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Volume 31, Number 4 (November/December)

Growth Issues in Pediatric Diabetes (pages 8–17)

Justin A. Indyk, M.D., Ph.D.

Children’s growth – particularly for children with Type 1 diabetes mellitus (T1DM) — involves multiple complex factors including nutritional status, family (genetic) history of growth patterns, overall metabolic control, and possible hormonal abnormalities. In this article, the author discusses the ADA and ISPAD guidelines, which provide assistance with monitoring for autoimmune thyroid disease as well as celiac disease and its sequelae. Good glycemic control goes hand in hand with optimal growth potential.
Childhood diabetes

To Drink or Not to Drink (pages 18–24)

Jeniece Trast, R.N., M.A., C.D.E., and Neesha Ramchandani, P.N.P., C.D.E.

Moderate alcohol consumption appears not to be associated with any dangerous side effects in people with diabetes, whereas heavy alcohol consumption is associated with increased health risks. It is important that clinicians assess this condition and advise accordingly. This article details recommendations regarding alcohol consumption for someone with diabetes, outlines the benefits and detriments of drinking alcohol, suggests strategies for identifying those who are at risk for alcohol addiction, and proposes appropriate interventions for treatment. The authors also discuss two case studies and provide a Patient Information Guide.
Special activities with diabetesDrinking alcohol

PATIENT INFORMATION GUIDE: Diabetes and Drinking (pages 25–26)

This handout, intended for people with diabetes, outlines the basic recommendations for alcohol consumption. A detailed chart provides carbohydrate and calorie content for a range of alcoholic beverages.
Special activities with diabetesDrinking alcohol

Type 2 Diabetes: A Surgical Disease (pages 27–28)

Charles A. Reasner, M.D.

Diet and exercise do not always prevent Type 2 diabetes. In this piece, Dr. Reasner considers the research studies which indicate that bariatric surgery is actually more effective than medical therapy at treating diabetes and at preventing Type 2 diabetes in high-risk individuals.
Surgery and hospital careBariatric surgery