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New Guidelines to Manage Type 2 Diabetes in Children
The American Academy of Pediatrics has issued a set of guidelines to provide evidence-based recommendations on managing type 2 diabetes in children ages 10 to 18.
The guidelines are the first of their kind for this age group, according to an AAP news release. Over the past three decades, the prevalence of childhood obesity has increased dramatically in North America, ushering a host of health problems, including type 2 diabetes that formerly afflicted only adults.

Written in consultation with the American Diabetes Association, the Pediatric Endocrine Society, the American Academy of Family Physicians and the Academy of Nutrition and Dietetics, the guidelines recommend beginning treatment with insulin at the time of diagnosis in all patients who are ketotic or in ketoacidosis, markedly hyperglycemic or in whom the distinction between type 1 and type 2 diabetes is not clear.

In all others, Metformin is recommended as first-line therapy along with a lifestyle modification program that includes nutrition and physical activity. The guidelines also include recommendations for monitoring pediatric patients’ glycemic control, implementing insulin regimens, and diet and physical activity.

The guidelines appear in the February issue of the journal Pediatrics and are available as a PDF Click Here 

An accompanying technical report is available as a PDF. Click Here

To read the entire article Click Here

In light of these recommendations it is expected that the use of insulin pumps will become increasingly popular among this group. Most school districts recommend education for school nurses in the management of diabetes and the use of insulin pumps. Many districts also require basic education in diabetes for all school personnel that have students with diabetes.

Pedagogy Inc. has 2 convenient online continuing education courses to provide the best practices in the management of diabetes and those diabetics that use insulin pumps.

Continuous Subcutaneous Insulin Infusion for the School Nurse 

 This 2.25 contact hour course discusses the advantages and disadvantage of CSII (Continuous Subcutaneous Insulin Infusion) and helps the school nurse identify resources needed to assist children on CSII. After completion of the course the participant will be albe to:
  • Name the urgent interventions required to problem solve hyper and hypoglycemia for a student on CSII.
  • Specify the type of insulin most commonly used in CSII. 
  • List the options for in-person or on-line pump training to advance nursing skills for CSII.

Click on the course title to learn more about this online CE course, view curriculum and purchase the course.

Diabetes: An Introduction

A must take online CE primer for all school personnel and nurses that interact with diabetic students. It is imperative that these educators be familiar with diabetic emergencies and proper actions to take. The goal of this Continuing Education program is to educate all levels of providers on the chronic disease process known as diabetes, and to empower them to recognize their own personal risk factors. The program will discuss lifestyle changes, as well as overview medications available to treat diabetes. Additionally, the program will discuss medication conditions associated with diabetes, their treatment goals, and proper patient education. Finally, the program is written to enhance the practice of healthcare providers in all areas of practice, from acute care settings to long term care facilities. Specific guidelines will be outlined for the care of a diabetic patient in a variety of clinical settings.

Click on the course title to learn more about this online CE course, view curriculum and purchase the course.
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