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Learning Objectives for HYPERglycemia -HIGH blood sugar

Learning Objectives for HYPERglycemia -HIGH blood sugar. Participants will be able to understand: Symptoms of high blood sugar Treatment of high blood sugar Short and long term risks of high blood sugar. Above target range. HYPERglycemia =HIGH blood sugar. Not enough insulin.

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Learning Objectives for HYPERglycemia -HIGH blood sugar

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  1. Learning Objectives for HYPERglycemia-HIGH blood sugar Participants will be able to understand: • Symptoms of high blood sugar • Treatment of high blood sugar • Short and long term risks of high blood sugar Above target range KBN 2014

  2. HYPERglycemia=HIGH blood sugar Not enough insulin Above target range Too much food Not enough activity Illness, infection or stress KBN 2014 HIGH blood sugar possible causes:

  3. HYPERglycemia=High blood sugar Onset: • Usually slow onset, not an emergency • More rapid with: -pump failure/malfunction -illness -infection • Can mimic flu-like symptoms • Greatest danger: may lead to diabetic ketoacidosis (DKA) if not treated KBN 2014

  4. HYPERglycemia-HIGH Blood Sugar • HYPERglycemia alone is not an emergency • When accompanied with nausea, vomiting and/or ketones, it does become an emergency and the school nurse and parent/ guardian should be called • If unable to reach a parent or guardian, the school nurse should initiate contact with the health care provider or 911. KBN 2014

  5. HYPERglycemia-HIGH blood sugar Common Symptoms Blurred Vision Thirsty Tired Frequent restroom breaks Hunger KBN 2014

  6. HYPERglycemia-HIGH blood sugar other symptoms Headache Stomach pains Weight Loss Irritable Flushed Face Sleepiness/Fatigue Dry Mouth Nausea Confusion Labored breathing Profound weakness Unconscious Above target range KBN 2014

  7. HYPERglycemia: What to do Goal is to lower the blood sugar to target range by following the actions on the DMMP: • Verify by blood sugar check • Check urine ketonesas ordered on DMMP • Allow free use of restroom and access to water • Contact school nurse to discuss plan of action. • Administer insulin based on school nurse consult and DMMP • School nurse/school employee will contact parent/guardian, especially if ketones are present. • Recheck blood sugar per DMMP • Document, noting any patterns or irregularities KBN 2014

  8. HYPERglycemia: Risks and Complications • Interferes with student’s ability to learn and participate • Serious long-term complications develop when blood sugar levels remain above the target range over time and are recurring • Hyperglycemia and ketones untreated can lead to diabetic ketoacidosis (DKA) and potentially to coma and/or death KBN 2014

  9. GO TO THE AMERICAN DIABETES ASSOCIATION SAFE AT SCHOOLS VIDEO CHAPTER 4 HYPERGLYCEMIA on the internet at YOU TUBE: http://www.youtube.com/watch?v=i26P860R1AU&list=PL3DE9DDE8EB2A2E56&index=5 KBN 2014

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