Type 2 diabetes, formerly known as non-insulin-dependent or adult-onset diabetes due to its occurrence mainly in people over 40, is now becoming more common in young adults, teens and children. Type 2 diabetes accounts for roughly 90% of all diabetes cases worldwide. A disturbing trend of increasing prevalence of type 2 diabetes among children has been noted worldwide in recent years. Make sure that you take care of Students with Diabetes.
Treatment of Type 2 Diabetes
Treatment varies from individuals depending on how long the person has had diabetes and severity of insulin resistance.
In some students, proper diet and exercises without medications can treat type 2 diabetes. Some students may take oral medications, others require insulin injections. Metformin is the most common prescribed drug for children with type 2 diabetes. Children with type 2 diabetes, in particular those using insulin, must monitor blood glucose levels, treat the symptoms of high/low blood glucose just like students with type 1 do.Other drug treatments include:
What are the most common complications of Type 2 Diabetes?
Type 2 diabetes complications include:
- Heart disease
- Kidney disease(nephropathy)
- Eye disease(retinopathy)
- Nerve damage(neuropathy) – raises the risk of amputation.
- Sexual dysfunction
Type 2 diabetes, if diagnosed in early stages can be prevented.
Of the total global diabetic rate 90% are living with type 2 diabetes.
Type 1 and Type 2 Diabetes
How Does Diabetes Affect a Student?
Diabetes does not affect all students the same way. Some of the ways that diabetes can affect students are:
- Diabetes must be managed 24 hours a day, 7 days a week. This inconveniences student’s ability to participate in daily activities freely. This is a very serious issue for Students with Diabetes.
- Diabetes care requires daily treatment regimen. This affects student’s daily schedule and if not carefully planned may affect student’s ability to participate in all school related activities.
- Blood glucose levels that are not checked may result in hypoglycemia or hyperglycemia. Both can affect student’s performance. Hypoglycemia is the most common and can be life threatening when severe.
- Fluctuations of blood glucose levels may affect student’s concentration and ability to learn.
- Diabetes may have impact on student’s ability to self-care or daily living tasks such as walking, eating, and communicating.
Recent studies published in the ‘Journal of the American Osteopathic Association,’ revealed that diabetic students who have diabetes distress especially Students with Diabetes.
The cardiovascular System
Cardiovascular disease is the leading cause of early death among diabetic people. Diabetic people are two to three times more likely to have stroke or die of heart diseases than those without diabetes. Make sure that Students with Diabetes, are taken good care of as this is something very important and one needs to keep that in mind.
Diabetic people tend to develop more serious heart complications earlier in age than those without diabetes.
Diabetes occurs along with other conditions like hypertension, high cholesterol and obesity.
Diabetes care in schools is vital due to the following reasons:
- Offers immediate safety to diabetic students
- Assures long term wellbeing of the diabetic student
- Maintains student’s optimum performance
Diabetic students must be taken care appropriately in the school setting to minimize the risk of short term/long term complications. The school nurse and other staff must have an understanding of diabetes, its daily management and how to manage diabetic emergencies. Studies have shown that majority of school staff have no adequate understanding of diabetes. Diabetes education should be targeted towards teachers and other staff who interact with the student.
How do you perform Blood Glucose test using Blood Glucose Meter?
- Wash and dry hands and the test site
- Insert the test strip in to the meter
- Using a lancet (small needle inserted in a spring loaded device), prick the side of the fingertip.
- Apply a drop of blood to the test strip
- The meter then gives the blood glucose level as a number on its digital display
You need to consult manufacturer’s manual for instructions on more accurate readings.
Continuous Glucose Monitor(CGM)
A device that measures blood glucose levels and trends throughout the day. This device works through a sensor inserted under the skin. It measures interstitial glucose levels at regular intervals. This device can transmit data remotely to multiple devices simultaneously.
Depending on duration of diabetes and level of maturity, these students may perform glucose tests, but under supervision. Older elementary may self-administer insulin under supervision. They may understand effect of insulin, physical activity, and nutrition on blood glucose level. This is something that everyone has to take good care and this is one of the best things they need to keep in mind.