Tag Archive for: prediabetes

kale at the food pharmacy

Capital Area Food Bank and Children’s National launch food pharmacy program

kale at the food pharmacy

The goal of the food pharmacy program is to improve patient health by creating easy access to foods that help with the management of diabetes, and to reduce barriers to routine attendance at clinic appointments by co-locating food assistance with medical care.

Capital Area Food Bank and Children’s National Hospital launched a pilot program, hosted by the Diabetes and Endocrinology teams at Children’s National, that will enable children with prediabetes and diabetes who are experiencing food insecurity to leave their visits with nutritious groceries from an on-site “food pharmacy.”

“We know that good food and good health are deeply interconnected, especially for young people,” said Radha Muthiah, president and CEO of the Capital Area Food Bank. “For children whose families may not always have the resources to get a nutritious meal on the table, all kinds of health challenges can emerge, including diabetes. We’re proud to be partnering with Children’s National on an initiative that will enable brighter futures for kids by making healthy groceries available right at the point of care.”

The goal of the food pharmacy program is to improve patient health by creating easy access to foods that help with the management of diabetes, and to reduce barriers to routine attendance at clinic appointments by co-locating food assistance with medical care. Children diagnosed with prediabetes or diabetes (Types 1 and 2) who also screen positive for food insecurity are given a prescription for medically-tailored groceries, which can be filled immediately on site. The supply includes both produce and shelf-stable items. Families are also provided with information about where to find additional help obtaining food, along with nutrition education materials.”

Rates of type 2 diabetes and prediabetes in children have been rapidly increasing in the past years, partly a consequence of the epidemic of childhood obesity. These conditions disproportionally impact children of African and Hispanic descent and those coming from low-income families, according to Elizabeth Estrada, M.D., director of the Type 2 Diabetes Program at Children’s National Hospital.

“Healthy eating is crucial in the treatment and prevention of these conditions, but many of our families lack access to nutritious food,” said Dr. Estrada. “The partnership with the Capital Area Food Bank to establish a food pharmacy within the diabetes clinic allows us to not only help our patients and families with recommendations for healthy eating, but also provides them with the foods they need to prepare nutritious meals.”

Through the initiative, the Capital Area Food Bank and Children’s National aim to reach up to 120 unique families per month, providing each household with 35 pounds of food per visit over the course of a year.

regional pediatric endocrinology meeting

Regional pediatric endocrinologists gather at Children’s National

regional pediatric endocrinology meeting

On Nov. 10, 2019, more than 30 pediatric endocrine physicians and nurse practitioners from Washington, D.C., Maryland and Northern Virginia gathered at Children’s National Hospital to discuss the latest in pediatric endocrinology research.

Organized by Paul Kaplowitz, M.D., Professor Emeritus of Pediatrics, this was the third regional pediatric endocrinology meeting since 2012 and the second held at the hospital. “The meetings are a great opportunity for providers to meet regional colleagues who they may communicate with about patients but rarely see face to face,” explains Dr. Kaplowitz.

The providers spent half a day at Children’s National viewing presentations and connecting with their colleagues. Among the presentations was a talk by new Children’s National faculty member Brynn Marks, M.D., MSHPEd, titled, “Medical Education in Diabetes Technologies.”

The presentation highlighted Dr. Marks’ research on how to best teach providers to make optimal use of the information provided by continuous blood glucose monitoring, as well as how to adjust insulin pump settings based on frequent blood glucose testing.

Another notable presentation was by Richard Kahn, Ph.D., recently retired former chief scientific and medical officer at the American Diabetes Association. Dr. Kahn’s talk was titled “Prediabetes: Is it a meaningful diagnosis?”

“This was an excellent talk whose message was that making a diagnosis of ‘prediabetes’ may not be nearly as helpful as we thought, since most patients tests either revert to normal or remain borderline, and there is no treatment or lifestyle change which greatly reduces progression to type 2 diabetes,” says Dr. Kaplowitz.

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Children’s National regional pediatric endocrinology meeting presentations

Welcome from Paul Kaplowitz, M.D., and Children’s National Endocrinology Division Chief Andrew Dauber, M.D.

“Prediabetes: Is it a meaningful diagnosis?”
Richard Kahn, Ph.D., University of North Carolina at Chapel Hill

“Overlapping genetic architecture of Type 2 diabetes and Cystic fibrosis-related diabetes”
Scott Blackman, M.D., Ph.D., Johns Hopkins Medicine

“Pediatric Pituitary Tumors: What we have learned from the NIH cohort”
Christina Tatsi, M.D., Ph.D., National Institutes of Health

“Medical Education in Diabetes Technologies”
Brynn Marks, M.D., MSHPEd, Children’s National Hospital

“A phenotypic female infant with bilateral palpable gonads”
Cortney Bleach, M.D., Walter Reed National Military Medical Center

“Estimating plasma glucose with the FreeStyle Libre Pro CGM in youth: An accuracy analysis”
Miranda Broadney, M.D., MPH, University of Maryland School of Medicine

“Recruiting for research project on “Arginine-Stimulated Copeptin in the diagnosis of central diabetes insipidus”
Chelsi Flippo, M.D., Fellow, National Institutes of Health