Care for Diabetics in a Residential Treatment Center

Heritage, a residential treatment center, often receives inquiries and applications for student with diabetes. As a center with a dedicated medical building and staff, we are one of few treatment centers for adolescents that can accommodate diabetic students. Below is a summary of the methodology used to care for these students.

Heritage medical staffs work to empower students diagnosed with insulin dependent diabetes mellitus in self-care and diet management.  At the Heritage Medical Center, we believe in a holistic approach to diabetes management that incorporates student’s physical and mental health.  We believe that as a student progresses in their mental health treatment, so also will they progress in their diabetes management.  Inversely, if diabetes is approached without the mental health treatment in mind, progression is unlikely. As such, each care plan is adjusted to each student’s individual needs.  In addition, these care plans follow standard guidelines and protocols.

Diabetic student care will typically fall into one of the three classes. Upon admissions, an assessment is completed to determine the student’s current level of functioning and a class is assigned.  Students can move in between class as further knowledge and self-management is demonstrated.

Class I:
Student is well educated in diabetic knowledge and is able to follow protocols set in place with minimal prompts
Student’s glucose values are consistently between 100-180 mg/dl
Student’s A1C value is consistently between 6.5-7.5
Student has no history of using diabetic equipment to harm self or others
Class II:
Student knowledge of diabetic control is adequate, but not expansive.  Is able to follow protocols with prompting
Student glucose values are consistently between 140-200 mg/dl
Student’s A1C value is consistently between 7-9
Student may have a few mild incidents of self-harm with diabetic equipment or supplies
Class III:
Student’s knowledge of diabetic control is minimal.  Is unable to follow protocols without direct supervision
Student glucose readings are consistently over 200 mg/dl
Student’s A1C value is consistently over 9
Student may have several incidents of self-harm with diabetic equipment or supplies

 

Students in class I and II are eligible to use insulin pumps as long as continued improvement is noted.   Diabetic supplies are kept on the home for routine glucose checks and insulin management.  A log is kept of student’s values and meals and is regularly reported to medical staff.

Students in Class I are unlikely to have dietary restrictions.  Quarterly management meetings with medical staff will be scheduled.

Students in Class II will receive regular training from medical staff regarding diabetes management and coaching will be provided to improve functioning. Students in Class II may also be on dietary restrictions based student’s ability to control glucose with proper insulin corrections.

Students in Class III are eligible for syringe management only.   All meal corrections are done with medical staff present.  A special diet is likely ordered. A log is kept of student values by medical staff.

Parents searching for a therapeutic boarding school or residential treatment center for their son or daughter who has diabetes can turn to Heritage. For additional questions call a member of the Heritage admissions team at 801-226-4600.

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