Most Youth With Type 1 Diabetes in the T1D Exchange Clinic Registry Do Not Meet American Diabetes Association or International Society for Pediatric and Adolescent Diabetes Clinical Guidelines

Diabetes Care: January 22, 2013

OBJECTIVE To assess the proportion of youth with type 1 diabetes under the care of pediatric endocrinologists in the United States meeting targets for HbA1c, blood pressure (BP), BMI, and lipids.

RESEARCH DESIGN AND METHODS Data were evaluated for 13,316 participants in the T1D Exchange Clinic Registry younger than 20 years old with type 1 diabetes for ≥1 year.

RESULTS American Diabetes Association HbA1c targets of <8.5% for those younger than 6 years, <8.0% for those 6 to younger than 13 years old, and <7.5% for those 13 to younger than 20 years old were met by 64, 43, and 21% of participants, respectively. The majority met targets for BP and lipids, and two-thirds met the BMI goal of <85th percentile. Read more

Amputations among people with diabetes can be reduced by 50 percent

Eurekalert: Jan. 17, 2013

Every 30 seconds somebody in the world is amputated as a consequence of foot complication due to diabetes. A new study at Sahlgrenska Academy, University of Gothenburg, Sweden, confirmes that shoe inserts, podiatry, regular checkups and other simple interventions can reduce the number of amputations by more than 50%.

Orthotic researchers at Sahlgrenska Academy, University of Gothenburg, have studied diabetic foot complications ever since 2008. They have focused on protecting the foot from overloading the foot sole in order to minimize the risk of ulcers, which may eventually lead to amputation.

The researchers have now completed a study of 114 Swedish patients with diabetes at risk of developing such ulcers. The results show that shoe inserts, podiatry, information and regular checkups can prevent ulcers, which would reduce the number of amputations by more than 50 per cent.Read More

Effect of Poor Sleep Quality and Excessive Daytime Sleepiness on Factors Associated With Diabetes Self-Management

The Diabetes Educator: January/February 2013

Purpose The purpose of this study is to investigate the association of impaired sleep quality and daytime sleepiness on self-reported diabetes control and psychological and social factors that affect diabetes self-management.

Methods Participants were 107 adults with type 2 diabetes (T2DM) with self-reported daytime sleepiness. Subjective sleepiness was assessed using the Epworth Sleepiness Scale (ESS); sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) Global score and its 3 factors of Perceived Sleep Quality, Sleep Efficiency, and Daily Disturbances. The Diabetes Care Profile (DCP) scales (Control Problems, Social and Personal Factors, Positive Attitude, Negative Attitude, Self-Care Adherence, and Diet Adherence) were used to measure difficulty in maintaining glycemic control and factors important for diabetes control. Read more

Facilitating Healthy Coping in Patients With Diabetes

The Diabetes Educator: January/February 2013

Purpose The purpose of this study is to summarize recent literature on approaches to supporting healthy coping in diabetes in 2 specific areas: (1) the impact of different approaches to diabetes treatment on healthy coping and (2) the effectiveness of interventions specifically designed to support healthy coping.

Methods A PubMed search identified 129 articles published August 1, 2006, to April 30, 2011, addressing diabetes in relation to emotion, quality of life, depression, adjustment, anxiety, coping, family therapy, behavior therapy, psychotherapy, problem solving, couples therapy, or marital therapy. Read more

Increasing Incidence of Type 1 Diabetes in Youth

Twenty years of the Philadelphia Pediatric Diabetes Registry

Diabetes Care:  January 22, 2013

OBJECTIVE The purpose of this study was to describe the incidence of type 1 diabetes in children in Philadelphia from 2000–2004, compare the epidemiology to the previous three cohorts in the Philadelphia Pediatric Diabetes Registry, and, for the first time, describe the incidence of type 2 diabetes.

RESEARCH DESIGN AND METHODS Diabetes cases were obtained through a retrospective population-based registry. Hospital inpatient and outpatient records were reviewed for cases of type 1 and type 2 diabetes diagnosed from 1 January 2000 to 31 December 2004. The secondary source of validation was the School District of Philadelphia. Time series analysis was used to evaluate the changing pattern of incidence over the 20-year period. Read more

Combating Diabetes and Obesity in the Latino Community in Texas Read more: http://latino.foxnews.com/latino/health/2013/01/17/combating-diabetes-and-obesity-in-latino-community-in-texas/#ixzz2IrJfqeie

Fox News Latino: January 17, 2013

The obesity epidemic in the United States shows no signs of ending anytime soon.

And with Latinos at a significantly higher rate of being overweight and being diagnosed with diabetes, the problem, experts say, can no longer be ignored.

That why researchers in Brownsville, Texas, a city with a 90 percent Hispanic population, have been trying to identify and study why there is such high diabetes and obesity rates in the Latino population. Diabetes is a growing problem in the United States, much like obesity, and the two are linked to one another.

Dr. Joseph B. McCormick, the dean of the University of Texas’ School of Public Health, helped found the Hispanic Health Research Center after seeing how these issues were affecting his community. Read More

Convenience stores are the key food environment influence on nutrients available from household food supplies in Texas Border Colonias

Biomed Central: January 17, 2013

Background

Few studies have focused on the relationship between the retail food environment and household food supplies. This study examines spatial access to retail food stores, food shopping habits, and nutrients available in household food supplies among 50 Mexican-origin families residing in Texas border colonias.

Methods

The design was cross-sectional; data were collected in the home March to June 2010. Ground-truthed methods enumerated traditional (supercenters, supermarkets, grocery stores), convenience (convenience stores and food marts), and non-traditional (dollar stores, discount stores) retail food stores. Spatial access was computed using the network distance from each participant’s residence to each food store. Data included survey data and two household food inventories (HFI) of the presence and amount of food items in the home.  Read more

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