Blood Glucose Monitoring by cuiliqing

VIEWS: 30 PAGES: 19

									Diabetes Care Tasks at School:
    What Key Personnel
      Need to Know
      BLOOD GLUCOSE
        MONITORING
                      Overall Goal:
Optimal Student Health and Learning
   Monitoring                   Hypoglycemia
                                     &          Blood glucose
     Blood                      Hyperglycemia
    Glucose   Ketones                           monitoring (BGM)
                                                is critical to
     Glucagon       Health        Legal         student success.
   Administration                 Rights
                       &                        But BGM is just
                    Learning
      Insulin
   Administration               Exercise
                                                one piece of
                    Nutrition                   comprehensive
                                                management plan.

                                      2
       Learning Objectives
Participants will learn:
     Why blood glucose is monitored
     When blood glucose should be monitored
     How to perform a blood glucose check




                    3
        Blood Glucose Monitoring
GOAL:
                         maintain blood glucose within target range.

IMMEDIATE BENEFIT:
                                maximize learning and participation.
                            identification, treatment, and prevention
                                                   of lows and highs.
LONG-TERM BENEFIT:
                          decrease risk of long-term complications.
                                                   maximize health.
CHALLENGE:

                          many variables can impact blood-glucose.


                     4
                 Role of the School
   Facilitate blood glucose monitoring per DMMP.

   Act on blood glucose check results per DMMP.

   Monitor patterns for highs and lows.

   Provide monitoring data to parent/guardian so that adjustments can be made.




                                     5
    Benefits of School
Blood Glucose Monitoring
   Enables maintenance of blood glucose
    levels within target range for safety;
    promotes long term health and optimal
    academic performance

   Identifies factors that affect blood glucose



                       6
     Any Time, Any Place
         Monitoring
For students who can self-check:
        Better blood glucose control
        Safer for student
        Student gains independence
        Less stigma
        Less time out of class
        Assists decision making in response to result




                         7
              Basic Steps
   Know the target range per DMMP

   Check at times specified in DMMP

   Immediate Action – Treatment to get back
    within target range




                     8
                When to Check?
   DMMP specifies for an individual student
Regularly scheduled checks:
     Routine monitoring before meals and snacks
      as per DMMP
     Before,   during and/or after exercise as per
      DMMP



                            9
           When to Check?
Extra checks may be necessary:
   Periods of stress or illness

   Hypoglycemia or hyperglycemia symptoms

   Change in diabetes management
    – Insulin/medication doses
    – Meal plan

    – Activity



                      10
          Lancing Devices
Lancets




Pen-type Lancing Devices




                   11
             Know the Meter
   Features vary:
     – Ease of use                                   250
     – Sample size needed                                53
     – Wait time
     – Alternate-site testing capacity
     – Ability to reapply, if insufficient
        sample
   Many meters available on market. Work with parent to
    become familiar with operation of student’s particular meter.
   1-800 number on back of meter.



                             12
                      Preparation
1. Gather blood glucose
     monitoring supplies:
      - Lancet
      - Test strips
      - Meter

2. Student washes hands and
     dries thoroughly.
3. If assisting or performing for student,
    put on disposable gloves.



                             13
          Readying the Meter
4.   Turn the meter on

5.   Check code #

6.   Insert a strip into the meter




                            14
        Lancing the Finger

7. Hold the lancet device to the
   side of the finger and press the
   button to stick the finger.




                         15
    Applying Blood to Strip
8. Follow instructions included with the meter when
   applying blood to strip




     Drop,         Cover ALL of       Some strips
   not smear        test strip        suck blood
                     window          onto the strip

                         16
                         Results
9. Wait until blood glucose
   results displayed.
                                    250
10. Dispose of lancet
                                          53
11. Record blood glucose
    results, take action per
    DMMP.




                               17
What does the display mean?




   Check manual
   Contact manufacturer (1-800; Website)


                   18
What does the number mean?
Reference student’s target range
   Individualized for student
   May vary throughout day
   Take action per DMMP

Communicate sensitively
Recognize value may vary according to
 time since eating, insulin, or exercise

                   19

								
To top