
Overview of SB 911 continued… ,[object Object],[object Object],[object Object]
G.S. 115C-375.3 April 28, 2005 ,[object Object]
Forms to Facilitate Implementation of the Law ,[object Object],[object Object],[object Object],[object Object]
Role of the Master Trainer (One RN and One 504 Coordinator from each LEA) ,[object Object],[object Object],[object Object],[object Object]
Communication- Role of Nurse ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Communication ,[object Object],[object Object],[object Object],[object Object]
Communicate: Self Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Communicate: Parent Responsibilities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Customize: Parent Request Form  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Communicate: Parent  Responsibilities ,[object Object],[object Object],[object Object]
Role of the DCM Diabetes Care Managers in Each School ,[object Object],[object Object],[object Object],[object Object],[object Object]
DCM Roles continued… ,[object Object],[object Object],[object Object],[object Object]
Role of the 504 Contact in Each School ,[object Object],[object Object],[object Object],[object Object]
Guidelines for PE Teacher and Coach ,[object Object],[object Object],[object Object],[object Object],[object Object]
Guidelines for Bus Drivers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Actions for Food Service Staff or Lunchroom Monitor ,[object Object],[object Object],[object Object],[object Object]
Role of School Administration ,[object Object],[object Object],[object Object]
Role of School Administration   continued… ,[object Object],[object Object],[object Object]
Liability Concerns and Issues for DCMs ,[object Object],[object Object],[object Object]
Liability Concerns and Issues ,[object Object],[object Object],[object Object]
Liability Concerns and Issues continued… ,[object Object],[object Object],[object Object]
Liability Concerns and Issues continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liability Concerns and Issues continued… ,[object Object],[object Object],[object Object],[object Object]
Liability Concerns and Issues continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liability Concerns and Issues continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liability Concerns and Issues continued… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Liability Concerns and Issues continued… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Continued ,[object Object],[object Object],[object Object]
[object Object]
Part 2:  Diabetes Overview ,[object Object],[object Object]
Diabetes Overview continued… ,[object Object],[object Object],[object Object]
Diabetes Overview continued… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes Overview continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes Overview continued… ,[object Object],[object Object],[object Object],[object Object]
Diabetes Overview continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes Overview continued… ,[object Object],[object Object],[object Object]
Diabetes Overview continued… ,[object Object],[object Object],[object Object]
Diabetes Overview continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Foundations: ,[object Object],[object Object],[object Object],[object Object]
Treatment Foundations: ,[object Object],[object Object]
Treatment Foundations: ,[object Object],[object Object],[object Object],[object Object]
Treatment Foundations: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Necessary Tools for Diabetes Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Necessary Tools continued… Blood Sugar Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Sugar Monitoring continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Sugar Monitoring continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Necessary Tools continued… ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Insulin Action and Administration ,[object Object],[object Object],[object Object],[object Object]
What is an insulin pump? ,[object Object]
Insulin Action ,[object Object],[object Object]
Rapid -Acting Fast- Acting Intermediate-Acting Basal Insulin Action
Insulin Administration ,[object Object],[object Object],[object Object]
Insulin Administration- Continued ,[object Object],[object Object],[object Object],[object Object]
Carb Counting, Insulin to Carb Ratios ,[object Object],[object Object]
Insulin to Carb Ratio ,[object Object],[object Object]
Combining the Two ,[object Object]
Insulin to Carb Ratios and the Insulin Pump ,[object Object],[object Object],[object Object],[object Object]
Oral Meds for Kids With Type 2 Diabetes ,[object Object],[object Object],[object Object]
Oral Meds ,[object Object],[object Object]
Oral Meds ,[object Object],[object Object],[object Object]
Part 3 Acute Complications of Diabetes ,[object Object],[object Object],[object Object]
High Blood Sugar   “Hyperglycemia”
Hyperglycemia ,[object Object],[object Object],[object Object]
Definition:  High Blood Sugar ,[object Object],[object Object],[object Object],[object Object]
Definition:  High Blood Sugar ,[object Object],240
Signs & Symptoms of Hyperglycemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
  High Blood Sugar “Hyperglycemia”    ,[object Object],[object Object],[object Object]
Ketostix ® ,[object Object],[object Object],[object Object],[object Object],Negative Trace Small  Moderate  LARGE
[object Object]
[object Object]
[object Object],[object Object]
Diabetic Ketoacidosis-DKA If untreated over a period of time, high blood sugar can cause a serious condition called “diabetic ketoacidosis” (DKA.) DKA is characterized by nausea, vomiting, and a high level of ketones in the blood and urine.
Diabetic Ketoacidosis ,[object Object],[object Object],[object Object]
Diabetic Ketoacidosis ,[object Object],[object Object],[object Object]
Any Questions???
Low Blood Sugar “ Hypoglycemia”
What Is Hypoglycemia or Low Blood Sugar? ,[object Object],[object Object],[object Object],[object Object]
Lows happen when insulin and blood sugar are out of balance. ,[object Object],[object Object],[object Object]
[object Object]
Signs and Symptoms of Low Blood Sugar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More Signs and Symptoms of Low Blood Sugars ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recognizing Low Blood Sugar ,[object Object],[object Object],[object Object]
Frequent Causes of Low Blood Sugar ,[object Object],[object Object],[object Object],[object Object]
What To Do When Hypoglycemia Occurs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypoglycemia Busters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Catch Low Blood Sugar Early ,[object Object],[object Object],[object Object],[object Object]
Treating Severe Hypoglycemia ,[object Object],[object Object],[object Object]
What Happens when the Child is Unconscious? ,[object Object],[object Object],[object Object]
Using Glucagon ,[object Object],[object Object],[object Object],[object Object]
In order for school staff to use Glucagon, orders for its use must be included on the child’s IHP or Diabetes Care Plan.
Any Questions??

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Diabetic Awareness Training

  • 1. DATA Program Diabetes Awareness, Training, and Action Training Curriculum North Carolina Public School System NC Session Law 2002-103, Senate Bill 911 Care of School Children with Diabetes Update #1 August, 2005
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  • 5. DATA (Diabetes Awareness, Training and Action) Program Master Training By: State partners and Certified Diabetes Educators Target of Training: Two from Each LEA; One from each Charter School From LEA: 504 Coordinator responsible for assuring implementation of general training plan And One RN or other Health Professional responsible for intensive training General Training for 504 Contacts By: 504 Coordinator Master Trainer Target: 504 Contact Person or Other Person from each school in the LEA who becomes the trainer responsible for providing general training to all staff in his/her school Intensive Training By: RN Master Trainer or Certified Diabetes Educator Target: Diabetes Care Manager (DCM) providing care management in each school in the LEA Two per school General Training of All School Staff By: 504 Contact or Other Person Target: All school personnel within the specific school
  • 6. Part 1 Overview of SB 911 Care of School Children With Diabetes
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  • 66. Rapid -Acting Fast- Acting Intermediate-Acting Basal Insulin Action
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  • 77. High Blood Sugar “Hyperglycemia”
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  • 87. Diabetic Ketoacidosis-DKA If untreated over a period of time, high blood sugar can cause a serious condition called “diabetic ketoacidosis” (DKA.) DKA is characterized by nausea, vomiting, and a high level of ketones in the blood and urine.
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  • 91. Low Blood Sugar “ Hypoglycemia”
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  • 105. In order for school staff to use Glucagon, orders for its use must be included on the child’s IHP or Diabetes Care Plan.