The American Diabetes Association 2009 Scientific Sessions were held in New Orleans from June 5-9, 2009 and offered an opportunity to learn about the latest in diabetes research, meet with researchers and clinicians, and meet with industry representatives. Children with Diabetes had a new, larger booth and several dedicated volunteers to help show our web site and share information about our conferences and the Quilt for Life to the thousands of attendees.
Staffing CWD's new booth were (front) Jeff Hitchcock, Laura Billetdeaux, Lauren Lanning, Bernie Tull, (back row) Sam Billetdeaux, Ken Rodenheiser, Chris Tull, Julia Mattingly, Tom Karlya, Victor Miranda, and Trevor Tull. Not shown are Nabil and Intissar Elarbi.
Steven Edelman, MD, was awarded the ADA's Educator of the Year Award. Here he is beside a larger-than-life photo at the DexCom booth, right across from CWD.
Selected Research, Abstracts and Poster Presentations
- In Keeping Students with Diabetes Safe at School, Crystal Jackson from the ADA presented some useful guidelines with regards to utilizing a team approach to overcoming school diabetes challenges, such as not allowing students with diabetes to attend field trips without a parent or not allowing blood glucose monitoring in the classroom. She stressed during her presentation that the current ADA teaching module "Safe at School" should be used by all parents of children with diabetes to educate school personnel about diabetes care in the school setting. The point was also reemphasized that the ADA supports a safe model that utilizes trained school personnel to assist with diabetes care in the absence of a school nurse. Larry Deeb, MD also outlined the various roles that the parent/guardian, the school, and the health care provider team, have in ensuring that there is a smooth transition between home and school for the child with diabetes in effective daily diabetes management. An interesting statistic presented during Dr. Deeb's talk was that although schools are providing improved assistance with student diabetes care, currently the ADA receives 150-200 discrimination related requests for information at the national call center each month and 60 requests for legal advocacy per month related to school issues. Linda Siminerio, PhD, RN, CDE reviewed appropriate diabetes care training, skills, and resources available to school staff. The wealth of resources on the ADA website (www.diabetes.org/safeatschool) was emphasized.
- In Fueling the Serious Athlete, Annie Ferland, PhD, RD, Carla Cox, PhD, RD, CDE, and Anne Peters, MD, CDE presented examples of various effects of exercise on diabetes management. Carla Cox discussed strategies for fueling the serious athlete with the optimal combination of carbohydrates, protein and fats. She also specifies that 1.0-1.5 grams of carbohydrate should be eaten within 30 minutes post exercise and for every 2 hours up to 6 hours post aerobic exercise to adequately restore glycogen stores. The form of carbohydrate does not matter as much as receiving the appropriate amount. No consistent evidence supports the need for multivitamin or mineral supplementation for athletes eating a well balanced diet.
- In Continuous Glucose Monitoring—Translating Sensor Data into Practice, Heather Lamar, RD, CDE suggested guidelines to strive for when reviewing continuous glucose monitoring reports: initial standard deviation for readings should be less than 50% of the average glucose and optimal standard deviation should be less than 30% of the average glucose. Excellent case studies were displayed that pre-bolusing 20 to 30 minutes before most meals would decrease post meal blood glucose excursions. Michael Riddell, PhD suggests that athletes use continuous glucose monitoring devices to detect undesirable blood glucose trends associated with exercise. Careful calculation of "ex-carbs" needed per hour for exercise without adjustment in insulin can stabilize blood glucose during and after exercise.
- In the poster Impact of Continuous Glucose Monitoring (CGM) on Glycemic Variability and Control in Subjects with Type 1 Diabetes Using Multiple Daily Injections (MDI) vs. Insulin Pump, authors David Rodbard, MD, Lois Jovanovic, MD, and Satish Garg, MD, reported that patients using CGM also derive a "... highly statistically significant improvement in Quality of Glycemic Control and Glycemic Variability within a period of two weeks" and that the benefit was essentially the same for MDI users and pump users.
Last Updated: Tuesday December 08, 2009 12:34:16
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