II. Approach: Employ a Pediatric Diabetes Team (Essential)

  1. Medical Provider
  2. Nurse
  3. Diabetes Educator
  4. Nutritionist or Dietician
  5. Social Worker
  6. Psychologist

III. Approach: Initial Education

  1. Describe Diabetes Mellitus pathophysiology
  2. Management principles
    1. Taking Insulin (when prescribed) is non-negotiable
    2. Other issues are negotiable
  3. Insulin action and use
  4. Blood Glucose Monitoring
  5. Urine Ketone testing
  6. Hypoglycemia
  7. Exercise in Diabetes Mellitus
  8. Nutrition in Diabetes Mellitus
  9. Psychological Issues
  10. Home Treatment

IV. Approach: Ongoing Education

  1. Should occur at every visit
  2. Must be age and education-level appropriate
    1. Include children age 5 and older in discussion
  3. Include skill review
  4. Prevention
    1. Seasonal illness prevention
    2. Immunizations: Influenza Vaccine
    3. See Diabetic Foot Care
    4. See Exercise in Diabetes Mellitus
    5. See Nutrition in Diabetes Mellitus
  5. Emergencies
    1. Hypoglycemia
    2. Type I Diabetes MellitusHyperglycemia
      1. Diabetic Ketoacidosis (DKA)
    3. Type II Diabetes MellitusHyperglycemia
      1. Hyperosmolar Hyperglycemic Nonketotic Coma
  6. Chronic Complications
    1. Diabetic Retinopathy
    2. Diabetic Nephropathy
    3. Diabetic Neuropathy
    4. Coronary Artery Disease

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