Type 1 Diabetes Training in Tharaka Nithi and Nyeri
Posted on February 21, 2024
Post by admin
59 Comments
In a proactive move towards bolstering healthcare capabilities, a comprehensive training program on Type 1 diabetes recently unfolded in Nyeri and Tharaka Nithi Counties. The initiative, conducted by pediatric endocrine society of Kenya aimed at equipping healthcare workers with the latest knowledge and skills in managing Type 1 diabetes, signifies a pivotal step in advancing pediatric and adolescent diabetes care in the region.
59 Replies to “Type 1 Diabetes Training in Tharaka Nithi and Nyeri”
Phoebe
22 Feb 2024
Great interaction with the colleagues in in the 4 counties: Nyeri, Nyandarua, Tharaka Nithi and Embu in this great milestone as we shared knowledge in Type 1 DM in children and adolescents
Key message – Bolus basal insulin optimization leads to good glycemic control coupled with a good balanced diet, monitoring of complications and their timely management.
What impacted me the most are two things.
1. Restoration of volume is the first step in management of DKA.
2. Blood Sugars should be among the vital signs in a child seeking health services.
It was amazing interaction and knowing latest regime in the management of T1DM in children looking forward in practicing the knowledge learned. I take this chance to thank the paediatric endocrine society of Kenya for that initiative.
Very insightful and impactful training, with brilliant trainers and educators. Glad that a multidisciplinary approach to treat T1DM is being appreciated.
Very informative training. made me realize the huge knowledge gap i have been having in my years of practice. has also raised my confidence in management of type1 diabetes to a whole new level
Diabetic education and Nutrition was a eye opener for me…a whole new perspective to management of type 1 DM. Quite dedicated facilitators, continue impacting more lives!
When managing DKA
1.correction of dehydration
Resuscitation if in shock 20 mls/kg in 15minutes(can repeat a second bolus if still in shock)
Severe dehydration 20mls/kg over an hour
+Maintenance fluid(rule of 100/50/20 whereby in the first 10kgs- 100mls/kg
Next 10kgs-50mls/kg
Rest of kgs-20mls/kg(over 24hours)
+The deficit where by we assume a 10% dehydration (10times body weight times10 which is constant)
2.correction of hyperglycemia (insulin therapy)which should be started after one hour of hydration
3.pottasium
4monitoring of -bood sugar
-ketones
-Bicarbonate
– neurological changes(probably cerebral edema
After resulution of dka transit to subcutaneous insulin (basal bolus and pre meal boluses
When managing DKA
1.correction of dehydration
Resuscitation if in shock 20 mls/kg in 15minutes(can repeat a second bolus if still in shock)
Severe dehydration 20mls/kg over an hour
+Maintenance fluid(rule of 100/50/20 whereby in the first 10kgs- 100mls/kg
Next 10kgs-50mls/kg
Rest of kgs-20mls/kg(over 24hours)
+The deficit where by we assume a 10% dehydration (10times body weight times10 which is constant)
2.correction of hyperglycemia (insulin therapy)which should be started after one hour of hydration
3.pottasium
4monitoring of -bood sugar
-ketones
-Bicarbonate
– neurological changes(probably cerebral edema
After resulution of dka transit to subcutaneous insulin (basal bolus and pre meal boluses
A timely and very insightful programme. Wonderful facilitators with a wide knowledge in the management of T1DM.
I appreciate the fact that I am now able to calculate insulin dosage comfortably, and adjust the same based on the amount of carbohydrates taken ( carb counting and insulin adjustment).
The training was timely and was an eye opener on the need for investment in management of type 1 DM through training of HCWs and the community (schools,home)where people living with type 1 are staying.
Great information and presentation.
Take home: Never use mixtard in T1DM, Importance of inclusion of diabetes in school and Monitoring of blood sugars at least times a day and use of premeal insulin
Very educative and well organized. Most impacted by the need to transition from premixed insulin, The nutrition component of DM management and school management.
Couldnt have wished for a better group of trainers!. Simplified complex concepts such as glucose homeostasis,pathophysiology and management diabetic ketoacidosis making it easier to understand even for healthcare workers who might not have been involved in the very frontline of its management.
Great learning sessions impacted with lots of new knowledge.what impacted me most was 1. Dka management .2.Insulin to carb ratio 3.management of TIDM in special circumstances ie with Fever n GE
The training will help me on type 1dm management,I was in old school of premix insulin,but am now moving to basal-bolus insulin.
Have learned alot on diet management for type 1 dm
Very informative training, with eye opening insights on the current management of type 1DM. Take home, shift from premix insulin to basal bolus., how to manage DKA , insulin dose adjustment, how to screen for complications. Thank you to our very able facilitators for simplifying the content.
Informative, intensive and impactful 3 days training on management of type one diabetes. Am glad to learn the new management of type one DM. Kicking away 🦵 mixtard in management of type 1 Dm
The training has impacted me a lot pertaining management of type 1 diabetes. I have acquired more knowledge about type 1 diabetes that will help me handle my clients competently with and a lot of confidence.Thank you
The training was good with great and learned facilitators i learnt no use of premix insulin like mixtard in children and adolescent because they have tendency of causing hypoglycaemia in children we are now switching to bolus and long acting insulin like lanctus for better and good outcome management of type 1 diabetes. Thanks for the knowledge
Good training
Insulin premix should not be given to children
Diabetes isn’t a death sentence and through the new intervention of insulin carbohydrates ratio, the children can live normally like any other child.
Training needs more time especially to elaborate more on the adjustment of doses
What a timely training…very educative and resourceful trainers.
Basal bolus insulin optimization is the way in management of type 1 DM….
Plus balanced diet, timely monitoring and management of complications is key.
Patient/family education on DM is key to good glycemic control.
Very educative session and timely
I was mostly impacted by:
Don’t use mixtard in children let’s change/start the regimen to basal bolus insilin
The training was very interactive
Management DKA
Transition from premix insulin to basal-bolous insulin
>Nutrition-calculation of Carbs
>Long-term complication especially foot care management
Co
It’s a pleasure having such a great team taking us through T1DM training. What impacted me most was 1. DKA management 2. Insulin to carbs ratio 3. Insulin therapy esp transition from premix to Bolus/basal.4. management of T1DM in special circumstances ie fever and Ge.5. short n long term complications of T1DM. Am a proud team member can’t wait to share the attained knowledge with my colleagues at my facility .
The training was very informative and I personally learnt alot. The change from the mixed insulin to basal bolus insulin needs to happen for our kids and I plan to follow up on that. Thank you
59 Replies to “Type 1 Diabetes Training in Tharaka Nithi and Nyeri”
Phoebe
Great interaction with the colleagues in in the 4 counties: Nyeri, Nyandarua, Tharaka Nithi and Embu in this great milestone as we shared knowledge in Type 1 DM in children and adolescents
Emmy nyaga
The training was timely, have learnt alot on type one diabetes , gained knowledge which is going to positively impact the management of patients
Anamanjia
Proper insulin management and healthy eating will have our little ones with DM TI live anormal happy life full of grace.
Victor
Key message – Bolus basal insulin optimization leads to good glycemic control coupled with a good balanced diet, monitoring of complications and their timely management.
Martin
What impacted me the most are two things.
1.
Jack
1. Management of T1DM in school
2. Rule of 10/10/2 and calculation of fluids deficits
John Peter Muriithi
That nutrition is key in type 1 d.no special diet.just proper monitoring and maintenance of glycemic effect.
Phoebe
Great initiative
Martin
What impacted me the most are two things.
1. Restoration of volume is the first step in management of DKA.
2. Blood Sugars should be among the vital signs in a child seeking health services.
Susan makena
1: Don’t use mixtard when managing children with type 1 Dm
John Peter Muriithi
Random blood sugar is vital in every child seeking medical services
Kelvin
Great experience especially learning on the need to transition T1DM children from premixed insulin to basal bolus regimen.
Martin N Stephen
Updates on the current management by use of basal bolus and pre meal insulin…and never to use mixtand insulin in children and adults.
Naftaly
Wonderful and timely training on Tidm. Thank you paediatric endocrine society Kenya. We are now champion to preach and practice on management of T1DM
Stella
Training package well organised and inclusive especially the school diabetes easily forgotten
Facilitators very articulate
Cecily
Wonderful experience!! Have known about transition from premix to basal n bolus types of insulin and nutrition part of management
Egidiah
Leart that severe dka should be nursed in ICU or hdu. Never use mixtand to T1DM
Jane wanderwa
Insulin regimens, calculation and adjustment
DKA mx
TlDM Education
Emmanuel njue
It was amazing interaction and knowing latest regime in the management of T1DM in children looking forward in practicing the knowledge learned. I take this chance to thank the paediatric endocrine society of Kenya for that initiative.
Jackline kangai nyaga
The training will be very helpful in mx of dm type l.lwill be able to give the right insulin and monitor there glucose level.
Mercy
Very insightful and impactful training, with brilliant trainers and educators. Glad that a multidisciplinary approach to treat T1DM is being appreciated.
Henry Gitonga
Very informative training. made me realize the huge knowledge gap i have been having in my years of practice. has also raised my confidence in management of type1 diabetes to a whole new level
Lilian Nyaguthii Wahu
REGIMEN
1.Basal -Bolus
2.continous SC Insulin Infusion(Insulin pump)
3.Cloosed loop (bionic pancreas)
Ann Muriithi
The transition from premix insulin to basal bolus insulin. Quite educative
Edwin
Diabetic education and Nutrition was a eye opener for me…a whole new perspective to management of type 1 DM. Quite dedicated facilitators, continue impacting more lives!
Colleta
When managing DKA
1.correction of dehydration
Resuscitation if in shock 20 mls/kg in 15minutes(can repeat a second bolus if still in shock)
Severe dehydration 20mls/kg over an hour
+Maintenance fluid(rule of 100/50/20 whereby in the first 10kgs- 100mls/kg
Next 10kgs-50mls/kg
Rest of kgs-20mls/kg(over 24hours)
+The deficit where by we assume a 10% dehydration (10times body weight times10 which is constant)
2.correction of hyperglycemia (insulin therapy)which should be started after one hour of hydration
3.pottasium
4monitoring of -bood sugar
-ketones
-Bicarbonate
– neurological changes(probably cerebral edema
After resulution of dka transit to subcutaneous insulin (basal bolus and pre meal boluses
Colleta
When managing DKA
1.correction of dehydration
Resuscitation if in shock 20 mls/kg in 15minutes(can repeat a second bolus if still in shock)
Severe dehydration 20mls/kg over an hour
+Maintenance fluid(rule of 100/50/20 whereby in the first 10kgs- 100mls/kg
Next 10kgs-50mls/kg
Rest of kgs-20mls/kg(over 24hours)
+The deficit where by we assume a 10% dehydration (10times body weight times10 which is constant)
2.correction of hyperglycemia (insulin therapy)which should be started after one hour of hydration
3.pottasium
4monitoring of -bood sugar
-ketones
-Bicarbonate
– neurological changes(probably cerebral edema
After resulution of dka transit to subcutaneous insulin (basal bolus and pre meal boluses
Chege
A timely and very insightful programme. Wonderful facilitators with a wide knowledge in the management of T1DM.
I appreciate the fact that I am now able to calculate insulin dosage comfortably, and adjust the same based on the amount of carbohydrates taken ( carb counting and insulin adjustment).
Emmaliz
Transition regimen, absolutely amazing,
Stephen
The training was timely and was an eye opener on the need for investment in management of type 1 DM through training of HCWs and the community (schools,home)where people living with type 1 are staying.
Val
Great information and presentation.
Take home: Never use mixtard in T1DM, Importance of inclusion of diabetes in school and Monitoring of blood sugars at least times a day and use of premeal insulin
Patrick kiruki
Very informative and with this we will need to reeducate more of our staff ..
Mercy Mapenzi
Well organised sessions, well taught, very patient trainers. I have noted the many things we have been doing wrong while managing our DM patients
Christine
Very educative and well organized. Most impacted by the need to transition from premixed insulin, The nutrition component of DM management and school management.
walter Andande
The training was timely.
1.That Basal -Bolus is the recommended regimen.
2.management of T1DM in Special circumstances is key
Mutuma
Couldnt have wished for a better group of trainers!. Simplified complex concepts such as glucose homeostasis,pathophysiology and management diabetic ketoacidosis making it easier to understand even for healthcare workers who might not have been involved in the very frontline of its management.
Christine Mbaka
Great learning sessions impacted with lots of new knowledge.what impacted me most was 1. Dka management .2.Insulin to carb ratio 3.management of TIDM in special circumstances ie with Fever n GE
Wanja
The training will help me on type 1dm management,I was in old school of premix insulin,but am now moving to basal-bolus insulin.
Have learned alot on diet management for type 1 dm
Christine
Very informative training, with eye opening insights on the current management of type 1DM. Take home, shift from premix insulin to basal bolus., how to manage DKA , insulin dose adjustment, how to screen for complications. Thank you to our very able facilitators for simplifying the content.
Stephen Ayoti
Informative, intensive and impactful 3 days training on management of type one diabetes. Am glad to learn the new management of type one DM. Kicking away 🦵 mixtard in management of type 1 Dm
TARATISIO NYAGA NJERU
Very good work
Benson Mutisya
1) best mnx of T1DM, especially stop using mixtard
Sophia mbuvi
No mixtard should be given to children instead give basal soluble.
Rule of 15 in hypoglycemia mnx
Egidiah muthoni mbiuki
Leart alot on mnx of hypo and hype in T1DM
Jane muriithi
Very informative. Management of DKA and hyoglycaemia well defined. Adjustment of doses timely brought in.
Joyce murugi
The training has impacted me a lot pertaining management of type 1 diabetes. I have acquired more knowledge about type 1 diabetes that will help me handle my clients competently with and a lot of confidence.Thank you
Dickson Gitonga Mbuba
The training was good with great and learned facilitators i learnt no use of premix insulin like mixtard in children and adolescent because they have tendency of causing hypoglycaemia in children we are now switching to bolus and long acting insulin like lanctus for better and good outcome management of type 1 diabetes. Thanks for the knowledge
Henry
The training was informative, the carb count for me was a plus in the management of T1DM
Lucky
Good training
Insulin premix should not be given to children
Diabetes isn’t a death sentence and through the new intervention of insulin carbohydrates ratio, the children can live normally like any other child.
Training needs more time especially to elaborate more on the adjustment of doses
Annstella Njue
How to manage hypoglycemia and hyperglycemia child or adolescents pupil.
Cecily
Am very grateful for the training gotten 3/4 1/4 shall be acquired in the filled as l practice
Rosalid
Very informative and educative training,most impacted on nutrition components and calculating the insult Cabs
Victor
What a timely training…very educative and resourceful trainers.
Basal bolus insulin optimization is the way in management of type 1 DM….
Plus balanced diet, timely monitoring and management of complications is key.
Patient/family education on DM is key to good glycemic control.
Carolyne Wanjira
Very educative session and timely
I was mostly impacted by:
Don’t use mixtard in children let’s change/start the regimen to basal bolus insilin
The training was very interactive
Brenda
A great experience more knowledge learnt on carbohydrate counting ,nutrition management of T1DM,Complications of diabetes.
John Peter Muriithi
Training was interectually simplified.,very educative.
Janet
Very interactive training full of knowledge
Management DKA
Transition from premix insulin to basal-bolous insulin
>Nutrition-calculation of Carbs
>Long-term complication especially foot care management
Co
Christine Mbaka
It’s a pleasure having such a great team taking us through T1DM training. What impacted me most was 1. DKA management 2. Insulin to carbs ratio 3. Insulin therapy esp transition from premix to Bolus/basal.4. management of T1DM in special circumstances ie fever and Ge.5. short n long term complications of T1DM. Am a proud team member can’t wait to share the attained knowledge with my colleagues at my facility .
Sakina Mamdani
The training was very informative and I personally learnt alot. The change from the mixed insulin to basal bolus insulin needs to happen for our kids and I plan to follow up on that. Thank you