November 18th 2022
The US FDA announced the approval of teplizumab (Tzield), which is administered through IV infusion once daily for 14 consecutive days, for delaying the onset of stage 3 type 1 diabetes in adults and pediatric patients 8 years and older who currently have stage 2 type 1 diabetes.
September 9th 2022
In pediatric type 1 diabetes, race, income, insurance remain barriers to insulin pump useJune 22nd 2022
An analysis of the SEARCH for Youth in Diabetes details historic and contemporary disparities in insulin pump use for pediatric type 1 diabetes based on racial/ethnic background, household income, and insurance type.
Exposure to marijuana in utero tied to early life increased fat mass, glucose levelsApril 4th 2022
An analysis of more than 100 mother-child pairs from Colorado found children with fetal exposure to cannabis had increased fat mass and fasting glucose levels compared to their counterparts without fetal exposure to cannabis.
When puberty arrives too early or too lateOctober 9th 2021
Puberty will happen for every child, but when it arrives early or is delayed both parent and child may be worried. A presentation at the virtual 2021 American Academy of Pediatrics National Conference & Exhibition discussed typical reasons for both early and delayed pubertal development.
Extended-wear insulin infusion set leads to greater satisfaction in type 1 diabetesJune 28th 2021
A study presented during a poster session at the American Diabetes Association Virtual 81st Scientific Sessions evaluated performance, safety, and satisfaction of an extended-wear insulin infusion set in patients with type 1 diabetes.
How early childhood nutrition influences future cardiometabolic risksJune 27th 2021
The impact of nutrition in the first years of life on future cardiometabolic health has been generally understood, although gaps about certain populations remain. A session at the virtual Scientific Sessions for the American Diabetes Association sought to fill the gap for Native American children.
How low socioeconomic status influences disparities in diabetes careJune 26th 2021
Low socioeconomic status is a main driver of disparities in health care. A presentation at the virtual Scientific Sessions for the American Diabetes Association addressed how they impact pediatric diabetes care.
Using provider education to expand specialty diabetes care to the underservedJune 26th 2021
For many underserved type 1 diabetes patients the ability to seek specialist care is out of reach for a variety of reasons. One program discussed at the virtual Scientific Sessions for the American Diabetes Association seeks to change that by empowering primary care providers through education to provide much-needed specialist care to those patients.
Should adult criteria for prediabetes be applied to youngsters?February 6th 2020
A study of hemoglobin A1c (HbA1c) levels that compared levels in normal-weight and obese middle schoolers found that overall distribution of HbA1c was similar in the 2 groups and that the adult-defined cutoff was seen in 2% of normal-weight youth.
Thyroid disorders: Manifestations, evaluation, and management in children and adolescentsAugust 15th 2019
Thyroid disorders present with overt symptoms or insidiously with few signs of disease. Here’s how pediatricians can identify and effectively treat children with thyroid disease or refer patients for further evaluation.
Polycystic Ovary Syndrome: Update on the Pros and Cons of Treatment OptionsMarch 1st 2007
ABSTRACT: Polycystic ovary syndrome (PCOS) is the most common endocrinopathy among females of reproductive age. In adolescents, PCOS often manifests with irregular menses, hirsutism, and acne. Despite general agreement that the metabolic derangements of PCOS arise during puberty, the condition is diagnosed more often in adults than in adolescents. Treatment is focused on weight loss, menstrual cycle regulation, and amelioration of physical symptoms. Acute symptoms can be managed with combination oral contraceptives and antiandrogens and potentially with insulin-sensitizing drugs. Lifestyle modification, especially in overweight patients, can reduce symptoms and help prevent long-term health consequences.
Diabetes Q&A: 70/30; "Rule of Fifths"; Split-Mix; Basal-Bolus-- Which Is Best?February 1st 2007
During my training, most pediatric endocrinologists were using the "70/30 rule" or the "rule of fifths" to determine the insulin dosage for patients with new-onset diabetes. Now that I am in practice, I have heard that carbohydrate counting is a more accurate method of determining a child's insulin needs.