Young Adult Transition Guide - Markham Stouffville Hospital

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Meal PlanningMany changes may be occurring in your life such as, going away to school, moving outon your own, starting a career and taking on full responsibility for all your diabetesmanagement. At times your diet and exercise routine may not be a priority; However, toperform your best keeping your diabetes under control is essential. Management of yourdiabetes must include healthy eating and regular meals. This requires planning. Here aresome simple suggestions for meal planning.Some simple suggestions for eating and exercise.✦ try to choose at least 3 out of the 4 key foodgroups at each meal• starch• fruits & vegetables• milk• protein foods*Grain &StarchesVegetablesMeat &Alternatives✦ choose portion sizes that will help you reach or maintain a healthy weight• by now you probably have stopped growing taller and do not need as much food as youdid before.• if you are in the habit of filling up on protein choices as “free” foods consider the extracalories they are adding to your diet.✦ try to include high fibre foods such as whole grain breads and cereals, fresh fruits, vegetablesand legumes, and grains (pasta, rice)✦ make lower fat choices (e.g. use skim milk, lean meat and use smaller amounts of addedfat such as butter and salad dressings)• this can be challenging if you are eating out frequently.• have lower fat snacks available like yogurt and fruit instead of chips and granola bars.✦ try to get some physical activity on most days of the week• build time in your routine to get some exercise, walk or ride a bike, go skating, take up anew activity.* For more specific dietary advice speak to a dietitian.* Adapted from Canadian Diabetes Association 2003 Clinical Practice <strong>Guide</strong>lines.9
When you are sickIn the past, your parents have probably managed your diabetes for you while youwere sick. When you are on your own managing an illness can be quite challenging.Here are some guidelines for you to follow.During an illness:✦ Check your urine for ketones every 4 hours and blood sugars every 2–3 hours or even more frequentlyif you are vomiting.✦ Most of the time you should take your usual amount of insulin even if you are unable to eat your usualmeals. However, if you are vomiting or your blood sugar is low you may need to decrease your overallinsulin by 20% of your toal daily dose. If you need help to adjust the insulin dose contact your diabetesteam for advice. If you are both low and vomiting please follow the guidelines for using low dose glucagon.✦ Check blood sugar and urine ketones every 4 hours to assess the need for more insulin. If blood sugar ishigher than 13mmo/L and ketones are present give 10-20% of your total daily dose as extra insulin.To do this add up the amount of all of the insulin that you take in a day (fast acting and long acting) andtake 10% of that as fast acting insulin right away. If the next blood sugar is not lower than 13mmo/L give20% extra the next time your insulin is due. Add the extra insulin to your usual dose.✦ Be sure to drink lots of fluids to prevent dehydration and help flush out any ketones. If blood sugars arehigh drink sugar free fluids and if they are low use sugar-containing fluids.Also use The Sick Day <strong>Guide</strong>lines Pamphlet you will be provided with as an additional resource.10
Page 2 and 3: THE YOUNG ADULTSGUIDE TO TRANSITION
Page 4 and 5: INTRODUCTIONThis initial section is
Page 6 and 7: Adult Diabetes Clinic: TerminologyT
Page 8 and 9: MANAGEMENTThis section identifies a
Page 12 and 13: The Use of Glucagon forSevere Hypog
Page 14 and 15: LIFESTYLEThis section covers some o
Page 16 and 17: SmokingMost people know that smokin
Page 18 and 19: DrivingFor anyone who is planning t
Page 20 and 21: Heading off to College or Universit
Page 22 and 23: TravelingYour diabetes should not p
Page 24 and 25: Employment:Things to Consider:When
Page 26 and 27: Complications &How to Avoid ThemPeo
Page 28 and 29: Important Telephone NumbersMarkham
Page 30 and 31: 29Notes
Page 32: 3248-06-2006

Young Adult Transition Guide - Markham Stouffville Hospital

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