Title: Pediatric Endocrine Disorders
Course: NUR 1411C Nursing for the Family Part 2 > Section: Module 7

Diabetes Mellitus or Insulin Dependent Diabetes is the most common type of endocrine disorder in children. Insulin Dependent Diabetes can affect every aspect of the child and their family. The incidence of Insulin diabetes is on the rise nationally. The role of the nurse is education, advocacy and support. Type II Diabetes, commonly called adult onset diabetes, has become shocking prevalent in our youth. Sedentary lifestyles and obesity lifestyles in children has been identified as the root of this trend.

Learning Objectives

Upon completion of the module the student will be able to:

- Upon completion of this module the student will be able to do:
- Distinguish the different characteristics and pathophysiology between Type I and Type II Diabetes Mellitus.
- Explain the clinical manifestations of Type I Diabetes Mellitus.
- Discuss laboratory studies utilized to diagnose and monitor children with Diabetes Mellitus.
  - Serum Glucose
  - Hemoglobin A1C
  - Urine glucose and ketones
  - Oral Glucose Tolerance Test
  - Blood Glucose Monitors
- Formulate a plan of care for the family and child with new onset Diabetes Type I.
- Apply knowledge of hypoglycemia and hyperglycemia and nursing interventions for each.
- Identify the following terms:
  - Ketoacidosis
  - Kussmaul Respirations
- Describe the therapeutic management of a child with Ketoacidosis.
- Explain the illness day management of the child with Diabetes.
- Discuss insulin therapy:
  - Function and action of insulin
  - Types of insulin, onset of action for each
  - Insulin administration
  - Injection sites and absorption rates
  - Devices for insulin delivery
- Explain the role of exercise and diabetes, describe cautions and precautions.
- Discuss dietary management of the child with Diabetes Type I and Type II.

Readings

- Chapter 52: p. 1616-1630

Websites - Video Lectures

All open in new window, 2-7 minutes each

- Type I Diabetes Mellitus - Pediatrics
- AACE: Childhood Type 2 Diabetes a Crisis
- Taking Medication - Insulin Delivery