Today I made decent progress on mapping our content progression into 3 distinct “levels”:
- Level 1: Survival Skills. All the things you must know and/or be able to do to safely live with diabetes.
- Level 2: Essentials. Things you must learn/do to start getting your life back to normal.
- Level 3: Finding Rhythm. More advanced skills that build on survival skills concepts.
I like the idea of levels because it shows a sense of progress and mastery during a time that you typically feel anything but. My goal is to develop a repeatable process that all people with type 1 diabetes can utilize during the first weeks post-diagnosis.
I’m continuing to rely on the ADCES Self-Care behaviors and content from the Understanding Diabetes Pink Panther Book, blended with my own creative license for organizing content into bite-sized modules.
Here’s how the first 3 levels break down.
Level 1 (Days 1-2): Survival Skills
- What diabetes is and what causes it
- Type 1 will not stop you from living your life.
- Identify what type of diabetes they have.
- Type 1 is not easy — involves lots of decisions that impact health.
- Blood sugar checking
- Urine/blood ketone checking
- Recognizing a low BG and how to treat it
- Describe Insulin types and actions
- Drawing up insulin
- Giving shots
- Food Survival Skills
- Getting Supplies
- Proper Care
Level 2 (Days 3–4): Essentials
- Plans for the next few days
- School Plan
- Details of treatment (“thinking scales”)
- Education about food (dietitian)
- Feelings (psycho-social team)
Level 3 (Day 5–7): Finding Rhythm
- Details of food management w/ diabetes
- Review of A1C: What it is, why it’s important
- Pattern management of BGs: how to identify trends and when to fax/email numbers
- Sick Day Management: How often to check BG and ketones, fluid replacement — what type and how much when and how to urgently call for assistance.
- Insulin actions and different insulin regimens
- Low BG Care: Causes, signs, and treatment of mild to severe lows, including glucose tabs and gel and glucagon
- High BG Care: Prevention of diabetic keto-acidosis; causes, signs, and treatment
Tomorrow I’ll get this map to a good stopping point so we can start biting off pieces of content to develop starting next week.