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  Back to Chat Chat with Dr. Rod Lorenz
On December 5, 2000, Dr. Rod Lorenz, member of the Executive Committee of the National Diabetes Education Program, a joint initiative of the National Institutes of Health and the Centers for Disease Control and Prevention, joined for a chat about the growing incidence of Type 2 diabetes in children.

Chat Room Administrator chat@childrenwithdiabetes.com Tue Dec 5 2000 20:15:00 Eastern US
The 'Rod Lorenz' chat room is now open.


Tue Dec 5 2000 20:40:44 Eastern US
Jeff Hitchcock from 206.112.197.133
Our chat about the Growing Incidence of Type 2 in Children with Dr. Rod Lorenz from the NDEP will begin at 9pm Eastern.

Tue Dec 5 2000 21:02:11 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Good evening. Dr. Lorenz, are you available yet?

Tue Dec 5 2000 21:03:49 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Good evening, I am alive and well here in the heartland of Illinois. I'm hoping for lots of good questions and discussion.

Tue Dec 5 2000 21:05:19 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Well, we are hoping that others show up soon. Marissa is Type 1, but I will ask a question. Of course, we are all aware that most kids/teens with Type 2 are overweight and inactive. Is there any type of genetic or blood test (comparable to the DPT-1) for siblings of teens with Type 2 to see if they may get it later on?

Tue Dec 5 2000 21:08:55 Eastern US
Judith from 63.162.254.112
Hello....

Tue Dec 5 2000 21:09:19 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Hi Judith. I am starting think Dr. L lost his connection.

Tue Dec 5 2000 21:09:21 Eastern US
Wendy from 12.89.128.89
Is there a blood test for a child whose father had type 2 and is overweight to predict her chances of developing type 2?

Tue Dec 5 2000 21:09:35 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
There are a number of characteristics that identify young people as having higher than usual risk for developing type 2 diabetes. These include having family members with the condition, being a member of certain ethnic groups (Native American, African American, Hispanic, Asian/Pacific Islander), being overweight, and showing signs of insulin resistance. Unfortunately, there is no blood test comparable to the islet cell antibodies that may be present in the blood of people who are developing type 1 diabetes. Someday, we will probably have such a test, when we have identified the genes that cause or predispose to type 2 diabetes, for example.

Tue Dec 5 2000 21:10:01 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
I do have some questions re: type 2 in kids, though the diabetes here is type 1

Tue Dec 5 2000 21:10:57 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Hi Judith and Wendy. I didn't lose my connection, just got a little "windy" with my answer. Perhaps Wendy's question was answered there, too. If not, please ask again.

Tue Dec 5 2000 21:12:15 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
My initial question is about type 2 in kids vs MODY. I hear lots of people assuming that if a kid has type 2, it's automatically MODY. Isn't MODY a special subset of type 2, only dx'd by doing genetic studies?

Tue Dec 5 2000 21:13:15 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
As you know, Judith, almost all diabetes in kids has been type 1. In fact, most of the doctors in practice now were only taught about type 1. Recently, it has become apparent that lots more type 2 is showing up in kids. So, the National Diabetes Education Program, American Diabetes Association, American Academy of Pediatrics, etc, are trying to let people know about this growing problem.

Tue Dec 5 2000 21:13:21 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Judith, I was just going to ask if Dr. L deals much with MODY.

Tue Dec 5 2000 21:13:30 Eastern US
Wendy from 12.89.128.89
Thanks for the answer Dr. Lorenz...i have a child whose father died of a heart attack very young....but had also just been diagnosed as type 2...child is very overweight....just concerns me.

Tue Dec 5 2000 21:14:06 Eastern US
arrow7595 from 64.20.0.232
hi judith

Tue Dec 5 2000 21:14:45 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Wendy, do you know if the heart attack was caused by his diabetes? Clearly, I am no expert about this, but if had been recently dx'd, then there's a chance the attack was unrelated.

Tue Dec 5 2000 21:15:28 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Hi Arrow

Tue Dec 5 2000 21:16:43 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Yes, Judith, MODY is a special type of diabetes that often is diagnosed in childhood or youth. It is characterized typically by "dominant" inheritance, which means that it usually appears in every generation of a family that is affected. It is now known that MODY, or conditions that look like MODY as it was first described, are associated with at least 4 different genetic changes. Each of the 4 has a slightly different clinical picture, i.e. some are more "severe" than others. More varieties of MODY may be discovered. Most of the increase in type 2 diabetes in youth is probably not MODY, but "garden variety" type 2 as is commonly seen in adults.

Tue Dec 5 2000 21:18:43 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
So, when a 10 yr. old is dx'd with non-Type 1 diabetes, do they undergo some type in testing to see if they are MODY or "garden variety" Type 2?

Tue Dec 5 2000 21:20:01 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
People with diabetes have accelerated development of heart disease. It is also known that in the U.S., the average person with type 2 diabetes has had it for 7 or 8 years before diagnosis. Therefore, if diabetes was diagnosed just after a heart attack, it may well have been related. A child whose parent has type 2 diabetes is at increased risk of also developing diabetes. Though we don't know for sure that we can prevent the child from developing diabetes by weight control, it stands to reason that might be true, and if my child were in that situation I would give it my best effort even though the evidence is not absolutely convincing.

Tue Dec 5 2000 21:20:04 Eastern US
Wendy from 12.89.128.89
Brenday, i have no idea about the heart attack...just know it was sudden...and he was young.

Tue Dec 5 2000 21:20:08 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
What's the youngest age you're diagnosing type 2?

Tue Dec 5 2000 21:23:10 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
As an aside: I think MODY is a confusing name. Can be interpreted "maturity onset DIABETES OF YOUTH", which would sound like type 1 appearing at an advanced age.

Tue Dec 5 2000 21:23:24 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Brenda, when a child is diagnosed with non-type 1 diabetes, it would be unusual for tests to be done for MODY. It would most often be assumed that it was common type 2, unless there were some unusual features that made it look different, such as no obesity, a very strong family history, etc. It is possible to test for MODY, but quite complicated and expensive, and there would be little point since the treatment would likely be the same as other type 2, at least as far as we know.

The last I heard, the youngest case of type 2 was a 4 year old Native American child. It appears to be most often diagnosed in 12-14 year old youth.

Tue Dec 5 2000 21:24:26 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
4 was the youngest I'd heard, too.

Tue Dec 5 2000 21:25:11 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
In what percent of kids with type 2 is acanthosis nigricans present at dx? Is it also there in MODY?

Tue Dec 5 2000 21:29:11 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Acanthosis nigricans is a skin condition that is often present in youth with type 2 diabetes. The exact percentage that have acanthosis is difficult to say. Acanthosis is thought to be a sign of insulin resistance, which you may know is a part of type 2 diabetes. Acanthosis usually is seen around the neck, especially the back of the neck, and under the arms. It is slightly darkened, alittle raised, and moms often mistake it for dirty skin and try to scrub it off. Honestly, I don't know if it is seen with the same frequency in MODY, but my guess is no.

Tue Dec 5 2000 21:29:47 Eastern US
Brenda (T2) from 4.4.206.66
My dr diagnosed my 16 year old with MODY...no tests were done. Am I safe to assume she is probablyjust type 2?

Tue Dec 5 2000 21:30:47 Eastern US
Brenda (T2) from 4.4.206.66
My mother was type 2, I am type 2...

Tue Dec 5 2000 21:30:49 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
I would be interested in comments from anyone about how we might be able to promote more healthy lifestyles in youth, that is more regular exercise and better eating habits.

Tue Dec 5 2000 21:32:37 Eastern US
Brenda (T2) from 4.4.206.66
He said the treatment he is using...oral meds would be no different than if he did the testing.

Tue Dec 5 2000 21:33:41 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Getting rid of television and video games (and computers ;-() would be a place to start re: healthier lifestyles in youth.

Tue Dec 5 2000 21:34:37 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Brenda, you ask a tough question. More information would be needed (more than we could get into here) to be certain. I think, but can't be sure, that many doctors might diagnose MODY when it is actually common type 2, just because MODY was described about 15 years ago and lots of doctors heard about it before anyone began talking about the increase of type 2 in kids. As mentioned before, the treatment may well be the same or similar, so it might not make a great deal of difference.

Tue Dec 5 2000 21:34:40 Eastern US
Ellen from 64.12.103.47
Dr. Lorenz, I believe as a society we need to make changes. Fast food should be healthier...not just high in fat and calories. I was at a gas station/"On the run" store and was going to buy myself a small strawberry cheese muffin. I read the fine print and saw that 1/3 of a muffin had 265 calories...What kid is going to do the math to figure out that the muffin isn't worth 795 calories? Perhaps there should be high tax on those foods that promote poor health.

Tue Dec 5 2000 21:34:44 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Taking softdrink and junk food machines, as well as junk food ads, out of schools would also help.

Tue Dec 5 2000 21:36:12 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Yeah, but most parents ask me: "how can I get rid of TV and video games?" What would you parents tell them?

Tue Dec 5 2000 21:36:17 Eastern US
Brenda (T2) from 4.4.206.66
Thanks, Dr. Lorenz. My daughter is now 18, in college and all of her a1c's have been 6 or under.She is in control of her diabetes at the present.Her doctor is pleased and so are we.

Tue Dec 5 2000 21:37:17 Eastern US
Ellen from 64.12.103.47
Get the box that limits it for 1-2 hours a day. I'm going to look for one....

Tue Dec 5 2000 21:37:31 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Maybe if we are going to have soft drink machines and junk food ads in schools, we should require "edual time" for education about health living.

Tue Dec 5 2000 21:37:51 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
I'd tell them they have to be mean! I say that as a mean mother myself, with (including Vanya) 6 kids ages 15-35

Tue Dec 5 2000 21:38:38 Eastern US
Ellen from 64.12.103.47
With all the press about so many children being diagnosed with type 2 - I often wonder why more of those parents don't find their way here to this website for support.

Tue Dec 5 2000 21:38:57 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Don't think that would work, Dr. Lorenz. The lure of junk will outweigh education about health any time, esp with kids and teens, who think they are immortal/immune.

Tue Dec 5 2000 21:39:13 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Whoops, that was supposed to be "equal time," but you probably figured that out. You're welcome Brenda, glad to hear she is doing well.

Tue Dec 5 2000 21:39:40 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
I liked the idea of the "wellness camps" that were recently held for Native American kids at high risk.

Tue Dec 5 2000 21:41:10 Eastern US
Brenda (T2) from 4.4.206.66
Ellen, actually, not many adult type 2's find there way here...at least not in the last 3 years that I have been visiting.

Tue Dec 5 2000 21:41:23 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
I know several groups are starting camps for type 2, which is a great idea. Does not do to mix them with type 1s, I believe, as many of the issues are different, and the type 1 kids may resent the others not having to take injections.

Tue Dec 5 2000 21:41:47 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
I like the idea of limiting TV time to an hour a day, or something like that. It still gives them a choice. Don't give up on health education, Judith. Remember that 25 million or so Americans have stopped smoking, many because of health education efforts. It isn't magic, but given enough time and effort it can make a difference. We can at least make people informed so they can make a choice instead of just following the crowd.

Tue Dec 5 2000 21:42:01 Eastern US
Brenda (T2) from 4.4.206.66
I agree...even some parents seem to resent the fact that my child doesn't have to take insulin.

Tue Dec 5 2000 21:42:15 Eastern US
Ellen from 64.12.103.47
Brenda, perhaps that's because the name of the website used to be Children with Diabetes. Now that it's Diabetes123, perhaps that will change. Should it be Diabetes Types 1,2 and 3? LOL

Tue Dec 5 2000 21:42:58 Eastern US
Brenda (T2) from 4.4.206.66
It is amazing that I have several type 1 friends...we seem to get along very well. :-)

Tue Dec 5 2000 21:43:07 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Ellen, that's why it was changed, to include more information for people with Type 2.

Tue Dec 5 2000 21:43:12 Eastern US
Ellen from 64.12.103.47
Oh Brenda, I don't believe anyone resents the fact that your daughter doesn't take insulin....

Tue Dec 5 2000 21:43:20 Eastern US
Brenda (T2) from 4.4.206.66
LOL Ellen...I like the new name change.

Tue Dec 5 2000 21:43:34 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
And what about the type 3s...those who don't neatly fit into any diagnostic category?

Tue Dec 5 2000 21:44:45 Eastern US
Brenda (T2) from 4.4.206.66
I think more kids would eat healthy is moms and dads were a good example...

Tue Dec 5 2000 21:45:22 Eastern US
Ellen from 64.12.103.47
Dr. Lorenz, where do you practice? What percent of new diagnoses are you seeing with type 2 in kids? Is this happening around the world or mostly in the US?

Tue Dec 5 2000 21:45:48 Eastern US
Brenda (T2) from 4.4.206.66
It is hard for a teen to listen to a mom that is 35 pounds overweight telling them to eat better and exercise.

Tue Dec 5 2000 21:47:09 Eastern US
Ellen from 64.12.103.47
Touche Brenda, setting the example is paramount...

Tue Dec 5 2000 21:47:33 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Easier said than done, though, Brenda. I may not eat much fruit, but I do eat lots of veggies and would make more with our meals, but I'm not sure they'd get eaten. Marissa likes a lot of different foods and will eat various veggies, but my two other children are stuck on broccoli and corn. We recently got a treadmill for we adults and at least Marissa to use.

Tue Dec 5 2000 21:47:58 Eastern US
Susie (T2) from 207.29.207.228
Hi everyone. It's just such a fast paced world with 2 career families that leads us to the "fast food" lane. It has taken me a long time to get over the shame of being type 2, I hope that the children who are now being dx'd so young are not made to feel badly about themselves.

Tue Dec 5 2000 21:48:12 Eastern US
Brenda (T2) from 4.4.206.66
I understand...but actions speak louder than words.

Tue Dec 5 2000 21:48:34 Eastern US
Brenda (T2) from 4.4.206.66
I agree Susie.

Tue Dec 5 2000 21:49:22 Eastern US
Brenda (T2) from 4.4.206.66
I don't think you can classify all type 2's into a bunch of lazy, neglectful people who don't care about their health.

Tue Dec 5 2000 21:49:35 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Judith's question about "type 3" (some people refer to type 1 1/2) highlights the fact that type 2 probably is many different conditions that have somewhat different genetic causes. We will learn more about that in the next several years.

I practice at Children's Hospital of Illinois/University of Illinois College of Medicine in Peoria, Illinois. Honestly, we haven't counted what percentage of our patients have type 2, but we are seeing it. The percentage will depend somewhat on the ethnic makeup of the population in the area. The incidence of type 2 diabetes is soaring all over the world as many countries become more prosperous, but I am not aware that other countries have yet seen the increase in youth that we have.

Tue Dec 5 2000 21:50:55 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Of course, the only countries with which we could compare would be those more "civilized," where there is also a lot of junk food, tv, video games, etc.

Tue Dec 5 2000 21:51:35 Eastern US
Jess (TOMS HONEY!!!) from 205.188.198.59
sup?

Tue Dec 5 2000 21:51:40 Eastern US
Ellen from 64.12.103.47
Dr. Lorenz, what do you tell parents of newly diagnosed Type 2 children, about those "herbal" remedies to cure diabetes? How do you convince them that these remedies don't work?

I agree also Susie. And there are still plenty of heavy children who do not develop type 2 as a child...what genetic factors/environmental factors etc. determine which overweight child will get Type 2 and which won't?

Tue Dec 5 2000 21:52:23 Eastern US
Brenda (T2) from 4.4.206.66
How come some obese adults dont' get diabetes? Anyone know the answer to that?

Tue Dec 5 2000 21:52:26 Eastern US
Jess (TOMS HONEY!!! 13/F) from 205.188.198.59
k

Tue Dec 5 2000 21:52:31 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
On a historical note, at what point was the differentiation made between 1 and 2? I know that well into this century, there were just some cases, usually in children and young adults, which were considered "more severe"

Tue Dec 5 2000 21:53:00 Eastern US
Susie (T2) from 207.29.207.228
Dr. Lorenz: T2 has been in my family for literally generations. I had gestational D, and 10 yrs later, after being on steroids to control asthma, I was dx'd with T2. Do you see use of steroids increasing the earlier occurance of t2?

Tue Dec 5 2000 21:53:02 Eastern US
Daniel/FL (pump user) from 24.129.181.224
hhhhiiiiiii

Tue Dec 5 2000 21:53:47 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Probably heredity, Brenda

Tue Dec 5 2000 21:54:32 Eastern US
Brenda (T2) from 4.4.206.66
Judith I figure some kids with type 2 are heredity too, don't you?

Tue Dec 5 2000 21:55:39 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
I figure most ALL kids with type 2 have a family history of it, Brenda - unlike the situation with type 1.

Tue Dec 5 2000 21:55:42 Eastern US
Brenda (T2) from 4.4.206.66
Dr.Lorenz....do you think the reason kids have type 2 is only because of poor eating habits and no exercise? Did I misunderstand?

Tue Dec 5 2000 21:56:30 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
The question about herbal remedies is another tough one. I usually try to figure out if there is anything harmful involved, and if not, just don't argue about it. We began to recognize the difference between type 1 and 2 in the mid 70's. Having gestational diabetes indicates higher risk of later developing type 2. "Steroids" of the variety used to treat asthma cause insulin resistance, and may "uncover" type 2 diabetes that would likely happen later.

Tue Dec 5 2000 21:58:15 Eastern US
Brenda (T2) from 4.4.206.66
I had asthma really bad when I was a baby...are you saying the medicine I took then may have triggered my type 2 diabetes? My daughter has bronial asthma too...

Tue Dec 5 2000 21:58:21 Eastern US
Amy (Ali, 10, pumping) from 12.79.170.214
Is it true that if your babies birthweights are higher, say over 9 pounds, you are more likely to become type 2 later in life?

Tue Dec 5 2000 21:58:25 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
In the research on kids with type 2 so far, more than 90% had a family history of the condition. We need more data, however, before we can say that number will hold up. It is likely that conditions that lead to excess weight gain, that is little exercise and too much food, increase the risk of developing type 2 diabetes in both adults and youth.

Tue Dec 5 2000 21:58:32 Eastern US
Brenda (T2) from 4.4.206.66
bronchial....sorry.

Tue Dec 5 2000 22:00:48 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Brenda, probably were not using steroids to treat your asthma when you were a baby. Were more likely using theophylline

Tue Dec 5 2000 22:01:09 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Asthma in young childhood probably didn't have anything to do with type 2 diabetes many years later. What I meant was that a person who has early type 2, not yet diagnosed, or maybe is on the verge of meeting diagnostic criteria, might get worse while taking steroids because of their effect to increase insulin resistance.

Having babies over 9 pounds birth weight suggests that gestational diabetes may have been present, and we know that that increases the risk of later developing type 2 diabetes.

Tue Dec 5 2000 22:01:18 Eastern US
Brenda (T2) from 4.4.206.52
I am sorry..I think I asked Dr. Lorenz that question.

Tue Dec 5 2000 22:02:04 Eastern US
Brenda (T2) from 4.4.206.52
Okay. Thanks.
Well, I have enjoyed the chat. Good night.
Susie, type 2 room?

Tue Dec 5 2000 22:03:01 Eastern US
Ellen from 64.12.103.47
I understand that problems with "managed care" forces the physicians to lobby for better pay, better access to choices for the patients etc.. But perhaps the physicians who are seeing this rise in type 2 in children, should also lobby to see more emphasis on physical education put back into the school system?

Tue Dec 5 2000 22:03:08 Eastern US
Susie (T2) from 207.29.207.228
Thank you Dr. Lorenz? Okay Brenda.

Tue Dec 5 2000 22:03:19 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Well, Brenda, I was giving asthma meds to babies 40 yrs ago, so figured I had some knowledge there. Dr. Lorenz may be much too young to know! LOL

Tue Dec 5 2000 22:04:32 Eastern US
Dr. Lorenz (Chat Host) from 128.248.251.246
Well folks, I have enjoyed this chat, too. It would be fun to do it again some time. Best wishes to all, have a wonderful holiday season and family time.

Tue Dec 5 2000 22:04:36 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
That "gestational d" thing is one of my pet peeves. Dr. said I had it with Marissa and they induced labor on the due date. She was less than 7 lbs. Drs. assumed I had it again with the next two, but Marissa had already been dx'd and I checked my BG occasionally. Largest was 7lbs 4 oz. So, is gestational D also being overdiagnosed. I never needed meds or insulin, just watched what I ate.

Tue Dec 5 2000 22:05:08 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Thank you, Dr. Lorenz.

Tue Dec 5 2000 22:05:39 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
That, along with making sure every school has an on-site nurse, Ellen.
Thanks for sharing your time with us Dr. Lorenz.

Tue Dec 5 2000 22:05:39 Eastern US
Ellen from 64.12.103.47
Thanks Dr. Lorenz...

Tue Dec 5 2000 22:06:03 Eastern US
Ellen from 64.12.103.47
Brenda an on-site nurse that understands diabetes!!

Tue Dec 5 2000 22:06:58 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
Oh you dreamers, Brenda and Ellen!! There are kids with so many conditions, so much technology now in the public schools.

Tue Dec 5 2000 22:07:43 Eastern US
Judith (David, 15, dx'd at age 2 months; Vanya, 16, dx'd at 6) from 63.162.254.112
We only think about d, but there are kids with cystic fibrosis, asthma, cancer, rheumatoid arthritis, etc, etc etc.

Tue Dec 5 2000 22:08:22 Eastern US
Ellen from 64.12.103.47
Judith, this year we actually have a school nurse that understands diabetes and is an advocate for the students....rare rare rare.

Tue Dec 5 2000 22:09:34 Eastern US
Ellen from 64.12.103.47
I have friends with children with other chronic illnesses...I don't think for one minute that diabetes is the only illness the school system has to deal with.

Tue Dec 5 2000 22:10:19 Eastern US
Judith from 63.162.254.112
Great to have a good school nurse.

Tue Dec 5 2000 22:11:42 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Personally, I'd rather NOT know the nurses so well!

Tue Dec 5 2000 22:12:07 Eastern US
Brenda H. (Marissa, 13--dx'd 9/89) from 10.0.1.3
Well, Jeff will be closing this room soon. See you later.

Tue Dec 5 2000 22:12:47 Eastern US
Judith from 63.162.254.112
Thanks, Brenda and Jeff.



                 
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