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Screening For T1D in Children

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  As a #dedoc°voice scholar (for the 3rd time) since 2020, I had the priviledge to attend the most extraordinary 47th ISPAD Annual Conference (October 13-15, 2021). I'm forever grateful to the  #dedoc° program for the amazing opportunities of not only to attend but to speak. This blog will focus on the importance of screening for Type 1 Diabetes, from the Debate I / Screening for T1D  by  Speaker: Francesco Chiarelli and  Carla Greenbaum. More so, this study will provide the International Society for Pediatric and Adolescent Diabetes Clinical Practice Consensus Guidelines. Why screening a good thing? 1.        Primary Prevention All interventions are intended to hinder the onset of diseases in the population, fighting the causes and predisposing factors. Often the intervention aims to change habits and incorrect behaviors (behavioral intervention) 2.        Secondary Prevention Its objective is the early identification of sick or high-risk subjects in order to achieve heali

Paradigms of Diet in Type 1 Diabetes #ISPAD2021 S1E3

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  Dietary recommendations for children with diabetes are based on healthy eating recommendations suitable for all children and adults and therefore, the whole family. Nutritional advice must be adapted to cultural, ethnic, and family traditions and the psychosocial needs of the individual child. Likewise, the choice of insulin regimen should take into account the dietary habits and lifestyle of the child, as suggested by (ISPAD, 2018). Structured Eating: Current Recommendations International Society for Pediatric and Adolescent Diabetes: ·          Implementation of an individualized meal plan with prandial insulin adjustments improves glycemic control ·          Matching of insulin dose to carbohydrate intake on intensive insulin regimens allows greater flexibility in carbohydrate intake and mealtimes, with improvements in glycemic control and quality of life. Meal-time routines and dietary quality are important for optimal glycemic outcomes. Diabetes Canada: ·          Consistency in

Diabetes Management

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The goals of treatment for diabetes are to prevent or delay complications and optimize quality of life. However, it is difficult, if not impossible, to manage your diabetes without monitoring it at home. It is often said that “trying to manage your diabetes without home monitoring is like driving a car without a milometer, fuel gauge or temperature gauge”. Therefore, undoubtedly/ without a doubt “Everyone is like a child when starting something new.” Diabetes self-management education and support, medical nutrition therapy, routine physical activity, smoking cessation counseling when needed, and psychosocial care are essential to achieving treatment goals for people with diabetes goals as suggested by (ADA, 2020). There are two major self-management tasks to keep in mind. The first is to maintain a safe blood glucose level (this means balancing all the treatment methods, which include healthy eating, exercise, managing stress and emotions, and medication) and to detect early any prob

Diabetes and Weight Management

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Some researchers attribute rising obesity, at least in part to increasing numbers of former smokers. Others attribute it to the recent increase in carbohydrate consumption by those trying to avoid dietary fat. Whatever the reasons, overweight and obesity can lead to diabetes ( Type 2 Diabetes ). There is strong and consistent evidence that obesity management can delay the progression from prediabetes to type 2 diabetes and is beneficial in the treatment of type 2 diabetes. In patients with type 2 diabetes who also have overweight or obesity, modest and sustained weight loss has been shown to improve glycaemic control and to reduce the need for glucose-lowering medications. The America Diabetes Association (2020) strongly recommends that one should: ·          Measure height and weight and calculate BMI at annual visits or more frequently. BMI can be calculated manually as weight divided by the square of height in meters (kg/m2) or electronically using the electronic medical rec

Diabetes and Exercise- #ISPAD2021 S1E2

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  Exercise Management Requires an Understanding of not only “How?”, but “Why” ( and the ability to communicate this to youth )   Goals- participation, health, fitness, spontaneity, fun! Essential Message on Exercise for Youth with T1D: 1.      Activity recommendations for children and adolescents with diabetes are the same as the general population. 60 minutes/day, mix of moderate and vigorous, aerobic and weight-bearing/strengthening activity ( minimum of 3days/week) 2.     Achieving recommended levels of physical activity may be difficult due to disease complexity 3.     Specific barriers can usually be overcome with appropriate education and training. What do we need to know to manage patients and help them manage themselves? 1.     All exercise is not the same 2.     Teach the physiology of Exercise 3.     Address barriers and knowledge gaps 4.     Offer practical strategies Barriers to Exercise 1.      Lack of knowledge: Patients needs education; need to re