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Children and young adults

Dinner with the diabetes team of the year!

6 Jun, 13 | by Dr Dean Jenkins

It was great to meet Dr Julie Edge and the Oxfordshire Paediatric Diabetes Team at the BMJ Awards recently. They were recognised for their work with primary schools overcoming the many barriers to diabetes care. Julie has recently published a review in Practical Diabetes covering some of the issues. (1)

Photo of Diabetes Team of the Year The evening was in central London and a great success as usual. It is good to celebrate good practice – of which there is plenty to choose from – instead of dwelling on the shortcomings of care.

Matthew Billingsley and I managed to record a short interview with the team where they explained what their programme had achieved.

 

1. Edge JA. Diabetes in primary schools: overcoming barriers to good care. Practical Diabetes 2012;29(8):320–323. Available from: http://onlinelibrary.wiley.com/doi/10.1002/pdi.1715/abstract

Type 2 Diabetes in the young

23 Apr, 13 | by Dr Dean Jenkins

There was an excellent update on type 2 diabetes in children and young adults by Professor Melanie Davies at the weekend in Leicester as part of the Postgraduate Diploma in Diabetes lecture series. She outlined the current burden of the disease, its risks and gave an account of the ongoing research at University of Leicester. This is an important area to consider and quite specialised involving poor physical health, poor diet, mental health and family issues let alone the presence of retinopathy, fatty liver and cardiovascular risks at presentation. “It can be a lot more complicated than a Type 1 Diabetes Clinic”, she said.

IPSAD logoThe International Society for Pediatric and Adolescent Diabetes (ISPAD) have published guidelines on Type 2 Diabetes in children and adults which acknowledge the association with obesity and insulin resistance, and the increasing public health burden changing the pattern of presentation of diabetes in the young.

“T2DM is commonly associated with other features of the insulin resistance syndrome [hyperlipidemia, hypertension, acanthosis nigricans, ovarian hyperandrogenism, non-alcoholic fatty liver disease (NAFLD)] … In Hong Kong > 90% of young onset diabetes is T2DM.” [1]

Professor Melanie Davies speaking at BMJ / UoL Diabetes Diploma lecturesProfessor Davies also gave an overview of the EXPEDITION study – Early Detection of Cardiovascular Dysfunction and Health Behaviours in the Young with Type 2 Diabetes – that they are running at Leicester with some examples of the marked cardiovascular changes in these young people detected with cardiac MRI.

 

1. Rosenbloom AL, Silverstein JH, Amemiya S, Zeitler, P, Klingensmith, G. Type 2 diabetes in the child and adolescent. Pediatric Diabetes 2009: 10 (Suppl. 12): 17 – 32

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