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Type I Diabetes Mellitus Management In the Athletic Population Kelly Bachus, Danielle Violette, Patrick Violette, Kim Anderson, Matt Whitesell Purpose Type I Diabetes is typically diagnosed before the age of 30, and would be the most common type among high school and intercollegiate athletes that VSM provides coverage for We wanted to research the most up to date standard of care for Type I diabetic athletes to create an evidence based Diabetic Care Plan for all of VSM to utilize Research Methods 30 literature review articles used to find the most current information about Type I Diabetes Mellitus and how it affects athletes’ participation Used guideline for our Diabetic Care Plan from Jimenez, et al in the ‘National Athletic Trainers’ Association Position Statement: Management of the Athlete With Type 1 Diabetes Mellitus’ article from the Journal of Athletic Training Consulted with Dr. Alex Diamond and Dr. Kristina Wilson in Vanderbilt Sports Medicine, and Dr. Bill Russell and Dr. Amy Potter in Vanderbilt Endocrinology Pre Participation Examination and Clearance History Questionnaire must include: Do you have frequent urination? Do you have excessive thirst? Do you have frequent hunger? Have you had any unexplained weight loss? Do you have unexplained fatigue? Do you have blurred vision? Do you have a family history of diabetes? What type? Do you have diabetes? ***If they answer yes, consult with team physician and refer to endocrinologist Existing Diabetes Type I Diagnosed Athletes must submit medical records documenting: HbA1c testing (desired 7% for adolescent, 6% for adult) Yearly dilated eye exam Yearly kidney function exam Yearly neurological exam If they have been diabetic for 15 years, a graded exercise stress test should be performed Type (s) and delivery method of daily insulin: Insulin to carbohydrate ratio at meals Sliding scale (correction factor) for high glucose Pump basal rate(s) or long acting injected insulin Pre Participation Examinati
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