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https://www.readbyqxmd.com/read/29456906/health-communication-experiences-of-emerging-adults-with-type-1-diabetes
#1
MaryJane Simms, Katherine Baumann, Maureen Monaghan
Objective: In an effort to refine a model of clinical care identifying effective communication with health care providers (HCPs) as a key skill for successful transition to adult medical care, this study explored the perspectives of emerging adults with type 1 diabetes (T1D) about factors that impact the quality and content of communication with their HCPs. Methods: Twenty emerging adults with T1D were interviewed about health communication experiences with their pediatric HCP and readiness for transition to adult diabetes care...
December 2017: Clinical Practice in Pediatric Psychology
https://www.readbyqxmd.com/read/29446519/a-plateau-in-new-onset-type-1-diabetes-incidence-of-pediatric-diabetes-in-the-united-states-military-health-system
#2
Toni Rush, Megan McGeary, Nicholas Sicignano, Melissa A Buryk
OBJECTIVES: To describe the incidence and prevalence of type 1 diabetes among pediatric dependents of the U.S. Department of Defense (DoD). METHODS: The Military Health System (MHS) Data Repository was used to identify pediatric patients (≤ 17 years of age) with type 1 diabetes from January 1, 2007 to December 31, 2012. Annual incidence, annual prevalence and adjusted incidence were calculated and stratified by sex, age group and region of residence. RESULTS: Within a 6-year study period from 2007-2012, 5,616 pediatric patients with type 1 diabetes were identified; 57% male, mean (SD) age of 10...
February 15, 2018: Pediatric Diabetes
https://www.readbyqxmd.com/read/29437470/diabetes-technology-and-therapy-in-the-pediatric-age-group
#3
David M Maahs, Shlomit Shalitin
No abstract text is available yet for this article.
February 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29432207/prevalence-of-comorbid-conditions-pre-existing-and-diagnosed-at-a-tertiary-care-pediatric-weight-management-clinic
#4
Griselle Leon, Elizabeth de Klerk, Josephine Ho, Michelle Jackman, Raylene A Reimer, Kimberly E Connors, Paola Luca
BACKGROUND: Childhood obesity places individuals at risk for a multitude of physical and mental health problems. The aim of this study was to assess the prevalence of obesity related comorbidities diagnosed prior to and after attending a tertiary care pediatric weight management clinic. METHODS: A cross sectional retrospective chart review of patients 2-17 years old seen in the weight management clinic at Alberta Children's Hospital from May 2012 to May 2014. RESULTS: A total of 199 patients were included in the review...
February 13, 2018: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/29431513/safety-and-feasibility-of-the-omnipod-hybrid-closed-loop-system-in-adult-adolescent-and-pediatric-patients-with-type-1-diabetes-using-a-personalized-model-predictive-control-algorithm
#5
Bruce A Buckingham, Gregory P Forlenza, Jordan E Pinsker, Mark P Christiansen, R Paul Wadwa, Jennifer Schneider, Thomas A Peyser, Eyal Dassau, Joon Bok Lee, Jason O'Connor, Jennifer E Layne, Trang T Ly
BACKGROUND: The safety and feasibility of the OmniPod personalized model predictive control (MPC) algorithm in adult, adolescent, and pediatric patients with type 1 diabetes were investigated. METHODS: This multicenter, observational trial included a 1-week outpatient sensor-augmented pump open-loop phase and a 36-h inpatient hybrid closed-loop (HCL) phase with announced meals ranging from 30 to 90 g of carbohydrates and limited physical activity. Patients aged 6-65 years with HbA1c between 6...
February 12, 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29431304/ketoacidosis-in-newly-diagnosed-type-1-diabetes-in-children-and-adolescents-in-israel-prevalence-and-risk-factors
#6
Ori Eyal, Asaf Oren, Dganit Almasi-Wolker, Yardena Tenenbaum-Rakover, Marianna Rachmiel, Naomi Weintrob
BACKGROUND: Diabetic ketoacidosis (DKA) as the first presentation of type 1 diabetes mellitus (T1DM) is a serious complication that is preventable. OBJECTIVES: To identify risk factors for DKA at presentation of T1DM to delineate high-risk Israeli populations that could benefit from preventative measures. METHODS: Data for this multicenter retrospective study were collected from the medical files of three pediatric diabetes centers representing three districts in Israel...
February 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29429374/maternal-gestational-diabetes-mellitus-is-it-associated-with-long-term-pediatric-ophthalmic-morbidity-of-the-offspring
#7
Eyal Walter, Erez Tsumi, Tamar Wainstock, Efrat Spiegel, Eyal Sheiner
PURPOSE: To determine whether children born to mothers with gestational diabetes mellitus (GDM) are at increased risk to develop of pediatric ophthalmic morbidity. MATERIALS AND METHODS: In this population based cohort study, all deliveries between 1991-2014 were included. Congenital malformations, multiple gestations and patients lacking prenatal care were excluded from analysis. Mothers were defined as either having no GDM, having diet treated GDM, or medically treated GDM...
February 11, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29428918/predictors-and-outcome-of-acute-kidney-injury-in-children-with-diabetic-ketoacidosis
#8
Mullai Baalaaji, Muralidharan Jayashree, Karthi Nallasamy, Sunit Singhi, Arun Bansal
OBJECTIVE: To identify predictors and outcome of acute kidney injury (AKI) in children with diabetic ketoacidosis (DKA) admitted to a Pediatric Intensive Care Unit (PICU). METHODS: Retrospective case review of 79 children with DKA admitted between 2011-2014. RESULTS: Twenty eight children developed AKI during the hospital stay; 20 (71.4%) recovered with hydration alone. Serum chloride at 24 hours was independently associated with AKI. Children with AKI had prolonged acidosis and PICU stay and higher mortality...
February 9, 2018: Indian Pediatrics
https://www.readbyqxmd.com/read/29424911/administration-of-vitamin-d-and-high-dose-of-omega-3-to-sustain-remission-of-type-1-diabetes
#9
F Cadario, S Savastio, R Ricotti, A M Rizzo, D Carrera, L Maiuri, C Ricordi
Two cases of Type 1 Diabetes (T1D) in pediatric subjects treated with supplementation with high dose vitamin D and omega 3 are reported. A similar pattern of remission of the disease was observed, resulting in restoration and subsequent persistence of optimal metabolic control, one and two years after T1D onset. Minimal basal insulin administration (0.1 IU/kg/die) in a single evening injection was required. The immunomodulatory and anti-inflammatory properties of the supplements were likely contributing to the observed effect...
January 2018: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29417725/whole-exome-sequencing-for-mutation-detection-in-pediatric-disorders-of-insulin-secretion-maturity-onset-diabetes-of-the-young-and-congenital-hyperinsulinism
#10
S R Johnson, P J Leo, A M McInerney-Leo, L K Anderson, M Marshall, I McGown, F Newell, M A Brown, L S Conwell, M Harris, E L Duncan
BACKGROUND: To assess the utility of whole-exome sequencing (WES) for mutation detection in maturity-onset diabetes of the young (MODY) and congenital hyperinsulinism (CHI). MODY and CHI are the two commonest monogenic disorders of glucose-regulated insulin secretion in childhood, with 13 causative genes known for MODY and 10 causative genes identified for CHI. The large number of potential genes makes comprehensive screening using traditional methods expensive and time-consuming. METHODS: Ten subjects with MODY and five with CHI with known mutations underwent WES using two different exome capture kits (Nimblegen SeqCap EZ Human v3...
February 8, 2018: Pediatric Diabetes
https://www.readbyqxmd.com/read/29416197/impact-of-insulin-delivery-method-on-hypoglycemia-incidence-in-pediatric-type-1-diabetes-mellitus-patients
#11
Snijezana Hasanbegovic, Emina Obarcanin, Edo Hasanbegovic, Nedim Begic
Introduction: Insulin therapy of pediatric patients with type 1 diabetes mellitus (T1DM) is highly demanding due to their dynamic growth, development and different daily life activities. Goal: To determine the optimal insulin delivery method for the prevention of hypoglycemia recorded by continuous monitoring of glucose in patients with insulin pump and PEN. Material and Methods: The study included patients up to 18 years of age with diagnosed T1DM and treated with insulin pump and by insulin therapy with PEN at the Pediatric Clinic of the Clinical Center in Sarajevo...
December 2017: Medical Archives
https://www.readbyqxmd.com/read/29404245/pediatric-pituitary-adenoma-case-series-review-of-the-literature-and-a-skull-base-treatment-paradigm
#12
REVIEW
Avital Perry, Christopher Salvatore Graffeo, Christopher Marcellino, Bruce E Pollock, Nicholas M Wetjen, Fredric B Meyer
Background  Pediatric pituitary adenoma is a rare skull base neoplasm, accounting for 3% of all intracranial neoplasms in children and 5% of pituitary adenomas. Compared with pituitary tumors in adults, secreting tumors predominate and longer disease trajectories are expected due to the patient age resulting in a natural history and treatment paradigm that is complex and controversial. Objectives  The aims of this study were to describe a large, single-institution series of pediatric pituitary adenomas with extensive long-term follow-up and to conduct a systematic review examining outcomes after pituitary adenoma surgery in the pediatric population...
February 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29403222/insulin-syringe-a-gimmick-in-pediatric-dentistry
#13
Gurpreet Kour, Updesh Masih, Chanchal Singh, Manvi Srivastava, Priti Yadav, Jagriti Kushwah
Aim: The management of pain and anxiety in dentistry encompasses a number of procedural issues, including the delivery of anesthetic solution. One of the most important ways to manage the behavior of children is pain control. Trypanophobia is very common among dental patients and the most important goal of guidelines on behavior guidance for pediatric dental patient is to ease fear and anxiety in dental procedures in children. For the stated reasons, the purpose of the present study was to record child's pain sensation both objectively and subjectively while receiving dental local anesthesia using conventional syringes and diabetic needles...
October 2017: International Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/29403151/new-insights-into-the-pharmacological-treatment-of-pediatric-patients-with-type-2-diabetes
#14
Tatsuhiko Urakami
The principal treatment for children and adolescents with type 2 diabetes is dietary and exercise management. However, the blood glucose levels of some patients receiving this treatment fail to improve; thus, pharmacological treatment is eventually required. The pathophysiology of type 2 diabetes in pediatric patients appears to be similar to that in adults; thus, the range of antidiabetic drugs used in adults is likely to be effective in pediatric patients as well. However, in the majority of countries, including Japan, only metformin, glimepiride, and insulin have been approved for use in pediatric patients...
2018: Clinical Pediatric Endocrinology: Case Reports and Clinical Investigations: Official Journal of the Japanese Society for Pediatric Endocrinology
https://www.readbyqxmd.com/read/29396628/iron-status-and-its-association-with-hba1c-levels-in-dutch-children-with-diabetes-mellitus-type-1
#15
Marjolijn D Akkermans, E C A Mieke Houdijk, Boudewijn Bakker, Agnes Clement-de Boers, Daniëlle C M van der Kaay, Martine C de Vries, M Claire Woltering, Dick Mul, Johannes B van Goudoever, Frank Brus
Children with diabetes mellitus (DM) type 1 may be at risk for iron deficiency (ID) although this has been little studied. ID is either an absolute (depleted iron stores) or a functional (restricted iron stores due to chronic inflammation) deficiency each requiring a different therapeutic approach. Unfortunately, absolute ID is often not distinguished from functional ID. Furthermore, iron-deficient anemia may influence hemoglobin A1c (HbA1c) levels. We aimed to determine the prevalence and type of ID and investigate its association with HbA1c levels in pediatric DM type 1 patients...
February 2, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29395184/management-of-hypertension-and-high-low-density-lipoprotein-in-pediatric-type-1-diabetes
#16
Michelle L Katz, Zijing Guo, Lori M Laffel
OBJECTIVE: To evaluate hypertension and hyperlipidemia management patterns in youth with type 1 diabetes and to assess perceived effectiveness of management strategies and barriers to management. STUDY DESIGN: An electronic survey, including clinical scenarios, fielded to pediatric providers (members of the American Diabetes Association Diabetes in Youth Interest Group, Pediatric Endocrine Society, or T1D Exchange). RESULTS: Respondents (N = 207, 86% MDs, 68% female) were practicing clinicians for youth with type 1 diabetes...
January 30, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29395172/postoperative-diabetes-insipidus-and-hyponatremia-in-children-after-transsphenoidal-surgery-for-adrenocorticotropin-hormone-and-growth-hormone-secreting-adenomas
#17
Carolina Saldarriaga, Charlampos Lyssikatos, Elena Belyavskaya, Margaret Keil, Prashant Chittiboina, Ninet Sinaii, Constantine A Stratakis, Maya Lodish
OBJECTIVES: To define the incidence and risk factors of postoperative sodium alterations in pediatric patients undergoing transsphenoidal surgery (TSS) for adrenocorticotropic hormone and growth hormone secreting pituitary adenomas. STUDY DESIGN: We retrospectively reviewed 160 patients ≤18 years of age who had TSS for pituitary adenomas at our institution from 1999 to 2017. Variables included daily serum sodium through postoperative day 10, urine specific gravity, and medications administered...
January 30, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29389682/is-acute-kidney-injury-a-harbinger-for-chronic-kidney-disease
#18
David T Selewski, Dylan M Hyatt, Kevin M Bennett, Jennifer R Charlton
PURPOSE OF REVIEW: Despite abundant evidence in adults, the relationship between acute kidney injury (AKI) and chronic kidney disease (CKD) remains unanswered in pediatrics. Obstacles to overcome include the challenges defining these entities and the lack of long-term follow-up studies. This review focuses on pediatric populations at high-risk for AKI, the evidence of the long-term effect of AKI on renal health, and biomarkers to detect renal disease. RECENT FINDINGS: AKI in critically ill children and neonates is common and independently associated with adverse outcomes...
January 31, 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29385750/design-and-evaluation-of-a-pervasive-coaching-and-gamification-platform-for-young-diabetes-patients
#19
Randy Klaassen, Kim C M Bul, Rieks Op den Akker, Gert Jan van der Burg, Pamela M Kato, Pierpaolo Di Bitonto
Self monitoring, personal goal-setting and coaching, education and social support are strategies to help patients with chronic conditions in their daily care. Various tools have been developed, e.g., mobile digital coaching systems connected with wearable sensors, serious games and patient web portals to personal health records, that aim to support patients with chronic conditions and their caregivers in realizing the ideal of self-management. We describe a platform that integrates these tools to support young patients in diabetes self-management through educational game playing, monitoring and motivational feedback...
January 30, 2018: Sensors
https://www.readbyqxmd.com/read/29382986/prolonged-severe-hypoglycemia-in-a-pediatric-patient-with-type-1-diabetes
#20
Rachael A Paz, Priya Vaidyanathan
No abstract text is available yet for this article.
January 2018: Clinical Diabetes: a Publication of the American Diabetes Association
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