pediatric housecalls Robert R. Jarrett M.D. M.B.A. FAAP

Showing posts from: April 2013

Childhood Diabetes: Intro/Index

Insulin pump used in type 1 diabetes

It seems like we just “think” we’ve got something understood when a new discovery erases part of the “wording” and adds a new paragraph. Diabetes was once just “adult onset” and “juvenile onset.” Adult onset had to do with obesity in some way and juvenile onset the pancreas and too often cachexia (inordinately underweight).

Then, some adults were discovered to develop the “juvenile type” and with the sedentary lives of couch potato children they began developing the “adult type” too. So, the names were changed to “type 1” and “type 2” respectively.

Little progress was made in treatment until “Hemoglobin A1C” was discovered as a measurement of control, long-acting insulin was developed and diet was better understood. A whole new paradigm ensued, and a new plateau became not comfortable but tolerable.

Then, computer, space, miniaturization and remote sensing advances exploded progress again, and frankly it hasn’t stopped yet.

7 Posts in "Childhood Diabetes" Series

  • Childhood Diabetes Series: Intro/Index – 10 Apr 2013
    Diabetes in childhood is complicated; but, all the players in the issue have made it even more so. This series of posts displays the many issues of the disease which seems to be increasing in children.

  • Diabetes, Insulin and Exercise: New Findings – 12 Apr 2013
    Being an active person who has diabetes (especially Type 1 - formerly Juvenile Onset) is a real tap-dance to monitor and control blood glucose levels.

  • Part 1 - Diabetes history, GLP-1 – 23 Jun 2014
    Part 1 of a discussion about JODM (Juvenile Onset Diabetes Mellitus, Now known as Type 1 Diabetes), beginning with the original disease, it's impact and discovery of Insulin; and leading to the development of a "new" type of drug.

  • Part 2 - GLP-1 Meds – 27 Jun 2014
    Part 2 of a discussion about Injectable Glucagon-like Peptide-1 (GLP-1), a new drug in the treatment of diabetes

  • Graphic video about diabetes – 10 Nov 2015
    Here is a video which really gets to the basics of diabetic care – the A, B, C's if you will. Short and sweet the items stand for items which are important to maintain good health.

  • Juvenile Diabetes and ProBiotics - Yogurt, Bacteria and Children – 15 Jan 2018
    The TEDDY (The Environmental Determinants of Diabetes in the Young) study is explained - what do diabetes, yogurt, bacteria and children have in common?

  • 2017 State of the disease – 2 Jul 2018
    Especially to those with diabetes, it just seems like progress is sooooo slow. 2017, state of the disease.


 

Starting Infants On Solid Food Too Early

Infant baby food

We made a great impact when we began publishing guidelines about how infants should sleep – incidence of SIDS death dramatically decreased. BUT, we just don’t seem to be getting through as well on guidelines for instituting solid foods to infants.
Read more→

Alcohol Intoxication in Children

unconscious-boy-iv-hospital

Let’s see how well you do at playing diagnostician on this case.  You have a four-year old little boy who has been in excellent health.  He was sleepy in the early afternoon, so he was put down for a nap.

Five hours later he could not be awakened and had been incontinent of stool.
(more…)

Melatonin For Migraine, Who Knew?

Boy with a headache

This is just a quick post to point out a potentially important discovery in the world of research about Migraine headaches. It’s only one study, but if replicated, could point to a whole new, and less costly, treatment for the malady.
(more…)

: