Temporary Guidelines for Newly Diagnosed Diabetes Patient

You have been referred to the Harold Hamm Oklahoma Diabetes Center for Pediatrics because of a recent diagnosis for Type 1 or Type 2 diabetes.  You will meet with a diabetes care team who will teach you how to manage this life-changing diagnosis.

Your Care Team

David Jelley, MD  Laura Chalmers, MD
Steve Ludiker, ARNP, CDE   Dana Greer, ARNP, CDE
Cathey Colburn, RN, CDE   Shari Stevens, RN, CDE
Michelle Condren, PharmD, CDE  

 

 

Your Care

Your diabetes medical care will begin with a two day education session covering all you need to know about administering insulin, counting carbohydrates, treating low and high blood sugar, and managing a day on which you are ill and experience high blood sugar.

The education process will include a schedule of topics as detailed here.  Please plan accordingly to allow enough time to cover all topics as they are needed to acquire the skills for diabetes management.

Day 1

  
   
Arrive fasting. Patient cannot eat or drink before meeting with physician. Water is acceptable.
8:00 – 9:00 Physical Assessment and Insulin Dose with Physician
9:00 – 12:00 Medical Description of Diabetes in Simple Terms
Insulin Injection Techniques
Multiple Daily Injections
Urine Ketone Testing
How to Test Blood Sugars
Nutrition: Carbohydrate Counting & Meal Plans
   
Day 2  
   
Arrive fasting. Patient cannot eat or drink before meeting with physician. Water is acceptable.
8:00 – 9:00 Blood Sugar Test, Insulin, Breakfast, Visit with Physician
9:00 – 12:00 Review Day 1 Information
Low Blood Sugar Situations
High Blood Sugar Resolution & Sick Day Management
Exercise
School Issues
Nutrition: Diabetes & Heart Disease
Prescriptions
   
1st Follow-Up
   

Visit with nurse practitioner.  Review nutrition concepts and meal plan.  Review insulin injection administration, management of high and low blood sugar, sick day management, skin and dental care.  Learn how to adjust recipes to lower carbohydrate count and advanced use of food scale.
   

2nd Follow-Up
   
Visit with nurse practitioner.  Discuss on-going, necessary diabetes care for the life of the disease for avoiding complications.  Discuss responsibilities patient should take on at each age to prepare for self management of disease.  Learn to adjust insulin dose for special occasions such as field trips, birthdays, and family holidays and vacation.
   

3rd Follow-Up

   
Visit with physician.  Learn how to recognize blood sugar patterns and adjust insulin doses and insulin to carbohydrate ratios if applicable.  Review meal plan.
   

What To Do Before You Meet With the Diabetes Care Team


While you are in this interim period before meeting with the care team at the Harold Hamm Oklahoma Diabetes Center, please follow the guidelines outlined below.

  1. Take insulin as prescribed by the hospital or the Harold Hamm Diabetes Center until you meet the diabetes care team.
  1. Drink plenty of water to help flush ketones and sugar from the blood.
  1. Avoid the following foods until you meet with the dietitian.

Candy

Fruit Juice, limit to 4 oz at a time

Chewing Gum

Jams, Jellies, Marmalade, Preserves

Honey

Regular Soft Drinks

Sugar

Sports Drinks

Fruit Drinks

Regular Syrup
  1. Eat your meals as close to the following schedule as possible.  The focus here is to spread the eating of carbohydrates throughout the day instead eating them all at once.
7:00 – 7:30  Breakfast
10:30 Mid-Morning Snack of 15 Grams Carbohydrate
11:30 – 12:00 Lunch
2:30 – 3:30 Mid-Afternoon Snack of 15 Grams Carbohydrate
6:00  Dinner
8:30 – 9:00 Bedtime Snack of 15 Grams Carbohydrate
  1. Remember to take prescribed insulin five minutes before eating breakfast and dinner.
Snack Ideas

5 Vanilla Wafers

3 Peanut Butter Sandwich Crackers

1 Cup Milk

1 Quaker Chewy Granola Bar

3 Cups Popcorn

3 Graham Cracker Squares

1 Piece of Toast

½ Meat or Peanut Butter Sandwich

8 Animal Crackers

6 Saltine Crackers with 1 oz Cheese