Parents Key in Managing Type 1
Posted: April 9, 2010
Study shows that lax parental oversight leads to poor juvenile diabetes management
A diagnosis of type 1 diabetes, also known as juvenile diabetes, can be scary for any family, but what happens next determines how well the child is able to manage the disease, suggests new research scheduled to be presented Friday at the Society of Behavioral Medicine's annual meeting in Seattle. When parents don't monitor their kids' conditions closely, children and teens with type 1 diabetes are less likely to take proper care of themselves, the study found.
Lax management of type 1 diabetes can result in heart disease, kidney failure, and blindness. If not properly controlled, the disease can also shorten life expectancy by seven to 10 years, according to the Juvenile Diabetes Research Foundation. Still, following doctor's orders can be a daunting task because it means measuring blood glucose throughout the day, administering insulin injections or using an insulin pump, eating regularly, watching fat and carbohydrate intake, exercising, and adjusting insulin dosage based on meals and exercise.
In the new study, University of Utah researchers studied specific measures of parental involvement in the management of their child's type 1 diabetes, such as knowing what the child eats, quality of the parent-child relationship, and how well parents helped kids get needed medical supplies, among other tasks. Study participants included 252 children and teens, ages 10 to 14. The researchers found that as the children aged, parents became less strict about monitoring their kids' treatment regimens. They also found that children and teens who experienced the most trouble following a proper diabetes treatment plan were those whose moms were less accepting of them and those whose parents were the most slack about monitoring their treatment and care.
Even parents whose children haven't been diagnosed with type 1 diabetes should be aware of the symptoms of the disease, experts say, since type 1 diabetes is on the rise. Untreated, the disease can be fatal. The symptoms may appear suddenly and can mimic the flu or other childhood illnesses. Here are the warning signs, provided by the Juvenile Diabetes Research Foundation International:
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• Extreme thirst
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• Frequent urination
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• Sudden vision changes
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• Sugar in urine
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• Fruity, sweet, or winelike odor on breath
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• Increased appetite
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• Sudden weight loss
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•Drowsiness, lethargy
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•Heavy, labored breathing
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•Stupor, unconsciousness
Will meters get better
GAITHERSBURG, Maryland (Reuters) - U.S. health regulators are taking a closer look at how well devices used by diabetics to monitor their blood sugars work, seeking possible changes for device makers to help make them more reliable.
At a two-day meeting to review blood glucose meters, Food and Drug Administration officials and staff pointed to a number of issues that can prevent people from getting proper treatment and sought input from medical experts and industry on ways to improve test results with the widely used devices.
The FDA gets about 12,000 reports of errors with such meters each year and is currently weighing new industry guidelines, said Jeffrey Shuren, director of the agency's Center for Devices and Radiological Health.
The rest of the story is here:http://us.mobile.reuters.com/mobile/m/AnyArticle/p.rdt?URL=http://www.reuters.com/article/idUSTRE62F5HV20100316
$100k for research
Brett Michaels, 80’s glam rocker, reality show star and type I diabetic just won his challenge on NBC’s Celebrity Apprentice sending $100,000 to the American Diabetes Association. Great news, congratulations to all involved!
Twitter tags for this story:
@bretmichaels, @AmDiabetesAssn, @CelebApprentice,@ArdensDay
Diabetic U.S. athlete has a point to prove
BY MIKE BEAMISH, VANCOUVER SUN FEBRUARY 11, 2010 The closet of Olympic cross-country skiing is littered with incriminating paraphernalia: vials, syringes and equipment used by cheats to gain a chemical edge. But nobody in the sport of skinny skis is more open about the use of the needle than U.S. Olympian Kris Freeman, a New Hampshire native who requires them simply to survive. Indeed, Freeman openly injected himself in plain view to prove two points: that an athlete with Type 1 diabetes can excel at the highest level of sport. Secondly, Freeman's very public injections were a repudiation of those athletes who shoot up illegally and clandestinely. Follow Kris on Twitter @ http://twitter.com/TeamFreebirdXC "Up until two years ago, I was taking 12 shots a day -and I was doing it in the open," Freeman said Wednesday. "In the cafeteria, when all of the teams are sitting together, I'd take out my syringe with insulin and stick myself in the stomach with it. The guys who have cheated in the past did it behind closed doors. They were secretive about it. I'm in the open about it. The IOC knows I use insulin, WADA [World Anti-Doping Agency] knows that I use insulin, FIS [the governing body for skiing] knows that I used insulin. Hopefully, I'll win a medal and everybody in the world will know I use insulin." Diagnosed 10 years ago with Type 1 diabetes, a life-threatening condition that affects the breakdown of food into energy, Freeman was told to forget about an Olympic career. Yet here he is, a decade later -a 10-time U.S. champion and three-time Olympian talking openly about ending an American drought in cross-country skiing that spans 34 years. Vermont's Bill Koch was the first and last American to win an Olympic medal in cross-country when he took a surprise silver in the men's 30 km at the 1976 Winter Games -a Halley's comet-like performance in a sport thoroughly dominated by Scandinavians and Russians. Since the Winter Games began in 1924, Norwegians, Finns, Swedes and Russians have won 189 of 216 total medals in cross-country skiing. Of those remaining 27 medals, three have been won by Canada, all since 2002. "I've battled two stereotypes since I was a kid," says Freeman, 29. "The first was that Americans could never succeed in cross-country skiing. People would say, 'You may have won junior nationals, but you'll get your butt kicked in Norway.' Then I got diagnosed with diabetes, and I was told I'd never race again. I like to prove people wrong, and I like a challenge. This is the best team I've ever been a part of. " Freeman points to Kikkan Randall, a 27-year-old Alaskan with a swath of magenta-tinted hair who is unique both in appearance and accomplishment. She is the first American woman to win a medal at the world championships. Then there's Vermont's Andy Newell, one of the world's fastest sprinters, and Freeman himself, who has two fourth-place finishes at the worlds. "It's not a guarantee that we're going to break through for a medal, but it's so possible," Freeman says. "It's not like we're going to need a freak day to do this. We can do it on a plain, even playing field. It just has to be on the right day." To get his metabolism right, Freeman relies on the OmniPod, a disposable pump that regulates the flow of insulin to keep him from crippling episodes of unbalanced blood sugar. "For a 15K, I need three times the insulin to go into my body that I do for a 30K," he says. "For a 15K, I'm almost anaerobic [using oxygen more quickly than the body can replenish working muscles] for the whole time. My blood sugar rises. When I'm aerobic [efficiently transporting oxygen], my blood sugar falls. It's a really delicate balance, depending on the exertion." He must also be vigilant about getting too amped before a race. "My blood sugar can rise just by sitting there," he says. "So, certainly, the Olympics are going to affect me more. I try to listen to calming music. But it's hard to find calming music I like, because I'm very into heavy metal -Guns N' Roses." Of course, a band with an appetite for booze and hard drugs is in no way an extension of what Freeman represents -an indomitable Olympian breaking down barriers for diabetics. Because skiing truly is in his blood. © Copyright (c) The Vancouver Sun Photograph by: Richard Heathcote, Getty Images, Vancouver Sun Borrowed from -http://www.vancouversun.com/health/Diabetic+athlete+point+prove/2549954/story.html
Judge Sonia Sotomayor has type I
Supreme court nominee Judge Sonia Sotomayo has been a type I diabetic since she was eight years old. The following statement is from today’s announcement.
THE PRESIDENT: Thank you. Well, I'm excited, too. (Laughter.)
Of the many responsibilities granted to a President by our Constitution, few are more serious or more consequential than selecting a Supreme Court justice. The members of our highest court are granted life tenure, often serving long after the Presidents who appointed them. And they are charged with the vital task of applying principles put to paper more than 20 [sic] centuries ago to some of the most difficult questions of our time.
So I don't take this decision lightly. I've made it only after deep reflection and careful deliberation. While there are many qualities that I admire in judges across the spectrum of judicial philosophy, and that I seek in my own nominee, there are few that stand out that I just want to mention.
First and foremost is a rigorous intellect -- a mastery of the law, an ability to hone in on the key issues and provide clear answers to complex legal questions. Second is a recognition of the limits of the judicial role, an understanding that a judge's job is to interpret, not make, law; to approach decisions without any particular ideology or agenda, but rather a commitment to impartial justice; a respect for precedent and a determination to faithfully apply the law to the facts at hand.
These two qualities are essential, I believe, for anyone who would sit on our nation's highest court. And yet, these qualities alone are insufficient. We need something more. For as Supreme Court Justice Oliver Wendell Holmes once said, "The life of the law has not been logic; it has been experience." Experience being tested by obstacles and barriers, by hardship and misfortune; experience insisting, persisting, and ultimately overcoming those barriers. It is experience that can give a person a common touch and a sense of compassion; an understanding of how the world works and how ordinary people live. And that is why it is a necessary ingredient in the kind of justice we need on the Supreme Court.
The process of reviewing and selecting a successor to Justice Souter has been rigorous and comprehensive, not least because of the standard that Justice Souter himself has set with his formidable intellect and fair-mindedness and decency. I've sought the advice of members of Congress on both sides of the aisle, including every member of the Senate Judiciary Committee. My team has reached out to constitutional scholars, advocacy organizations, and bar associations representing an array of interests and opinions. And I want to thank members of my staff and administration who've worked so hard and given so much of their time as part of this effort.
After completing this exhaustive process, I have decided to nominate an inspiring woman who I believe will make a great justice: Judge Sonia Sotomayor of the great state of New York. (Applause.)
Over a distinguished career that spans three decades, Judge Sotomayor has worked at almost every level of our judicial system, providing her with a depth of experience and a breadth of perspective that will be invaluable as a Supreme Court justice.
It's a measure of her qualities and her qualifications that Judge Sotomayor was nominated to the U.S. District Court by a Republican President, George H.W. Bush, and promoted to the Federal Court of Appeals by a Democrat, Bill Clinton. Walking in the door she would bring more experience on the bench, and more varied experience on the bench, than anyone currently serving on the United States Supreme Court had when they were appointed.
Judge Sotomayor is a distinguished graduate of two of America's leading universities. She's been a big-city prosecutor and a corporate litigator. She spent six years as a trial judge on the U.S. District Court, and would replace Justice Souter as the only justice with experience as a trial judge, a perspective that would enrich the judgments of the Court.
For the past 11 years she has been a judge on the Court of Appeals for the Second Circuit of New York, one of the most demanding circuits in the country. There she has handed down decisions on a range of constitutional and legal questions that are notable for their careful reasoning, earning the respect of colleagues on the bench, the admiration of many lawyers who argue cases in her court, and the adoration of her clerks who look to her as a mentor.
During her tenure on the District Court, she presided over roughly 450 cases. One case in particular involved a matter of enormous concern to many Americans, including me: the baseball strike of 1994-1995. (Laughter.) In a decision that reportedly took her just 15 minutes to announce, a swiftness much appreciated by baseball fans everywhere -- (laughter) -- she issued an injunction that helped end the strike. Some say that Judge Sotomayor saved baseball. (Applause.)
Judge Sotomayor came to the District Court from a law firm where she was a partner focused on complex commercial litigation, gaining insight into the workings of a global economy. Before that she was a prosecutor in the Manhattan DA's office, serving under the legendary Robert Morgenthau, an early mentor of Sonia's who still sings her praises today. There, Sonia learned what crime can do to a family and a community, and what it takes to fight it. It's a career that has given her not only a sweeping overview of the American judicial system, but a practical understanding of how the law works in the everyday lives of the American people.
But as impressive and meaningful as Judge Sotomayor's sterling credentials in the law is her own extraordinary journey. Born in the South Bronx, she was raised in a housing project not far from Yankee Stadium, making her a lifelong Yankee's fan. I hope this will not disqualify her -- (laughter) -- in the eyes of the New Englanders in the Senate. (Laughter.)
Sonia's parents came to New York from Puerto Rico during the second world war, her mother as part of the Women's Army Corps. And, in fact, her mother is here today and I'd like us all to acknowledge Sonia's mom. (Applause.) Sonia's mom has been a little choked up. (Laughter.) But she, Sonia's mother, began a family tradition of giving back to this country. Sonia's father was a factory worker with a 3rd-grade education who didn't speak English. But like Sonia's mother, he had a willingness to work hard, a strong sense of family, and a belief in the American Dream.
When Sonia was nine, her father passed away. And her mother worked six days a week as a nurse to provide for Sonia and her brother -- who is also here today, is a doctor and a terrific success in his own right. But Sonia's mom bought the only set of encyclopedias in the neighborhood, sent her children to a Catholic school called Cardinal Spellman out of the belief that with a good education here in America all things are possible.
With the support of family, friends, and teachers, Sonia earned scholarships to Princeton, where she graduated at the top of her class, and Yale Law School, where she was an editor of the Yale Law Journal, stepping onto the path that led her here today.
Along the way she's faced down barriers, overcome the odds, lived out the American Dream that brought her parents here so long ago. And even as she has accomplished so much in her life, she has never forgotten where she began, never lost touch with the community that supported her.
What Sonia will bring to the Court, then, is not only the knowledge and experience acquired over a course of a brilliant legal career, but the wisdom accumulated from an inspiring life's journey.
It's my understanding that Judge Sotomayor's interest in the law was sparked as a young girl by reading the Nancy Drew series -- (laughter) -- and that when she was diagnosed with diabetes at the age of eight, she was informed that people with diabetes can't grow up to be police officers or private investigators like Nancy Drew. And that's when she was told she'd have to scale back her dreams.
Well, Sonia, what you've shown in your life is that it doesn't matter where you come from, what you look like, or what challenges life throws your way -- no dream is beyond reach in the United States of America.
And when Sonia Sotomayor ascends those marble steps to assume her seat on the highest court of the land, America will have taken another important step towards realizing the ideal that is etched above its entrance: Equal justice under the law.
I hope the Senate acts in a bipartisan fashion, as it has in confirming Judge Sotomayor twice before, and as swiftly as possible so that she can take her seat on the Court in September and participate in deliberations as the Court chooses which cases it will hear this coming year.
And with that, I'd like all of you to give a warm greeting as I invite Judge Sotomayor to say a few words. (Applause.)
JUDGE SOTOMAYOR: I was just counseled not to be nervous. (Laughter.) That's almost impossible. (Laughter.)
Thank you, Mr. President, for the most humbling honor of my life. You have nominated me to serve on the country's highest court, and I am deeply moved.
I could not, in the few minutes I have today, mention the names of the many friends and family who have guided and supported me throughout my life and who have been instrumental in helping me realize my dreams. I see many of those faces in this room. Each of you, whom I love deeply, will know that my heart today is bursting with gratitude for all you have done for me.
The President has said to you that I bring my family. In the audience is my brother, Juan Sotomayor -- he's a physician in Syracuse, New York; my sister-in-law, Tracey; my niece, Kylie -- she looks like me -- (laughter) -- my twin nephews, Conner and Corey. I stand on the shoulders of countless people, yet there is one extraordinary person who is my life aspiration -- that person is my mother, Celina Sotomayor. (Applause.)
My mother has devoted her life to my brother and me, and as the President mentioned, she worked often two jobs to help support us after Dad died. I have often said that I am all I am because of her, and I am only half the woman she is.
Sitting next to her is Omar Lopez, my mom's husband and a man whom I have grown to adore. I thank you for all that you have given me and continue to give me. I love you. (Applause.)
I chose to be a lawyer, and ultimately a judge, because I find endless challenge in the complexities of the law. I firmly believe in the rule of law as the foundation for all of our basic rights. For as long as I can remember, I have been inspired by the achievement of our Founding Fathers. They set forth principles that have endured for more than two centuries. Those principles are as meaningful and relevant in each generation as the generation before. It would be a profound privilege for me to play a role in applying those principles to the questions and controversies we face today.
Although I grew up in very modest and challenging circumstances, I consider my life to be immeasurably rich. I was raised in a Bronx public housing project, but studied at two of the nation's finest universities. I did work as an assistant district attorney, prosecuting violent crimes that devastate our communities. But then I joined a private law firm and worked with international corporations doing business in the United States. I have had the privilege of serving as a Federal District Court trial judge, and am now serving as a Federal Appellate Circuit Court judge.
This wealth of experiences, personal and professional, have helped me appreciate the variety of perspectives that present themselves in every case that I hear. It has helped me to understand, respect, and respond to the concerns and arguments of all litigants who appear before me, as well as to the views of my colleagues on the bench. I strive never to forget the real-world consequences of my decisions on individuals, businesses, and government.
It is a daunting feeling to be here. Eleven years ago, during my confirmation process for appointment to the Second Circuit, I was given a private tour of the White House. It was an overwhelming experience for a kid from the South Bronx. Yet never in my wildest childhood imaginings did I ever envision that moment, let alone did I ever dream that I would live this moment.
Mr. President, I greatly appreciate the honor you are giving me, and I look forward to working with the Senate in the confirmation process. I hope that as the Senate and the American people learn more about me they will see that I am an ordinary person who has been blessed with extraordinary opportunities and experiences. Today is one of those experiences.
Thank you again, sir. (Applause.)