CLC: Health Promotion Presentation
Juvenile Diabetes (Type I)
Impact of Juvenile Diabetes During
Childhood and Adulthood
• Will affect every aspect of a child's and adult’s life, with multiple lifestyle changes such as blood sugar checks,
insulin administration, diet modifications, and daily exercise. • If blood sugar is not controlled (either too high or too low) it will have an effect on how a patient feels each day.
• Because the body doesn’t produce any insulin (insulin
dependence), juvenile diabetes will continue into
• Usually diagnosed in childhood but can occur at any age. • Uncontrolled diabetes can lead to issues such as diabetic ketoacidosis, heart and kidney disease, and more.
Demographic & Health Statistics
• Type 1 diabetes affects 1.25 million individuals including: • One million adults over the age of 20 and 200,000
children and adolescents.
• By 2050, nearly 5 million individuals in the United States are expected to be diagnosed with Type 1 diabetes.
• According to the CDC type 1 diabetes is the most
prevalent form of diabetes mellitus in all racial and ethnic groups.
• Highest incidence occurs among White Americans and
the Hispanic population.
(Type 1 Diabetes Facts, n.d.;
Diabetes in Youth, 2014)
Effects of Type 1 Diabetes
• Cardiovascular disease: chest pain (angina), heart attack, narrowing of arteries (atherosclerosis) & hypertension
• Cerebrovascular disease: stroke
• Retinopathy: microvascular damage to the retina of the eyes • Nephropathy (kidney damage): leading cause of end-stage renal disease & kidney failure
• Neuropathy (nerve damage): loss of sensation in lower extremities & increased risk for lower limb amputation
• Skin conditions: increased susceptibility to recurring bacterial & fungal infections
• Sexual dysfunction: decreased libido, reduced sexual response, vaginal dryness, & erectile dysfunction
• Mental illness: increased rates of anxiety disorders, depression, and eating disorders
(Type 1 diabetes, 2015; Lewis, Dirksen, Keitkemper,
Bucher, & Camera, 2011; McCoy & Bass, 2009).
Health Care with Type 1 Diabetes
• Coverage for People with Diabetes
• In 2014, job based plans and new individual plans can not deny coverage, charge more or refuse to cover treatments due to pre-existing conditions like diabetes
• Coverage for Young Adults
• Young adults with diabetes can stay on their parents insurance until the age of 26
• Free Preventive Care
• A majority of health plans are now required to provide certain health services like diabetes screening
• Essential Health Benefits
• Hospitalizations, prescription drugs and chronic disease management are covered
• No Annual Dollar Limits on Essential Health Benefits
• No Lifetime Dollar Limit on Coverage
Living with Type 1 Diabetes
• Prenatal care and Pregnancy
• Control blood sugar levels prior to
pregnancy and during
• Assemble a team to assist during
pregnancy (MD trained to care for
pregnant women with Type 1 diabetes,
high risk Obstetrician, Registered
Dietician & a Diabetic educator)
• Ability to Cope with Stress
• Fight or flight response is altered
• Long-term stress can cause high blood
• Occupational Hazards and Considerations
• Persons should be individually assessed
for a job
• Assess their ability to safely perform job
• Workplace should offer accommodations
for individuals with Type 1 diabetes
Plan of Care
Knowledge Deficit regarding condition, prognosis, treatment regimen and self-care •Expected outcomes
•Patient will communicate desire to understand disease state and need for treatment •Patient will set realistic goals
•Patient will demonstrate proper technique of administering oral and injectable medications •Patient will be able to identify interventions to prevent and reduce risk of infection •Patient will be able to assist in planning own care and independently take responsibility for self-care...
References: • Enzlin, P., Mathieu, C., Van den Bruel, A., Vanderschueren, D., & Demyttenaere, K. (2003). Prevalence
and Predictors of Sexual Dysfunction in Patients With Type 1 Diabetes
• Lewis, S.L, Dirksen, S.R., Keitkemper, M.M., Bucher, L., & Camera, I.M. (2011). Medical-surgical
nursing: Assessment and management of clinical problems
• McCoy, K. (2009 ). The History of Diabetes. Everyday Health Media. Retrieved from
• McCoy, K., & Bass, P.F. (2009). Sexual Issues and Type 1 Diabetes. Everyday Health Media. Retrieved
from http://www.everydayhealth.com/type-1-diabetes/type-1-diabetes-sexual- issues.aspx
• National Conference of State Legislatures. (2013). Diabetes Health Coverage: State Laws and Programs.
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