Risky Behavior
Up all night to get lucky! But first, where can you get birth control?
-Some are free and over the counter (Condoms)
-Free clinics (Planned Parenthood)
-You primary care doctor
-Student Health Center.
Mom sends some cash. Score! Now for a fancy meal out! How many carbs are in 1 slice of Dominos cheese pizza?
- Approximately 30g
Your mom sends a care package with glucose tabs so you don't have to buy more yourself! How many carbs are in those things anyway?
- 3.75 g - 4 g per 1 glucose tab
How might stress (i.e first dates and finals) affect your BG?
In most cases stress causes elevated glucose levels. However, some people notice having more lows when they are stressed. This is something that is good to know about yourself so you can prepare accordingly.
What things should roommates know about T1D?
-Emergency Glucagon/Baqsimi
-Location of glucose tabs/low treatments.
-Food for lows that are OFF LIMITS to them
-Signs of lows/highs and what to do in both cases.
You have birth control, good for you, but you have always worried about becoming pregnant. What would the consequences be of a pregnancy if your blood sugars were not in tight control?
Increased risk for preterm delivery (early delivery), preeclampsia (high BP), macrosomia, shoulder dystocia, intrauterine fetal demise, fetal growth restriction, cardiac and renal malformations, in addition to rare neural conditions such as sacral agenesis.
You wake up hungover and slam a Gatorade to try and get rid of the headache. Should you bolus?
- It depends. Discusssion.
Does your sleep affect your BGs? Why?
Yes! Your body releases hormones while you sleep that are important in blood glucose regulation. Not getting adequate sleep or sleeping at irregular hours can cause dramatic fluctuations in blood sugars.
You're going on a road trip to a weekend concert. What do you need to think about before you leave?
Supplies. Medical ID. Activity levels and dose adjustments. etc.
Should your professors know about you having T1D? Why?
Professoors can be your friend! Advocate for yourself beacuse if you have a low in the middle of an exam or need to test during class, life will be much easier if the professor knows in advance that something like that may happen.
House party! Saweet! What do you think your sugars will be tomorrow morning? Why? What factors will have a big role in this?
- Food consumed
- Alcohol consumed
- Dancing/other physical activities
Your friend makes some special brownies to share. Better bolus now it is going to be hard to remember later... How many carbs are in a brownie the size of a deck of cards?
- 42 g
You left your insulin the car for 24 hours. Oops. Can you still use this? What factors come into play?
- Possibly. Temperature, both too high and too low can affect insulin's effectiveness. Discuss
Your relationship has moved to a more intimate level. What are some concerns you should have if your sugars are consistently above target range?
Erectile Dysfunction. Pregnancy complications.
How do you explain to police that you are low, not drunk?
- This is a situation in which it is a great idea to have a medical ID bracelet or card on your person! A testing kit, pump or some other medical device may also help.
- Discuss other strategies
It's Boulder's national holiday 4/20! After celebrating accordingly, what do you anticipate your blood sugars will do?
Depends on how bad your munchies were! And if you remembered to give insulin...
It's Taco Tuesday and you are having a 8 oz frozen margarita. How many carbs are in one? Would you bolus for all of them? Why or why not?
Frozen Margarita: 30-35 g carbs per 8 oz.
Discussion
How long can you be on your parent's insurance? How can you get insurance if you don't have it through your parents?
- If your parent's insurance plan covers children, you can be added or kept on the policy until you turn 26 years old.
- If you do not have insurance through your parents, most universities offer some form of insurance that you can pay for.
Although it does not burn as many calories as we might hope, doing the deed has some parallels with exercise. What might happen to your BGs while you're getting cracked? What precautions should you take before or during the no pants dance?
You might have a low! Be sure to have treatments nearby (i.e. glucose tabs or juice) and it would probably be good for your partner or sneaky link to know you have diabetes...
Mom texts you ALL the time. She noticed your BGs have been running high and wants to know why. You appreciate that she cares but how can you get her to talk about other things before she turns into the unglued guardian?
-Discuss
You know that smoking is bad for you, but what is the harm in vaping? It's healthier right?
Vaping can lead to increased glucose levels. Most e-cigarettes contain nicotine- the addictivedrug in regular cigarettes. Nictotine can harm the developing brain. The brain keeps developing until about age 25. Using Nicotine in adolescence may also increase risk for future addiction to other drugs.
What do high fat meals do to your BG and why? How can you manage the effects of a high fat meal?
Higher fat meals tend to raise BG later but may result in lows earlier. This is due to fat slowing the absorption of carbs in the gut. As a result, your insulin absorption does not match your glucose absorption.
You can split the dose, extend the bolus, do bg correction later
How late can you visit urgent care centers? What is the number for the BDC after hours?
BDC # 303-724-2323.
This varies depending on the center, be sure to check the hours of your neaserest urgent care . If the situation is life threatening call 911! Emergencey Rooms are open 24 hours.
You're on a date with someone you really like, and the two of you went out to eat. Before you give yourself insulin for your meal, you tell your date that you have diabetes and that is why you have to take insulin. Your date says, "I know what diabetes is, my grandma has it too." How do you respond?
Nicely explain the differences between T1D and T2D.
Where can you go to get assistance or protection for in-class emergency situations?
- Schools are required to have a Student Disabilities Office that can offer assistance and aid in the event of emergencies during class. Research where to find this on your campus.