THE LIFE Mike Prybicien: Giving a voice to diabetic student athletes By Beth Sitzler S aying Michael Prybicien, MA, ATC, CSCS, is “busy” is perhaps an understatement. The past Athletic Trainers’ Society of New Jersey president and current District Two public relations coordinator works as an athletic trainer in a high school with more than 1,200 student athletes, as an adjunct faculty member at William Paterson University and as an entrepreneur with Sports Safety International, which conducts online sports safety education programs. In addition to his professional devotions, Prybicien and his wife, Jennifer, are parents to two children– daughter Abigale, 11, and son Aiden, 7. Despite everything on his plate, Prybicien finds time to be an advocate for student athletes with diabetes–an issue close to his heart as Aiden is diabetic. “[Managing an athlete with diabetes is] no different than managing an ankle sprain or concussion– it’s just something that when managed and managed properly, you get a very successful athlete,” said Prybicien, 30 | NATAnews | NOVEMBER 2015 who is on the Hackensack University Medical Center patient advisory board. When Aiden was 4 years old, he began showing telltale signs of diabetes– frequent urination, complaining of thirst, some weight loss –which Prybicien recognized because of his athletic training background. “In February 2013, we took him to our primary care physician/pediatrician and his blood sugar levels were, I think, 590 at that time,” he said, adding that they took Aiden to the emergency room and he was admitted into the hospital for four days. “It was a hard first few months, because he never got sick … so we had a four-year-old, who, in his opinion, was never sick, and all of a sudden he’s getting eight needles a day. To say he wasn’t happy when we first brought him home would be a major understatement.” Thanks to the Molly Center for Children with Diabetes and Endocrine Disorders at the Hackensack UMC, however, the family quickly adjusted. “Me, being an athletic trainer, tremendously helped myself and my family and Aiden,” he said. “My learning curve was a lot less steep than say my wife’s. … I knew what the disease was. I understood the pancreas and its responsibilities. I understood carbohydrates, proteins and fats. All of that made it easier for me to add on more knowledge.” To further the family’s knowledge of diabetes, the Prybiciens attended Camp Nejeda, a diabetes camp for newly diagnosed families, in the summer of 2013. While attending the camp, Prybicien talked with the counselors, who were teen diabetics and student athletes. “Fourteen of the 15 counselors told me that when the school nurse left at the end of the school day, they were basically on their own,” he said. “That their athletic trainer had no interaction with them. They basically controlled their blood sugars on their own. “I made a promise to them that I would make it my task to be an advocate for student athletes to receive quality care from their athletic trainers.” Since making that promise, Prybicien has conducted speaking engagements at THE LIFE various meetings and with numerous groups–both athletic trainers and school nurses– in New Jersey. “That data has shown that one in 500 kids have Type 1 diabetes,” he said. “In the past, they may have shied kids away from sports. Now, they do the opposite. The pediatricians and endocrinologists are saying, ‘No, exercise is healthy for these students. As long as you manage their diabetes properly with their insulin, let them go play sports just like anyone else.’” The Importance of Planning Prybicien said professional athletes, such as quarterback Jay Culter of the Chicago Bears, prove that a diabetic athlete can have successful sports careers. The challenge facing a diabetic athlete is maintaining their sugar levels, which requires planning on behalf of the athletic trainer, athlete, parents and endocrinologist, Prybicien said. Monitoring during games and being prepared for blood sugar highs or lows is essential for diabetic athletes. “That’s one of the great things about athletic training–we’re one of the few, if only, health care professionals that get to know our patients before they’re technically our patients because of our interactions with our athletes,” he said. “We get to know them before they ever get hurt, so we get to know their personality and their traits.” Prybicien recommends that athletic trainers keep food items, such as Gatorade or peanut butter, in their kit to give to a diabetic athlete when they experience low blood sugar. The athletic training profession has given my family incredible support. “If someone goes low, below 80, there is the rule of 15,” Prybicien said. “Give them 15 grams of carbs and then in 15 minutes recheck their blood sugar. “If they’re high, you have to manage them. … You want to monitor them and then test them again in a half hour. If they’re high again in a half hour, you’ll want to bring that blood sugar down, which, again, you’ll have to work with the endocrinologist to know [the correct way to do this].” With November being National Diabetes Month, Prybicien plans to hold a webinar titled “Managing the Diabetic Athlete” at 11 a.m. (EST) Nov. 16 and 9 p.m. (EST) Nov. 17 at www.SportsSafety.org to take his advocacy work nationwide. A portion of the registration proceeds will be donated to the Juvenile Diabetes Research Foundation, and continue education credits will be available to participants. Finding Support Within the Profession Now in second grade, Aiden is active playing basketball and baseball. Soon after his diagnosis, he began using a pump to manage his diabetes, which eliminated the daily shots. Since Aiden’s diagnosis, the family has learned just how complex diabetes can be and how each diabetic is affected differently by the condition. “When Aiden exercises in the heat, sometimes his blood sugar levels go up, and then when you get him into air conditioning, they go down,” Prybicien said. “Somebody else might be the opposite. … That’s why you have to get to know that athlete, know what their trends are, and work with the athlete, the parents and the endocrinologist to develop the best possible plan for that athlete.” Throughout their journey, the Prybicien family has received support from friends and family–as well as their extended family in the athletic training profession. “The athletic training profession has given my family incredible support,” Prybicien said. In addition to the well-wishes and words of encouragement the family has received, the Prybicien family’s JDFR One Walk team, Aiden’s Musketeers, has grown over the last three years. In 2015, more than 80 students participated under the team name in New Jersey and Pennsylvania. “Those are all incredible things the profession has done for me and my family as we continually try to fight the disease and continually try to find a cure,” Prybicien said. For more information about JDRF or to find a JDRF One Walk event in your area, visit http://jdrf.org. Bonus Online Content For more information about Mike Prybicien, visit our NATA Now blog at www.nata.org/nata-news-blog/ AT-Spotlight-Mike-Prybicien. nata.org | 31
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