Transcript Slide 1

Sponsors for the Evening

Novo Nordisk

Medtronic of Canada Ltd

Roche Diagnostics

DiNiro Family Golf Tournament Fundraiser to the
Pediatric Diabetes Clinic
Transition to Adult
Diabetes Care
Dr Robert Wilson
Endocrinologist
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
Goal of Transition

To provide care that is uninterrupted,
coordinated, developmentally appropriate
as youth move from pediatric diabetes care
to adult-oriented health care
Reality Check

25-65% of Young Adults Seek No Medical
Follow-up During Transition
WHY?
Adult Care is Different

Expect to Meet Alone

Know Your Own Condition & Health

Know Your Medications

Take Responsibility for Your Care
Adult Care is Different

Sign Your Own Consents

Advocate for Yourself
What to Expect From Visits?

EKG

Eye Chart Exam (Bring Glasses)

Blood Pressure

Foot Exam

Height and Weight
What to Expect From Visits?

Abdominal Girth

Blood Work/Urinalysis

Meal Plan Review
What to Bring to Visits??

Diary - 2 Weeks of Numbers

Medications and Side Effects

Meter/Pump

Prescription Needs

Emergency Plan – People to Contact
What to Bring to Visits??

Know your Family’s Health History

Health Card

Allergy Information

Questions ???
Lifestyle Issues for Teens






Alcohol
Smoking
Drugs
Sexual Health
Driving
Living Out of Town
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!
Smoking & Diabetes

We Know the Risks!

Diabetes Compounds the Problem
Drugs & Diabetes

All Street Drugs Severely Impair Judgment

Various Drugs Cause Hypoglycemia or
Hyperglycemia
Sexual Health



Unplanned Pregnancies Should Be
Avoided
Seek Counseling Prior to a Planned
Pregnancy
When Pregnant Notify Your
Diabetes Team Immediately!
Driving & Diabetes




Avoid Hypoglycemia
Always Carry a Glucose Source
Pull Over & Treat Promptly
Wear Medical Alert
Driving is a Privilege
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!
Team Captain’s Role

Have a Say in Decisions Made

Be Fully Informed

Speak for Yourself

Ask for Help
Coach’s Role
Determine Appropriate
Medication,
Timing & Dose

Assess & Monitor
Health Status

Team’s Role

On-going Diabetes Education

Provides Resources

Problem Solving

Support