Sponsors for the Evening

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Sponsors for the Evening

• Novo Nordisk
• Medtronic of Canada Ltd
• Roche Diagnostics
• DiNiro Family Golf Tournament Fundraiser to the
  Pediatric Diabetes Clinic

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Transition to Adult Diabetes Care

• Dr Robert Wilson
• Endocrinologist

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Objectives

• To understand transition to adult care how it
  differs from pediatric care
• To learn about lifestyle issues faced by young
  adults
• To learn about the roles involved with adult
  diabetes management

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Goal of Transition

• To provide care that is uninterrupted,
  coordinated, developmentally appropriate as youth
  move from pediatric diabetes care to
  adult-oriented health care

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Reality Check

• 25-65 of Young Adults Seek No Medical Follow-up
  During Transition

WHY?
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Adult Care is Different

• Expect to Meet Alone
• Know Your Own Condition Health
• Know Your Medications
• Take Responsibility for Your Care

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Adult Care is Different

• Sign Your Own Consents
• Advocate for Yourself

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What to Expect From Visits?

• EKG
• Eye Chart Exam (Bring Glasses)
• Blood Pressure
• Foot Exam
• Height and Weight

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What to Expect From Visits?

• Abdominal Girth
• Blood Work/Urinalysis
• Meal Plan Review

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What to Bring to Visits??

• Diary - 2 Weeks of Numbers
• Medications and Side Effects
• Meter/Pump
• Prescription Needs
• Emergency Plan People to Contact

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What to Bring to Visits??

• Know your Familys Health History
• Health Card
• Allergy Information
• Questions ???

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Lifestyle Issues for Teens

• Alcohol
• Smoking
• Drugs
• Sexual Health
• Driving
• Living Out of Town

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Alcohol Diabetes

• Hypoglycemia
• May Appear Intoxicated
• Occurs 6-36 Hours after Drinking
• For Your Safety
• Eat Carbohydrate Rich Foods when Drinking
• Tell a Friend to Look for Symptoms of Lows
• Check BG Before Bed
• Carry Glucose with You

Glucagon Does Not Work When Alcohol is in the
Body!
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Smoking Diabetes

• We Know the Risks!
• Diabetes Compounds the Problem

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Drugs Diabetes

• All Street Drugs Severely Impair Judgment
• Various Drugs Cause Hypoglycemia or Hyperglycemia

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Sexual Health

• Unplanned Pregnancies Should Be Avoided
• Seek Counseling Prior to a Planned Pregnancy
• When Pregnant Notify Your
• Diabetes Team Immediately!

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Driving Diabetes

• Avoid Hypoglycemia
• Always Carry a Glucose Source
• Pull Over Treat Promptly
• Wear Medical Alert

Driving is a Privilege
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Living Out Of Town

• Carry Supplies
• Be Prepare for Lows
• Wear Medical Alert
• Maintain Prescriptions
• Keep Medical Appointments
• Obtain Referral to Endo
• Need a Family Doctor

Have a Sick Day Plan. Never Be Alone!
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Team Captains Role

• Have a Say in Decisions Made
• Be Fully Informed
• Speak for Yourself
• Ask for Help

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Coachs Role

• Determine Appropriate
• Medication,
• Timing Dose
• Assess Monitor
• Health Status

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Teams Role

• On-going Diabetes Education
• Provides Resources
• Problem Solving
• Support