Enhancing Type 1 Diabetes Care: Training Program in Homabay, Siaya and Nyamira
Posted on June 19, 2024
Post by admin
48 Comments
The Pediatric Endocrine Society Kenya (PESK), in partnership with the Clinton Health Access Initiative and the Ministry of Health, has launched a new training program to improve care for children and adolescents with Type 1 Diabetes Mellitus (T1DM) Homabay, Siaya and Nyamira counties. This initiative aims to address missed diagnoses, management gaps, and the provision of routine care for T1DM patients.
Type 1 Diabetes Mellitus is a significant global health issue, especially in resource-limited areas like Kenya. Late diagnoses and inadequate management worsen the situation, leading to complications and a reduced quality of life for patients.
PESK’s training program includes workshops, seminars, and hands-on sessions to equip healthcare workers with the latest knowledge and skills for effective T1DM diagnosis, management, and ongoing care. Key components of the program are:
Early Recognition and Diagnosis: Training to promptly identify T1DM signs and symptoms for timely intervention. Optimized Management Strategies: Covering evidence-based approaches, including insulin therapy, dietary considerations, and lifestyle modifications. Comprehensive Care Protocols: Emphasizing holistic care, including medical treatment, psychosocial support, and patient education. This initiative aims to empower healthcare workers in Homabay, Siaya and Nyamira, create a network of trained professionals, and advocate for improved diabetes care across Kenya. The collaboration between PESK, the Clinton Health Access Initiative, and the Ministry of Health marks a significant step forward in supporting children and adolescents with T1DM.
Good training and new updates on use of basal insuline,carb ratios,the need for social and psychological support,need for exeecise to increase insuline sensitivity and finally no need for special diets!
How to diagnose type 1 D.m
Signs and symptoms.
Complications eg DKA and management of dka….
-fluid management.
-insulin therapy
– exercise in dm
Practicum
-how to give insulin injection
-how to take blood Suger using glucometer
I learned about insulin therapy in type 1 diabetes, fluid therapy in DKA, Diabetes and exercise, diabetes diagnosis, interaction with devices for testing and delivery of insulin,storage of insulin.
A very insightful training. Good to note that by the end of Day 1, I’m able to manage DKA, able to manage Type 1 patient presenting on a sick day, considerations for exercise in a Type 1 patient among many others.. Such a fulfilling day. Many thanks to PESK for such a game changer training. As a diabetes educator in Homabay, the knowledge and skills acquired here will go a long way in improving quality of care to our patients.
RODGERS WERE, BSN, Diabetes Educator Homabay.
This training has come at a good time. Administering basal-bolus insulin was perfectly explained by the facilitators. I added new knowledge, that,even when blood glucose seems to be reducing in T1DM, insulin should never be stopped but dosages be adjusted to meet needs
Very timely training
A cal to be more vigilant to all children and adolescents so that we can reach out to those who have not been identified and assist appropriately
Very informative, practical sessions were amazing, I learnt more information on injecting sites and depth, contrary to my earlier knowledge.
Exercises on patient was good knowledge to take home.Am very great full and hopeful that this knowledge will help me deliver improved services.
I have learnt interesting topics like how to manageDKA In children.
Signs of cerebral oedema
How to calculate fluids in children both maintance and deficit
1st day was so engaging. I got to learn alot of things that I had no idea about. I learnt how to calculate the deficit and the maintenance dosage for electrolytes. I got to refresh my knowledge on the insuline doses. I learnt the importance of exercise and how much one is supposed to do as a diabetic child. I got to learn on the rule of 15. All the facilitators were very knowledgeable and they were able to answer all the questions that the participants had for them. The day was very very successful on my part. Looking forward to days two engagements.
Emilly, Homabay County.
Type 1 diabetes etiology and Pa tho physiology
Insulin regimens
Acute complications, Diabetes ketoacidosis and hypoglycemia
Diabetes and exercise
Special cases in patients with diabetes
I’ve learnt how to manage DKA using N/S orRL before administration of insulin
Insulin can cause cerebral edema
Type1DM is managed by insulin
All children should be screened for DM
I learnt a lot in our day one session especially on insulin administration and dosing.
I learnt that bicarbonate replacement is not useful in DKA as it exercebates cerebral oedema due to increased osmolality.
I equally learnt that even with hypoglycemia in a child on insulin,you should not stop insulin but adjust the dose.
Management of DKA both insulin dosage and fluid therapy was great, classification of DKA ,the parameters and cerebral oedema as a complication.The practical sessions were great.Thanks for the lessons
I learnt Abt general management of DKA,how it’s characterized, differential diagnosis in DKA,how it’s classified,how to assess pt with DKA.ALSO THE RULE OF 15 for the hypoglacimic patients.
As a medical social worker,I have better and more knowledge on how to support children facing psychological and psychosocial challenges.A part from that,I have general knowledge on Type 1 diabetes and with that knowledge/information it will help anyone in need at any moment in life.
Cynthia Ohuru,Nyamira.
Very informative training with knowledgeable facilitators.
Learnt on fluid therapy, DKA management,insulin regimens, Diabetes Education is done in stages/Visits.
A very nice and interactive session on diagnosis of type 1 diabetes, DKA, fluid, insulin and electrolyte administration with monitoring and management of the complications, required amounts calculations. Indeed great knowledge to aid in improved service delivery.
The training held on type 1 diabetes was very educative.Adequate knowledge is the key in management.Intensive insulin therapy, nutrition and exercise are mandatory. Much appreciation to the organisers, facilitators, members and host. We are looking forward to give the best management to our clients
The care of T1DM patients require proper and early management, this helps reduce complications and however psychotherapy screening and cognitive behavioral watch is key in the well-being of these patients
The training has been of great benefits from introduction,pathophysiology,insulin therapy and regimens, nutrition and the practicum I can confidently manage all clients with type 1 diabetes .looking forward to learn more about type 2 diabetes as well.
Happy to have learnt a lot about DM 1, especially DKA Management and calculations on correction factor et al. I’m now proudly a TOT on DM 1! The training has been very beneficial and informative. Thanks to PESK and all
the partners for this awesome opportunity. My patients are definitelygoingto benefit! – Siaya
48 Replies to “Enhancing Type 1 Diabetes Care: Training Program in Homabay, Siaya and Nyamira”
Bivorn Ouya
It was nice learning about DKA and Fluid calculation formulae,our facilitators were very nice and elaborative.
ngeresa zablon
Good training and new updates on use of basal insuline,carb ratios,the need for social and psychological support,need for exeecise to increase insuline sensitivity and finally no need for special diets!
Oweke Keneth
It was a nice learning experience
Anjum
Many participants and very interested
Caroline Aloo
– what I learned include
fluid management formula in DKA
– basal insulin which is majorly intermediate or long lasting
Dynamight Adede
How to diagnose type 1 D.m
Signs and symptoms.
Complications eg DKA and management of dka….
-fluid management.
-insulin therapy
– exercise in dm
Practicum
-how to give insulin injection
-how to take blood Suger using glucometer
Homabay County
James Okello Odak
I learned about insulin therapy in type 1 diabetes, fluid therapy in DKA, Diabetes and exercise, diabetes diagnosis, interaction with devices for testing and delivery of insulin,storage of insulin.
RODGERS WERE
A very insightful training. Good to note that by the end of Day 1, I’m able to manage DKA, able to manage Type 1 patient presenting on a sick day, considerations for exercise in a Type 1 patient among many others.. Such a fulfilling day. Many thanks to PESK for such a game changer training. As a diabetes educator in Homabay, the knowledge and skills acquired here will go a long way in improving quality of care to our patients.
RODGERS WERE, BSN, Diabetes Educator Homabay.
Bismarck Oduol
Never stop insulin on a child with hypoglycaemia instead adjust the doses adequately.
Abel Omao
The training was quite informative and the facilitators were superup
Herbert Ochieng
This training has come at a good time. Administering basal-bolus insulin was perfectly explained by the facilitators. I added new knowledge, that,even when blood glucose seems to be reducing in T1DM, insulin should never be stopped but dosages be adjusted to meet needs
Doureen Agina
Early recognition of diabetic type 1 is very vital and it helps reduce motality .
FREDRICK OWINO
Insulin being the mainstay in T1DM.
Management of DKA was well covered especially the fluid therapy and insulin….Homabay county.
Dorah Atieno Billy
Very timely training
A cal to be more vigilant to all children and adolescents so that we can reach out to those who have not been identified and assist appropriately
Sarah Odhiambo
Very informative, practical sessions were amazing, I learnt more information on injecting sites and depth, contrary to my earlier knowledge.
Exercises on patient was good knowledge to take home.Am very great full and hopeful that this knowledge will help me deliver improved services.
Dorah Atieno Obel
I have learnt interesting topics like how to manageDKA In children.
Signs of cerebral oedema
How to calculate fluids in children both maintance and deficit
Emilly Akoth Atinda
1st day was so engaging. I got to learn alot of things that I had no idea about. I learnt how to calculate the deficit and the maintenance dosage for electrolytes. I got to refresh my knowledge on the insuline doses. I learnt the importance of exercise and how much one is supposed to do as a diabetic child. I got to learn on the rule of 15. All the facilitators were very knowledgeable and they were able to answer all the questions that the participants had for them. The day was very very successful on my part. Looking forward to days two engagements.
Emilly, Homabay County.
Rhoda Bwana
Type 1 diabetes etiology and Pa tho physiology
Insulin regimens
Acute complications, Diabetes ketoacidosis and hypoglycemia
Diabetes and exercise
Special cases in patients with diabetes
LINUS OKELLO ODHIAMBO
Training well organised, qualified facilitators with objectives achieved.
Much thanks to PEK
Prima o.ogola
I’ve learnt how to manage DKA using N/S orRL before administration of insulin
Insulin can cause cerebral edema
Type1DM is managed by insulin
All children should be screened for DM
Tobias Ochieng Oketch
I learnt a lot in our day one session especially on insulin administration and dosing.
I learnt that bicarbonate replacement is not useful in DKA as it exercebates cerebral oedema due to increased osmolality.
I equally learnt that even with hypoglycemia in a child on insulin,you should not stop insulin but adjust the dose.
Homabay County
Fredrick Odongo
Good job
Silas ochieng Mado
Management of DKA
Dickson Mogusu
A normal HbA1C, doesn’t rule out type 1 diabetes mellitus.
In a sick child we should not stop insulin
Victor Muga
Proper definition of DM type 1
Insulin types and administration
DKA definition and management
Blood sugar check and interpretation of the results
Ousborn Odhiambo Aduol
There are evident gaps in diabetes management especially in children and we are optimistic more shall be done to bridge the gap
MOSETI abuga-nyamira
Insulin is never given as a BOLUS as it can cause cerebral oedema hence probability of developing cardiac arrest
SYLVIA KEMUNTO BUNDI
Management of cerebral oedema and DKA
Fluid therapy and insulin therapy
Administration and storage of insulin pens.
Cliff Onsongo
Very educative training. More time like a week will be more appropriate to cover the content comprehensively
Fred Ombati
Timely training especially on the insulin use for children
Lillian Akinyi Odongo
Management of DKA both insulin dosage and fluid therapy was great, classification of DKA ,the parameters and cerebral oedema as a complication.The practical sessions were great.Thanks for the lessons
Joel Ongaro-nyamira county
Good updates on DKA presentation and management
MOSETI abuga-nyamira
In DKA management, BICARBONATES are never given due to the potential of causing CEREBRAL OEDEMA
Elpherim
I learnt Abt general management of DKA,how it’s characterized, differential diagnosis in DKA,how it’s classified,how to assess pt with DKA.ALSO THE RULE OF 15 for the hypoglacimic patients.
Tabby ondari
Very nice and elaborate presentation presentation
Learnt on fluid management on DKA
Sites to administer insulin
Mercy Apiyo
I learnt what T1DM and DKA is
How to manage DKA, the types of insulin, storage and how to use them
Jack otieno Ochieng
It’s a good training and should be done to all health care workers to make them equip with knowledge on how to manage T1Dm
Cynthia Ohuru
As a medical social worker,I have better and more knowledge on how to support children facing psychological and psychosocial challenges.A part from that,I have general knowledge on Type 1 diabetes and with that knowledge/information it will help anyone in need at any moment in life.
Cynthia Ohuru,Nyamira.
Cynthia Ohuru
Learnt about the diabetes condition,insulin and what it does to the body,very informative session,thank you.
Cynthia Ohuru, Nyamira
Collins
Good organization .Very knowledgeable facilitators
Siphiah Ndege
Very informative training with knowledgeable facilitators.
Learnt on fluid therapy, DKA management,insulin regimens, Diabetes Education is done in stages/Visits.
Victor Nyamete
A very nice and interactive session on diagnosis of type 1 diabetes, DKA, fluid, insulin and electrolyte administration with monitoring and management of the complications, required amounts calculations. Indeed great knowledge to aid in improved service delivery.
Rosemary Amondi
Pathophysiology of T1DM,management of DKA well elaborated and the other topics were of good help,tanks to the organisers
Onchari vernic kwamboka
The training held on type 1 diabetes was very educative.Adequate knowledge is the key in management.Intensive insulin therapy, nutrition and exercise are mandatory. Much appreciation to the organisers, facilitators, members and host. We are looking forward to give the best management to our clients
June Mabonga
The care of T1DM patients require proper and early management, this helps reduce complications and however psychotherapy screening and cognitive behavioral watch is key in the well-being of these patients
Oweke Keneth
Good content
Emily Kariuki
The training has been of great benefits from introduction,pathophysiology,insulin therapy and regimens, nutrition and the practicum I can confidently manage all clients with type 1 diabetes .looking forward to learn more about type 2 diabetes as well.
Josephine Atieno Nyasoro
Happy to have learnt a lot about DM 1, especially DKA Management and calculations on correction factor et al. I’m now proudly a TOT on DM 1! The training has been very beneficial and informative. Thanks to PESK and all
the partners for this awesome opportunity. My patients are definitelygoingto benefit! – Siaya