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With Out Insulin
KBN 2014
With Treatment of Insulin
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KBN 2014
If the sugar stays in your blood – it doesn’t do your cells (body) any good.
The sugar has to get inside the cells for the body to use it.
Why is Insulin so Important?
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Insulin is like a key that opens up the door and allows the sugar to get out of the
blood and inside the cell where the cell can “burn” the fuel for energy!
Why is Insulin So Important?
Insulin in Schools Today
Most students with diabetes take insulin at school
O Insulin dosing is specific to individual students and dosing changes may occur
O Student’s need for assistance will vary as the student progresses in self- management
O Insulin dosing and timing will be specified by the treating health care provider/DMMP
O The DMMP includes provisions for modifying the insulin dose
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Definitions
Basal Insulin:O Sometimes called “background” insulinO The insulin that is working steadily throughout the day O Like using the cruise control on a car to keep the speed
steady.
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DefinitionsBolus Insulin
O A single dose of insulin, given for one of two reasonsOCarb/Meal/Snack Bolus: amount of insulin which
is given when food is eatenOCorrection Bolus: amount of insulin which is
given when blood glucose level is too high and needs to be corrected/made lower
O Like stepping on the accelerator to give it more gas
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Basal and Bolus Insulin
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Types of Insulin
Long-ActingO Glargine
(Lantus)O Detemir
(Levemir)
Rapid-ActingO Lispro (Humalog)O Aspart (NovoLog)O Glulisine (Apidra)
Short-Acting O Regular (R)
Intermediate-ActingO NPHO NPL
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Rapid ActingO Insulin Glulisine--Apidra
O Insulin Lispro—Humalog
O Insulin Aspart—Novolog
O Starts working immediately
O Strongest effect 30-90 minutes after delivery
O Keeps working 3-4 hours
Rapid Acting Lispro (Humalog), Aspart (NovoLog), Glulisine (Apidra)
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Short-Acting
Regular (R)O Starts working 30-60
minutes after injectionO Has strongest effect 2-3
hours after injection
O Keeps working for 3-6 hours
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Long-Acting
Glargine (Lantus) / Detemir (Levemir)
O Slower absorption and with no pronounced
peak
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GO TO THE AMERICAN DIABETES ASSOCIATION SAFE AT SCHOOLS VIDEO
CHAPTER 7 INSULIN INSULIN BASICS
on the internet at YOU TUBE:
http://www.youtube.com/watch?v=-FlavJim_NI&feature=share&list=EC3DE9DDE8EB2A2E56
Insulin Syringes
O U-30O U-50O U-100 O One time, one person
use only!
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Where to Give Insulin: On Target!
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O Inject into fat layer under skin
O Rotate sitesO Student should choose site
O Common sites: abdomen, thigh buttocks, upper arms
Diabetes.org Safe at Schools
Injection Sites
O Each area absorbs insulin at different rates.
O Avoid injecting around belly button, in skin that is scarred, or in skin that has visible blood vessels.
O Move at least 1 inch from the last place given.
O Exercise can effect the rate of absorption.
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Insulin Injection Technique
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Needle size does matter…
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Giving an Insulin Injection with a Syringe
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Giving an Insulin Injection with a Syringe
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GO TO THE AMERICAN DIABETES ASSOCIATION SAFE AT SCHOOLS VIDEO
CHAPTER 8 INSULIN BY SYRINGE AND VIAL
on the internet at YOU TUBE:
http://www.youtube.com/watch?v=IfWiEqnVJYo&list=PL3DE9DDE8EB2A2E56&index=9
Insulin Delivery Devices
O SyringeO PumpO Pen Device
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Insulin Pumps/Pods
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Insulin DeliveryO External insulin pumps connect to
narrow, flexible plastic tubing that ends with a needle inserted just under the skin
O The insulin pump delivers both basal and bolus doses of insulin
http://www.childrenwithdiabetes.com
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Insulin Delivery
O An insulin pen is a device that looks like a pen with a cartridge.
http://www.childrenwithdiabetes.com http://www.childrenwithdiabetes.com
Insulin Pens
O Techniques for dosing and insulin delivery are similar for both types of pen devices:
Prefilled pensReusable (cartridge) pens
O Both long-acting or basal insulin and rapid-acting or bolus insulin are available in pens
O Most students will only take rapid-acting or bolus insulin in school
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Insulin Pen: Preparation
1. Gather supplies. Verify insulin typeO open device (with cartridge)O pen needle
2. Have student choose injection site3. Clean injection site 4. Screw needle onto pen
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Insulin Pen: Dosing
5. Prime: Dial “2” units. If the pen is being used for the first time, prime 4-6 units as per manufacturer’s instruction
6. Hold upright. Remove air by pressing the plunger. Repeat “Prime” if no insulin shows at end of needle
7. Dial number of units to be administered as ordered in DMMP
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Insulin Pen: Injecting
8. Administer the injection9. Push down on the plunger10. Count to “5” remove needle from tissue11. Remove and dispose of pen needle12. Complete the needed documentation
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Insulin Pens
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PENS are one person specific in use
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GO TO THE AMERICAN DIABETES ASSOCIATIONSAFE AT SCHOOLS VIDEO
CHAPTER 9 INSULIN BY PEN
on the internet at YOU TUBE:
http://www.youtube.com/watch?v=D9Qa5J35ZPo&index=10&list=PL3DE9DDE8EB2A2E56
Insulin Care Guidelines
O Do not use insulin past the expiration date.
O Ask the school nurse regarding storage of insulin
O Don’t expose insulin to extreme temperatures (Hot or Cold)
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Insulin Care Guidelines
O Allow insulin you are injecting to come to room temperature before administering
O Always look at your insulin for particles or unusual color. If it looks different than normal, don’t use it!
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