Your Teenager with Diabetes Away at College

5 tips to make sure your teenager with diabetes is ready for college

(BPT) – Parents across the country are preparing their teens for their first year of college. It’s an exciting time, but a stressful one as well. If you’re a parent with a child with diabetes, it may also be terrifying as this may be the first time your teen will be completely responsible for their own care (i.e., remembering to check their blood glucose levels throughout the day and night, modifying their insulin as needed and planning their meals in advance to take their mealtime insulin). Yep, that’s stressful. However, this challenge — like the many others you’ve faced since your child’s diagnosis — can be conquered with a little preparation. As you and your child prepare for this next chapter, keep these tips in mind and your child’s freshman year of college may be everything you both dreamed it could be.

* Tell someone. Tell everyone. Diabetes can be a private matter, but when your child moves away from home and is living on their own, it’s best that those around them are aware of their condition. Encourage your child to discuss their diabetes, including warning signs that something may be wrong and what to do in the event of an emergency with friends, coaches, their dorm Resident Assistant and particularly, their roommate. The more people who can be watching out for your child, the better.

* Talk to health care staff. It is important your child gets acquainted with the health care resources available to them on campus. Have your child make an appointment to see a clinician in the school’s student health service to discuss their diabetes in depth and learn more about how the school’s health system can support them in that care. Your child should also use this time to learn more about weekend, night and emergency care options as well as the location of pharmacies near campus.

* Reassess their regimen. As your child will be starting a new daily routine, it may also be time to meet with their primary care physician to discuss their management plan and treatment options. They can ask if Tresiba® (insulin degludec injection 100 U/mL, 200 U/mL) is right for them. Tresiba®, a once-daily long-acting insulin, is indicated to improve glycemic control in people as young as 1 year old with either type 1 or type 2 diabetes. Tresiba® provides blood sugar control for a full 24 hours, with proven A1C reduction. Adults can take Tresiba® once daily at any time of day; however, children under 18 should take their dose once daily at the same time each day. If adults miss or delay a dose, they should take Tresiba® as soon as they remember, then continue with their regular dosing schedule. Make sure there are at least 8 hours between doses. If children under 18 miss a dose, call their health care provider for information and instructions about checking blood sugar levels more often until the next scheduled dose of Tresiba®.

* Read up before they eat up. Food is such an integral part of your child’s diabetes management, and college life means they won’t always make the best eating decisions. You can help them control what they eat by encouraging them to talk to staff at the cafeteria. The food service team should be able to provide a document outlining the nutritional information in the meals offered so your child can come to the cafeteria every day empowered to make the best decisions with their diabetes in mind.

* Be sure they have the tools they need and a way to get more. Sit down with your child and make a list of everything they need — at any point in time — to manage their diabetes. Once you’ve got the list, set a plan to make your child’s dorm room — not your home — the new ground zero where all supplies will live. Don’t rely on resupplying when they come home to visit, because college life gets busy and you don’t want to worry about rush shipping an item.

Yes, preparing for that first year at college can be exciting, stressful and even scary, but if you apply a little extra planning with the tips above, your child will be ready to make their first year of college their best year yet.

Indication and Important Safety Information for Tresiba®

What is Tresiba®?

  • Prescription Tresiba® is a long-acting insulin used to control high blood sugar in adults and children who are 1 year of age and older with diabetes
  • Tresiba® is not for people with diabetic ketoacidosis
  • Tresiba® is not for children who need less than 5 units of Tresiba® each day
  • It is not known if Tresiba® is safe and effective in children under 1 year of age
  • Tresiba® is available in 2 concentrations: 200 units/mL and 100 units/mL

Do not share your Tresiba® FlexTouch® with other people, even if the needle has been changed. You may give other people a serious infection, or get a serious infection from them.

Who should not take Tresiba®?

Do not take Tresiba® if you:

  • are having an episode of low blood sugar
  • are allergic to Tresiba® or any of the ingredients in Tresiba®

Before taking Tresiba®, tell your health care provider about all your medical conditions, including if you are:

  • pregnant, planning to become pregnant, or are breastfeeding
  • taking new prescription or over-the-counter medicines, vitamins, or herbal supplements

Talk to your health care provider about low blood sugar and how to manage it.

How should I take Tresiba®?

  • Read the Instructions for Use and take Tresiba® exactly as your health care provider tells you to
  • Do not do any conversion of your dose. The dose counter always shows the selected dose in units
  • Know the type and strength of insulin you take. Do not change the type of insulin you take unless your health care provider tells you to
  • Adults – If you miss or are delayed in taking your dose of Tresiba®:
    • Take your dose as soon as you remember, then continue with your regular dosing schedule
    • Make sure there are at least 8 hours between doses
  • If children miss a dose of Tresiba®:
    • Call the healthcare provider for information and instructions about checking blood sugar levels more often until the next scheduled dose of Tresiba®
  • Check your blood sugar levels. Ask your health care provider what your blood sugar levels should be and when you should check them
  • Do not reuse or share your needles with other people. You may give them a serious infection, or get a serious infection from them
  • Never inject Tresiba® into a vein or muscle
  • Never use a syringe to remove Tresiba® from the FlexTouch® pen

What should I avoid while taking Tresiba®?

  • Do not drive or operate heavy machinery, until you know how Tresiba® affects you
  • Do not drink alcohol or use prescription or over-the-counter medicines that contain alcohol

What are the possible side effects of Tresiba®?

Tresiba® may cause serious side effects that can be life-threatening, including:

  • Low blood sugar (hypoglycemia). Signs and symptoms that may indicate low blood sugar include anxiety, irritability, mood changes, dizziness, sweating, confusion, and headache
  • Low potassium in your blood (hypokalemia)
  • Heart failure in some people if taken with thiazolidinediones (TZDs). This can happen even if you have never had heart failure or heart problems. If you already have heart failure, it may get worse while you take TZDs with Tresiba®. Tell your health care provider if you have any new or worse symptoms of heart failure including shortness of breath, tiredness, swelling of your ankles or feet, and sudden weight gain

Your insulin dose may need to change because of change in level of physical activity or exercise, increased stress, change in diet, weight gain or loss, or illness.

Common side effects may include reactions at the injection site, itching, rash, serious allergic reactions (whole body reactions), skin thickening or pits at the injection site (lipodystrophy), weight gain, and swelling of your hands and feet.

Get emergency medical help if you have trouble breathing, shortness of breath, fast heartbeat, swelling of your face, tongue, or throat, sweating, extreme drowsiness, dizziness, or confusion.

Please click here for Prescribing Information.

For more information about Tresiba® (insulin degludec injection 100 U/mL, 200 U/mL), please visit Media.Tresiba.com.

Tresiba® is a registered trademark of Novo Nordisk A/S. Novo Nordisk is a registered trademark of Novo Nordisk A/S.

© 2017 Novo Nordisk All rights reserved. USA17TSM02457 August 2017