Learn about Child Life at Joslin with Micaela Francis, M.S., C.C.L.S., and Jennifer Griffin, M.S., C.C.L.S.!
Child Life Specialists are child development professionals who specialize in supporting children, adolescents and their families through illness, injury and healthcare experiences. We work closely with other pediatric team members to help reduce your child’s stress and to promote normal growth and development.
Find out more by visiting Joslin Pediatrics online at Joslin.org.
The Asian American Diabetes Initiative (AADI) team at Joslin Diabetes Center.
In 2000, George King, M.D., Senior Vice President and Chief Scientific Officer at Joslin, and his wife Diana co-founded the Asian American Diabetes Initiative (AADI) with four other families, including Sally and Larry Ho, Evelyn and Larry Wing, Jean and Gene Chin, and Eugene and Lai Wong, at Joslin Diabetes Center in response to the rising rates of diabetes within the Asian American population. Fast-forward to 14 years later and Dr. King will be honored for his many years of leadership and dedication at the 10th anniversary of A Spoonful of Ginger, the AADI’s annual event to promote awareness and raise funds for their diabetes care, education, community outreach and research programs.
“I am flattered that the AADI chose to honor me at Ginger, but the work is really done by multiple people,” said Dr. King. “It has been an exciting and rewarding 14 years.”
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Elizabeth Kramer Dugan (left) and Anna Tiedeman Irwin (right) organized a dodgeball tournament to raise money for diabetes research (Photo Credit: Mary Kate McKenna)
Anna Tiendeman Irwin and Elizabeth Kramer know what it’s like to be a protective older sister. Both women grew up with brothers who have type 1 diabetes; Tiendeman with her brother Andy and Kramer with David. This sibling bond inspired them to start the annual Dodging Diabetes® dodgeball tournament to raise money for diabetes research. The tournament will be held for the ninth time on Sunday, March 9 in Maryland.
Growing up, these two women saw their brothers manage their diabetes, and as Tiendeman says “they’ve both done a beautiful job.”
Diabetes can be overwhelming, especially for teens.
Growing up with type 1 diabetes adds an extra burden of responsibility to an already overwhelmed teen. In many cases, these teens have had to deal with insulin injections, carb counting, and the fear of overnight lows for years. It’s very likely that at some point, they’ll just want to quit. But type 1 diabetes isn’t like Girl Scouts or soccer or any interest a teen might outgrow. Throw into the mix shifting blood glucose numbers and social issues related to being different from peers, and frustration with the situation can lead to something called diabetes burnout.
Anyone with diabetes is subject to burnout—this isn’t a phenomenon unique to being a teenager. But in these cases parents may mistakenly read the situation as a form of rebellion.
Dr. Osama Hamdy is the author of The Diabetes Breakthrough and the Director of the Why WAIT program at Joslin.
This post is written by Osama Hamdy, M.D., Medical Director, Obesity Clinical Program, Director of Inpatient Diabetes Management at Joslin Diabetes Center, Assistant Professor of Medicine at Harvard Medical School.
In my research and clinical work in the Joslin Clinic, I have long maintained that we need to rethink the treatment of patients with type 2 diabetes.
I believe that targeting weight loss and not just diabetes control will likely prove to be more effective than focusing on blood glucose levels alone, and will help lower the cost of managing diabetes.
We know that weight loss helps tremendously with the management of type 2 diabetes. In our research, when obese adults with diabetes lost seven percent of their body weight (only 14 pounds if you weigh 200 pounds), insulin action improved by around 57 percent—more than you can get with most diabetes pills. In addition, weight loss helps lower blood pressure, cholesterol levels, blood fats, and heart disease risk.
Prednisone can affect blood sugar
It isn’t unusual for people with diabetes to sometimes require corticosteroid treatment. Corticosteroids, or steroids for short, are used to reduce inflammation and suppress the immune system. They are often a last resort for a wide variety of conditions, in everything from asthma to allergy attacks to arthritis and ulcerative colitis. Steroids are also prescribed to prevent the immune system from seeing donated organs as foreign bodies and rejecting them after an organ transplant. One of the most commonly used steroids is prednisone.
Exercise is a recommended part of treatment for people with diabetes. But it needs to be done safely
Exercise is recommended for everyone with diabetes. In people with type 1 diabetes exercise provides many benefits—improved cardiovascular health, a psychological lift, stronger bones, stronger muscles and more restful sleep. It evens aids in weight loss and improved insulin sensitivity. In fact, there have been studies that demonstrate that people with type 1 who exercise have lower mortality rates. But one thing it hasn’t been proven to do is decrease A1C levels.
Joslin Pediatrics is studying obesity in children with type 1 diabetes.
Approximately 12.5 million children and adolescents in the United States are classified as obese. That’s 17 percent of people aged 2 to 19, according to the Center for Disease Control and Prevention (CDC). The number of children who are obese has almost tripled since 1980. Not only is the prevalence of obesity apparent in the general population of children and adolescents, but the pervasiveness of overweight and obesity is also evident within the pediatric diabetes population both in the U.S. and here at Joslin Diabetes Center.
The beta cells within islets (islets pictured above) get attacked by the immune system in LADA
LADA isn’t the newest version of a hot coffee and milk beverage; rather it stands for latent autoimmune diabetes in adults. You may not have heard of it—it isn’t as common as type 2 diabetes or gestational diabetes, or even regular type 1 diabetes— but physicians have been familiar with it for a while. Like type 1 diabetes, LADA involves the almost complete destruction of the beta producing insulin cells by the body’s own immune system. Some researchers categorize LADA as a subset of type 1 diabetes, while others think of it as simply a way station in the continuum between type 1 diabetes and type 2 diabetes. Other scientists do not believe it is a separate disease at all. For them, type 1 diabetes has many different expressions and LADA is simply one of them.
The Wheat Belly Diet erases wheat from the nutrition plan. Is this the best idea?
The last ten years have engendered an explosion of all sorts of low-carbohydrate diets from Atkins to Paleo. Many of these diets not only condemn excess quantities of carbohydrate, but focus on eliminating a particular type of carbohydrate, whether that is high fructose corn syrup, processed starches or high glycemic index carbs. Now a book by cardiologist William Davis, M.D., proposes that a specific type of grain, namely modern wheat, is the mechanism behind many of the world’s chronic diseases. The diet that Dr. Davis espouses is known as the Wheat Belly diet.