Diabetes education class

Diabetes mellitus is an incurable disease, but it can be kept “in check”. This requires constant effort, discipline, and a realignment of lifestyle and thought. Even for an adult, it is sometimes difficult to cope with this, but what about children? Without the help of adults, it will not be possible to rein in a dangerous disease. But are adults always ready to help a diabetic child?

Juvenile type 1 diabetes mellitus is an incurable disease in which the body does not produce insulin, or is secreted in insufficient quantities.

The absorption of glucose from food depends on this hormone. Due to a lack of insulin, the blood glucose level increases, causing severe thirst, an increase in the amount of urine (the child often goes to the toilet), weight loss and strength.

To correct the condition, it is necessary to constantly monitor the blood sugar level and inject a correctly calculated amount of insulin. Moreover, it is injectable, since it is pointless to take insulin in the form of tablets — it is destroyed in the stomach. To control sugar levels, it is critical to eat on time and properly, get a dose of insulin and avoid dangerous situations.

At the end of last year, American scientists announced the creation and the first stage of successful testing of insulin in tablets. So far, this form of the hormone is being tested on animals.

Dangerous situations for health and life include, in particular, hypoglycemia — a condition in which the level of sugar in the blood is critically reduced. This can happen if the child received too much insulin or did not eat on time. Hypoglycemia can develop, for example, after a physical education lesson, if the child does not take additional carbohydrates to compensate for sugar levels. The condition is dangerous because it can cause loss of consciousness and even coma, if others do not know how to help the patient.

Well-being can only be ensured by a combination of monitoring blood glucose levels, timely, correctly calculated dose injections of insulin, and an equally strict diet. The dose of insulin depends on the diet, so the sooner the child learns to calculate it independently, the better.

Insulin pumps help to solve the problem of regular injections: the device on the basis of a pre-calculated program itself introduces the drug at the right time.

The most modern pumps react to the blood composition and adapt the amount of insulin.

Few patients know that an insulin pump on a legal basis can be provided free of charge to both an adult and a child with any type of insulin-dependent diabetes. As well as consumables for it.
Insulin and nutrition: what a child should know

Insulin and nutrition: what a child should know

School-age children feel the approach of a state of hypoglycemia. It is important that they do not get lost and do not hesitate to do what is necessary: urgently take a dose of carbohydrates, which they should always have with them. It can be a fruit, candy, sweet drink, or just bags or sugar cubes. For the most critical cases, it is recommended to carry the emergency medicine recommended by the endocrinologist. Although usually such medications do not last long, but they allow you to quickly bring the child to his senses so that he can eat or drink something sweet).

The child should remember that after the injection of insulin, it is necessary to eat for 30 minutes, so that hypoglycemia does not develop. This must be done regardless of where the student is-in class, on an excursion, in transport, or on an exam. Postponing a meal is unacceptable.

Children who develop the disease at an early age get used to the fact that parents and adults take care of all this, and are less responsible for the regime dictated by diabetes. If the disease manifests itself at a later age, the child usually quickly learns all the necessary actions, including calculating the dose of insulin and self-compliance with the diet.

But adult supervision is still necessary. And without the assistance of the teacher and the school management, problems can arise.
School and teachers: how it should be, and how it really is

School and teachers: how it should be, and how it really is

Unfortunately, the parents of a child suffering from diabetes often face all sorts of problems. Sometimes this is a banal ignorance of what constitutes diabetes, and why it is important to provide assistance to the child, even if it goes against school rules.

Parents often report a refusal to admit a diabetic to school. Sometimes because someone considers this disease contagious, but more often simply because of the unwillingness to complicate the life of teachers and management. The classroom teachers and all teachers have an additional responsibility-to look after students with diabetes unobtrusively, to be able to help the child to get used to it, to create the right system of relations between children in the classroom. And, of course, learn how to provide first aid in critical situations.

Employees of the cafeteria, a school nurse, and a physical education teacher should also have the necessary information.

In practice, everything is much more complicated.

According to data obtained from surveys of teachers and parents, only 6-12% of schools have a person who is able to recognize the symptoms of hypoglycemia and provide adequate assistance. In other educational institutions, there is not even anyone to help the child get an insulin injection.
In most schools, it is not possible to provide children with special food, they have to bring food from home.
Children, as a rule, can not do injections in the medical office and are forced to go to the classroom teacher’s office, if he allows it, to the toilet or locker room. In schools, there are usually no blood glucose meters and a stock of test strips, and not everyone is allowed to bring and store their own in the medical office, not to mention free access to the office during school hours.
Every fifth child with diabetes faces a negative attitude from the school management. Every fourth person tries to refuse admission to an educational institution.

Lyudmila, mother of a daughter with type I diabetes

When we entered the school, we immediately encountered a negative attitude of the management to our diagnosis. The documents were accepted reluctantly. The school nurse immediately told us not to expect her to give the child injections. She even refused to take the emergency kit into storage and let her daughter into the office so that she could give herself injections on her own, but at least in normal conditions, and not in the hallway or toilet.

The homeroom teacher, even though we gave her a specially printed memo, ignores it. She has a negative attitude to the fact that her daughter sometimes needs to eat something before the break, or go to the toilet. It requires that the daughter, along with everyone else, stay after school for school-wide events, while the child needs to have lunch on time and get an injection.

It seems that an adult stubbornly refuses to understand that her actions can cause real harm to a sick child.

Although by law, the school is obliged to take into account the special needs of children with diabetes and provide them with conditions for their implementation, including a special menu in the school cafeteria.​

Here is what the lawyer Alexander Bezgodov says about this.

In the personal file of the child, there should be medical reports and an individual rehabilitation program with clear details of the special regime during the educational process. The school does not have the right to violate the IPR, this document is mandatory, and its non-compliance may become the basis for applying to the court.

No one has the right to force students to attend extracurricular activities either, this is a voluntary decision.

The school does not have the right to refuse admission to a child with a diagnosis of diabetes. If this happens, parents have the right to apply to the higher authorities of the Ministry of Education or to the court.​

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