Aggressive intervention recommended to prevent pediatric diabetes
Type 2 diabetes is a growing risk for America's young people
2021-03-02
(Press-News.org) Type 2 diabetes, once considered an adult disease, is increasingly causing health complications among American youth. A research review published in the Journal of Osteopathic Medicine suggests physicians should work to more aggressively prevent pediatric diabetes.
Because few pediatric Type 2 diabetes treatment options are available, prevention is unusually important. To improve health outcomes, the paper's authors recommend physicians conduct regular screenings of children and adolescents, adopt a high level of suspicion, and intervene early and often with families who have children at risk for prediabetes and T2 diabetes.
"Pediatric type 2 diabetes is more progressive and aggressive than adult-onset Type 2 diabetes," said lead author Jay H. Shubrook, DO, professor and diabetologist at Touro University California College of Osteopathic Medicine. "Kids need our help, and we're not sounding the alarm loud enough."
Risk factors
A young person's metabolism is different than that of an adult. The liver does not clear insulin at the same rate, and youths experience a more rapid decline in β-cell function--meaning they lose the ability to produce enough insulin more quickly than adults.
For young people who struggle with their weight, diabetes is a significant risk. Excessive weight can lead to insulin resistance, a turning point for the disease. The National Health and Nutrition Examination Survey, a national study that published in 2018 and again in 2020, found that the rate of obesity in youth was 18.5% and that prediabetes was found in 18% of adolescents.
"That the rates of youth obesity and prediabetes are nearly the same is not a coincidence," said Dr. Shubrook.
Managing the disease
Childhood obesity is a complex problem that extends beyond the health behaviors of a child.
The American Diabetes Association recommends considering food insecurity, housing instability, and potential financial limitations when working with families to create a plan to manage the disease. Stress, isolation, depression, anxiety, substance abuse, and eating disorders should be screened for during the evaluation and treatment process.
"The best chance at slowing the youth diabetes epidemic is for physicians to identify at-risk youths and provide early interventions that emphasize family-based preventive lifestyle changes," said Dr. Shubrook. "Osteopathic principles and practice, which incorporate a patient's environmental, societal, and lifestyle factors into care, support this process."
INFORMATION:
About the Journal of Osteopathic Medicine
The Journal of Osteopathic Medicine, founded in 1901 and known for 119 years as The Journal of the American Osteopathic Association, is the premier scholarly, peer-reviewed publication of the osteopathic medical profession. JOM conducts peer review of academic research manuscripts from a wide variety of medical specialties, covering the full spectrum of clinical settings in which osteopathic physicians practice. All submissions are vetted by a distinguished group of Section Editors led by Editor-in-Chief Ross Zafonte, DO, and supported by a full Editorial Board.
ELSE PRESS RELEASES FROM THIS DATE:
2021-03-02
Boulder, Colo., USA: Several articles were published online ahead of print
for GSA Bulletin in February. Topics include earthquake cycles in
southern Cascadia, fault dynamics in the Gulf of Mexico, debris flow after
wildfires, the assembly of Rodinia, and the case for no ring fracture in
Mono basin.
Jurassic evolution of the Qaidam Basin in western China: Constrained by
stratigraphic
succession, detrital zircon U-Pb geochronology and Hf isotope analysis
Tao Qian; Zongxiu Wang; Yu Wang; Shaofeng Liu; Wanli Gao ...
Abstract:
The formation and evolution of an intracontinental basin triggered via the
subduction or collision of plates at continental margins can record
intracontinental tectonic processes. As a typical ...
2021-03-02
In the 1995 movie "Outbreak," Dustin Hoffman's character realizes, with appropriately dramatic horror, that an infectious virus is "airborne" because it's found to be spreading through hospital vents.
The issue of whether our real-life pandemic virus, SARS-CoV-2, is "airborne" is predictably more complex. The current body of evidence suggests that COVID-19 primarily spreads through respiratory droplets - the small, liquid particles you sneeze or cough, that travel some distance, and fall to the floor. But consensus is mounting that, under the right circumstances, smaller floating particles called aerosols can carry the virus over longer distances and remain ...
2021-03-02
Amyloid plaques are pathological hallmarks of Alzheimer's disease (AD) -- clumps of misfolded proteins that accumulate in the brain, disrupting and killing neurons and resulting in the progressive cognitive impairment that is characteristic of the widespread neurological disorder.
In a new study, published March 2, 2021 in the Journal of Experimental Medicine (JEM), researchers at University of California San Diego School of Medicine, Massachusetts General Hospital and elsewhere have identified a new drug that could prevent AD by modulating, rather than inhibiting, a key enzyme involved ...
2021-03-02
WEST LAFAYETTE, Ind. -- When quantum computers become more powerful and widespread, they will need a robust quantum internet to communicate.
Purdue University engineers have addressed an issue barring the development of quantum networks that are big enough to reliably support more than a handful of users.
The method, demonstrated in a paper published in Optica, could help lay the groundwork for when a large number of quantum computers, quantum sensors and other quantum technology are ready to go online and communicate with each other.
The team deployed a programmable switch to adjust how much data goes to each ...
2021-03-02
Scientists regularly use remote sensing drones and satellites to record how climate change affects permafrost thaw rates -- methods that work well in barren tundra landscapes where there's nothing to obstruct the view.
But in boreal regions, which harbor a significant portion of the world's permafrost, obscuring vegetation can stymy even the most advanced remote sensing technology.
In a study published in January, researchers in Germany and at the University of Alaska Fairbanks' Geophysical Institute developed a method of using satellite imagery to measure the depth of thaw directly above permafrost in boreal ecosystems. Rather than trying to peer past ...
2021-03-02
They can hear well up to about forty years old, but then suddenly deafness strikes people with DFNA9. The cells of the inner ear can no longer reverse the damage caused by a genetic defect in their DNA. Researchers at Radboud university medical center have now developed a "genetic patch" for this type of hereditary deafness, with which they can eliminate the problems in the hearing cells. Further research in animals and humans is needed to bring the genetic patch to the clinic as a therapy.
Hereditary deafness can manifest itself in different ways. Often the hereditary defect (mutation) immediately causes deafness from birth. Sometimes, as with DFNA9, you experience the initial ...
2021-03-02
Philadelphia, March 2, 2021--Taking the first deep dive into how the immune system is behaving in patients with multisystem inflammatory syndrome in children (MIS-C), researchers at Children's Hospital of Philadelphia (CHOP) and the Perelman School of Medicine at the University of Pennsylvania have found that children with this condition have highly activated immune systems that, in many ways, are more similar to those of adults with severe COVID-19. The results, published today in Science Immunology, show that better understanding the immune activation in patients with MIS-C could not only help better treat those patients but also improve treatment for adults with ...
2021-03-02
A new study of patients with Multisystem Inflammatory Syndrome in Children (MIS-C), a rare but severe complication of COVID-19 in children, reveals distinct immune features of COVID-19 not seen in adults that may clue scientists in to why SARS-CoV-2 infection manifests differently in children compared with adults. Their results showed that although the immune landscape in pediatric COVID-19 was similar to that in adults, MIS-C patients uniquely exhibited increased activation of a blood vessel-patrolling CD8+ killer T cell subset, and all pediatric COVID-19 patients harbored greater B cell frequencies for a more prolonged period of time than observed in healthy adults. MIS-C is characterized by pervasive inflammation, an array of symptoms ranging from fever ...
2021-03-02
Orange, Calif. - Even before the COVID-19 pandemic, college students were reporting record levels of stress and anxiety. According to the American College Health Association END ...
2021-03-02
The Deepwater Horizon disaster began on April 20, 2010 with an explosion on a BP-operated oil drilling rig in the Gulf of Mexico that killed 11 workers. Almost immediately, oil began spilling into the waters of the gulf, an environmental calamity that took months to bring under control, but not before it became the largest oil spill in the history of the petroleum industry.
Nearly 10 years have passed since then, and the oil slick has long since dispersed. Yet, despite early predictions, area wildlife are still feeling the effects of that oil, and research published in Environmental Toxicology and Chemistry has shown that negative health impacts have befallen not only dolphins alive at the time of the spill, but also in their young, born years later.
A team of researchers, including ...
LAST 30 PRESS RELEASES:
[Press-News.org] Aggressive intervention recommended to prevent pediatric diabetes
Type 2 diabetes is a growing risk for America's young people
