NURSING 3TT3 Study Guide - Final Guide: Diabetes Mellitus Type 1, Insulin Pump, Hypoglycemia
8 Apr 2017
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Document Summary
Diabetes mellitus is one of the most common chronic conditions in children. Children with new-onset type 1 diabetes and their families require intensive diabetes education by an interdisciplinary pediatric diabetes healthcare (dhc) team to provide them with the necessary skills and knowledge to manage this disease. Education topics must include insulin action and administration, dosage adjustment, blood glucose (bg) and ketone testing, sick-day management and prevention of diabetic ketoacidosis (dka), nutrition therapy, exercise, and prevention, detection, and treatment of hypoglycemia. Anticipatory guidance and lifestyle counselling should be part of routine care, especially during critical developmental transitions (e. g. upon school entry, beginning high school). Children with new-onset diabetes who present with dka require a short period of hospitalization to stabilize the associated metabolic derangements and to initiate insulin therapy. As improved metabolic control reduces both the onset and progression of diabetes-related complications in adults and adolescents with type 1 diabetes, aggressive attempts should be made to reach the recommended glycemic targets.
