Juvenile Diabetes Awareness in Children and Young People - Part 2 - Type 1 Insulin Dependent, Diabetes Mellitus
Part 2 Of a Specifically Designed Education Course
Part of my completing a City and Guilds in Further Education, I had to design and teach a specific subject. As my son has been insulin dependent diabetic since he was 18 months old, I felt empowered to design a course on this. I truly understand the difficulties that diabetes can have on the child and family around him, This is the result. This is being published in various parts as each has its own issues to contend with. This is part 2, part 1 can be viewed seperately. I hope you might get something out of it. I know that I did!
Hand Out to Part Two
This hand out consists of the information needed to complete this part of the course. At the end you should be able to:
· Identify what equipment people with diabetes need in order to care for their condition
· Identify the signs and symptoms of hypoglycaemia
· State the appropriate treatment of hypoglycaemia
It maybe useful to remind yourself of the course aims:
‘To have an awareness of type one diabetes mellitus, in children and young people, its effects on the sufferer and treatment, thereof. Furthermore, the wider implications of their diabetes on others.’
This session aims to:
‘Have an awareness of type one diabetes mellitus and its treatment thereof.’
What equipment is needed to assist with treatment?
Insulin is a hormone. This needs to be kept cool or its effects will be destroyed by heat. Insulin today consists of various strengths in order to cater for individual needs. Some have an act rapid type of formula whilst others last over a duration in the body after administration. Insulin is injected in subcutaneous tissue where it is absorbed at a moderate rate. The subcutaneous tissue is the fatty layer under the skin. Injecting sites vary in order for the skin puncture to heel. This helps effective absorption of the insulin and limits skins damage.
Blood Glucose Monitor, Sticks & Pricker Pen
This is used daily and is a simple procedure whereby a finger is pricked. The monitor can give an instant reading of the amount of sugar in the diabetic’s blood at any given time. Blood glucose normal range should be between 4 and 7.
Glycogen is another hormone which kick starts the liver in order for the cells of the body to release sugar. This is used in an emergency when the unconscious person cannot be aroused with the normal procedure of sugar absorption. It is injected inter muscular so as it can get into the blood quickly.
Fast Acting Sugar Treatments
· Coca Cola
· Dextrose Tablets
These are all good sources of fast acting sugars in the treatment of hypoglycaemia (or hypo).
Ketone Urine Sticks
These help to monitor if the person suffering with an illness in combination with his diabetes, whether he is ketoneacidic.
What is hypoglycaemia?
Hypoglycaemia, or hypo, is when there is too much insulin and not enough sugar for the insulin for the cells. The insulin, essentially, swims around the blood stream without a use. This results in a hypo. A hypo is when blood glucose falls below 4 on the 4 to 7 scale.
Signs & Symptoms of a Hypo
· Odd and out of character behaviour
· Acting drunk
· Pale and clammy to touch
· May have a headache
· May become unconscious
· May convulse (jerking action)
· Pupils will be dilated and will not react to speech.
Check blood glucose if possible with a blood glucose monitor. If appearing drunk, administer lucozade or any sugary item as soon a possible. It may be easier to have the co-operation of a person that is awake than one that is unconscious. If he is unconscious, get him in the recovery position and rub a sugar substance like jam or hypostop inside his face cheek. The recovery position helps to clear the airway. You can rub the sugar from the outside, once sugar has been placed inside. Allow ten minutes for the sugar to take effect. When there is too much insulin and not enough sugar the brain is being starved of food. This leads to unconsciousness. It is important that you, or someone nearby, call an ambulance. If you are in the position and he has become conscious, digestive biscuits are good to maintain the blood glucose levels after the hypo. Digestive biscuits have both the long acting and short acting carbohydrates. You will learn about carbohydrates in the next session.
Please complete the following questions.
Diabetes Awareness - Test Your Knowledge to Part 2
1. What must type one diabetes have to sustain life?
2. What item of equipment is needed when finding out what our blood sugar reading is?
3. What is the normal range of blood glucose?
4. If blood glucose falls below 4, what is the condition this is known as?
5. What are the signs of a hypo?
6. If the sufferer of diabetes is unconscious, what should you do (four key points please)?
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More Hubs, the other parts to this course...
Diabetes Awareness in Children and Young People - Part 1 – 3 Type 1 Insulin Dependent, Diabetes Mellitus
Part 1 – 3 Of a Specifically Designed Education Course
Part of my completing a City and Guilds in Further Education, I had to design and teach a specific subject. As my son has been insulin dependent diabetic since he was 18 months old, I felt empowered to design a course on this. I truly understand the difficulties that diabetes can have on the child and family around him. This is the result. This is being published in various parts as each has its own issues to contend with. I hope you might get something out of it. I know that I did!