After discussing the unique issues related to "toddlerdom" and diabetes in the last blog, we will now continue to progress through the emotional and cognitive development of children as they begin kindergarten and through the fifth grade. This is generally a period of "smooth-sailing" with much cooperation in terms of routine home chores,... Read more
After the completion of clinic in one of Children's National Medical Center's Outpatient sites last week, one of my certified diabetes educators suggested that I specifically delve into the management strategies in the three age groups discussed in the blog about infancy and young children (toddlers), elementary school aged, and adolescents.... Read more
Children and teenagers are not little adults; they cannot be treated either medically or psychosocially like adults. The diagnosis of diabetes takes on very different ramifications depending on the age of the child. The tasks related to diabetes management are delegated to different family members based on the child's cognitive and physical... Read more
After seeing more than 60 patients in the last week in sites around the Washington, DC, area, it seems that one of the hottest concerns for everyone is weight. Too much, too little - and never just right. One of the biggest challenges in children with diabetes is balancing appropriate growth in weight and height along with blood sugar management.... Read more
In recent blogs, I offered my vision for a potential treatment of type 1 diabetes mellitus. I proposed that a combination of several modes of therapy might enable the beta cells in the islets of Langerhans to produce insulin. The goal of any form of diabetes treatment is to preserve remaining pancreatic islets by preventing future destruction and... Read more