Hypoglycemia/Hyperglycemia in Adolescents and Young Adults
Your instructor for this module is Opal Jobson-Cudjoe RN, BSN. Please email her with any questions or concerns on this topic at jay5@att.net
Required Readings:
Raine, J.E., Donaldson, D., Savage, M., Walker, & Gregory, J. (2001).Practical endocrinology and diabetes in childhood. Oxford London, Blackwell Science.
White,N.H., Cleary,P.A., Dahms,W., Goldstein,D., Malone,J., & Tamborlane, W.V.(2001). Beneficial effects of intensive therapy of diabetes during adolescence: Outcomes after the conclusion of the diabetes control and complications trial. The Journal of Pediatrics, 139, 804-812.
Recommended Reading
Grey, M., Donaldson, M., Boland, E.A., & Tamborlane, W.V. (2001).Clinical and psychosocial factors associated with achievement of treatment goals in adolescents with diabetes mellitus. Adolescent Health, 28,377-385.
Madsen, S.D., Roisman, G.I, & Collins, W.A. (2002). The intersection of adolescent development and intensive intervention: age-related psychosocial correlates of treatment regimens in the diabetes control and complication trial. Journal of Pediatric Psychology, 27,451-459
Power Point for this module:
Case Study for discussion: Please review the case study below. Setup a time for your group to meet on Yahoo IM and discuss. You may start with a blog discussion but I recommend you all meet in "real time" to compose your findings. When you have finished your discussion, please submit a summary, in an essay format to me, your instructor -via email.
Case Study for this module:
Case Study: A 13 year old female with type 1 diabetes for 1 year came to the school clinic complaining of hypoglycemia. She is taking Novolog insulin at breakfast and dinner. She started playing basket ball and has not been paying much attention to her carbohydrate intake. She often skips snacks especially if she is out with her friends.
What further information would you want to know? What advice would you discuss with this student and her family?
Discussion
It would help to know what skills she has to manage her diabetes and which are being managed by her family. Does she give herself the injections? Can she draw up her insulin? Does she count her carbohydrates?
It is determined that this student is not drawing up her own insulin and she has not been giving her own shots. However, the student is willing to take responsibility by learning how to give herself the injections. The student mother is hesitant to delegate this responsibility, because she is afraid she may miss an injection. The student feels that she should have more independence in caring for her diabetes. Discuss carbohydrate counting, discuss students' situation with her doctor who reduced the morning dose of insulin and schedules student to go back for further education with the dietitian in two weeks. Encourage student mother to allow student to more independent since it is age appropriate. Student mother will assist in helping student to become more independent.
