Reference no: EM133417046

Case

Pete is a 16-year-old boy who was recently diagnosed with diabetes. He is also a phenomenal diver and has competed in the World Youth Olympic Games this past summer. He dives at 1- and 3-meter boards, but he has been training on the platform diving at 15 and 10 meters. You are the medical provider who was hired to provide medical services to the countywide meet, and you have minimal information on the athletes. Pete's coach brings you the extra glucometer and insulin that was prescribed for Pete and tells you that Pete said his blood sugar was 130 an hour ago. As the meet progresses, you see Pete taking a lot of time by himself. but from a distance, he looks fine. You witness him taking his blood sugar reading with his own glucometer, then eating something.Ten minutes later, he repeats the measurement. but then he injects insulin, and you decide to walk over to see how he is. Pete reports that he was feeling dizzy on the high board, so he took his ?rst measurement, which was 60. He then consumed a candy bar. He was supposed to do the next dive but felt shaky, so he checked his blood sugar again {10 minutes after the ?rst time]I and it was 3?5, so he injected some insulin to lower his blood sugar so that he could dive. You determine his blood sugar is not in control at this time, and you remove him from continuing the dives at the higher levels; you tell the coach he cannot dive for at least 30 minutes. The coach is upset because this action will remove Pete from competition at the higher platform diving events. You hold your ground.

1. What is your rationale for withholding Pete from diving?

2. What are the signs and symptoms of too low and too high blood sugar?

3. Whom else, if anyone, do you need to notify of Pete's condition?

4. What educational strategies do you provide both the coach and Pete about keeping his blood sugar levels consistent?