Living with Diabetes: Putting Together an Emergency Preparedness Plan
http://edis.ifas.ufl.edu/ ( Publisher's URL )
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Permanent Link: http://ufdc.ufl.edu/IR00000875/00001
 Material Information
Title: Living with Diabetes: Putting Together an Emergency Preparedness Plan
Series Title: Living with diabetes series
Abbreviated Title: Putting Together an Emergency Preparedness Plan
Physical Description: Fact Sheet
Creator: Gal, Nancy J.
Publisher: University of Florida Cooperative Extension Service, Institute of Food and Agriculture Sciences, EDIS
Place of Publication: Gainesville, Fla.
Publication Date: 2012
Abstract: People with diabetes need to prepare in advance by having a plan and supply kit ready in the event of an emergency. This 3-page fact sheet describes key concerns that should be considered when developing an emergency plan and putting together a supply kit, and lists the things that should be included in the supply kit.
Acquisition: Collected for University of Florida's Institutional Repository by the UFIR Self-Submittal tool. Submitted by Diana Hagan.
Publication Status: Published
General Note: "Publication #FCS80007"
 Record Information
Source Institution: University of Florida Institutional Repository
Holding Location: University of Florida
Rights Management: All rights reserved by the submitter.
System ID: IR00000875:00001


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FCS80007 Living with Diabetes: Putting Together an Emergency Preparedness Plan1Nancy J. Gal2 1. This document is FCS80007, one of a series of the Department of Family, Youth, and Community Sciences, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Original publication date April 2012. Visit the EDIS website at http://edis.ifas.u.edu 2. Nancy J. Gal, Extension agent IV, Marion County Extension Oce; Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida, Gainesville, FL 32611.The Institute of Food and Agricultural Sciences (IFAS) is an Equal Opportunity Institution authorized to provide research, educational information and other services only to individuals and institutions that function with non-discrimination with respect to race, creed, color, religion, age, disability, sex, sexual orientation, marital status, national origin, political opinions or aliations. U.S. Department of Agriculture, Cooperative Extension Service, University of Florida, IFAS, Florida A&M University Cooperative Extension Program, and Boards of County Commissioners Cooperating. Millie Ferrer-Chancy, Interim DeanLiving with diabetes requires adherence to a daily selfmanagement schedule of medication, diet, and physical activity to maintain safe blood glucose levels. A natural disaster or other emergency can upset daily routines and compromise access to health care, medications, supplies, safe water, and food, all of which can aect diabetes control. People with diabetes need to prepare in advance by having a plan and supply kit ready in the event of an emergency. Because each persons situation is dierent, it is essential to prepare your plan and supply kit with the help of your health care provider, family, and friends. A diabetes emer gency plan and supply kit are important tools during and aer an emergency to maintain daily diabetes management and to help prevent acute health problems such as low blood glucose (hypoglycemia) and very high blood glucose (hyperglycemia). Both of these conditions can cause serious health problems. ere are several key concerns specic to people with diabetes that should be considered when developing an emergency plan and putting together a supply kit. Here are the key items you need to consider before you put together your emergency plan and supply kit: 1. Identify yourself as having diabetes. Wear visible medical identication to assure you get the care you need. is may be a necklace or bracelet. Do not depend on a card in your wallet or purse or a small decal on your watch. Some people even tattoo a diabetes ID on their wrist where someone would nd it when they take their pulse or on their chest where someone might see it when checking their heart. 2. Prevent very high blood glucose. A major concern is continually high blood glucose, which can cause dehydration. On-going dehydration can lead to dangerous and life-threatening conditions such as ketoacidosis (primarily in type 1 diabetes) and hyperosmolar hyperglycemic nonketotic coma. Figure 1. One key to a diabetes emergency plan is to make sure you identify yourself as having diabetes. One way to do this is by wearing a medical bracelet. Credits: Redster, http://bit.ly/wmC9n1


23. Stay well-hydrated. Because hyperglycemia can cause dehydration, stay wellhydrated by drinking adequate amounts of clean water and non-carbohydrate, caeine-free uids. 4. Prevent low blood glucose. Low blood glucose is a short-term complication that can aect persons taking insulin and/or pills that increase the bodys ability to produce insulin. Make sure to always carry a quick-acting source of carbohydrate such as glucose tablets or gel. 5. Prevent infection. People with diabetes are at increased risk of developing circulation and nerve problems, which can increase risk of infection, particularly aecting the feet. To prevent problems, keep your feet clean and never go without shoes. Check your feet daily for sores, cuts, and blisters. Seek immediate medical help if you see signs of infection such as redness, swelling, or oozing from the area. 6. Maintain your normal medication schedule. Taking diabetes medications as prescribed is critical. To help prevent interruption of treatment, be prepared by keeping a 30-day supply of medications for diabetes and other health conditions. Check with your local pharmacy regarding its service in providing medications during an emergency. 7. Maintain your normal meal and snack plan. Follow your normal diabetes meal plan as closely as possible to help maintain good blood glucose control. Since electrical power may not be available for a period of time, it is advisable to store at least a three-day supply of water and non-perishable food. Some examples of non-perishable foods include whole grain crackers and dry cereals; peanut butter and nut butters; shelf-stable milk and juice packs; water-packed fruit; bottled water; powdered milk; canned/ packaged tuna, salmon, and chicken; canned legumes; canned soups (lower sodium); and unsalted or lightly salted nuts.Diabetes Emergency KitPrepare a portable emergency kit that is insulated and waterproof. Maintain a two-week supply of all items you require to manage your diabetes. Periodically check the kit to be sure it has your current medications and supplies. Check all expiration dates. Also, be sure someone else you trust knows the location of the kit in case you need help and cannot access it yourself. Have a 30-day supply of all medications to include active prescriptions and eligible rells. Your supply kit should include the following:en Personal medical informationen Emergency contact list (including health care providers, pharmacist, family, and friends)en Written medication plan (name of medicine, dosage, and administration)en Written meal and snack plan (food groups and carbohydrate choices per meal)en Extra copies of prescriptionsen Blood glucose meter and strips; extra batteriesen Urine ketone testing stripsen Lancing device and lancetsen Syringes and/or pen needlesen Alcohol and cotton swabs Figure 2. A natural disaster or other emergency can upset daily routines for people with diabetes, so it is essential that they put together an emergency plan and supply kit. Credits: Matt Nolt, http://bit.ly/xdhe


3en Medical/rst aid supplies such as topical medications, bandages, dressings, tape, etc., to treat minor injuriesen Quick-acting carbohydrate (glucose tablets or gel, hard candy, raisins, etc.)en Longer-lasting carbohydrate (crackers, ultra high temperature [UHT] milk packs, etc.)en Glucagon emergency kit (if on insulin)en Empty hard plastic bottle with cap to dispose of sharp objects such as used lancets and syringesen Cooler with sucient freezer cold packs for storing insulinen At least a three-day supply of drinking water and food that does not require refrigeration Resourcesen American Diabetes Association: http://www.diabetes.orgen National Institute of Diabetes and Digestive and Kidney Diseases: http://www2.niddk.nih.gov/en U.S. Department of Health and Human Services: http:// sis.nlm.nih.gov/outreach/specialpopulationsanddisasters. htmlen U.S. Federal Emergency Management Agency (FEMA): http://www.fema.gov/ Figure 3. If you have diabetes and use insulin, it is important to have a reliable cooler and freezer packs to store your insulin in the event of an emergency. Credits: capl@washje.edu, http://bit.ly/Hcyh8t