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CHILDREN’S DIABETES FOUNDATION — SPRING 2016

he 36th Annual Brass Ring Luncheon was held on November 13, 2015 at the Denver Marriott City Center. Over 800 guests enjoyed an extensive live and silent auction before

honoring Barbara Davis Center patients and watching a stunning fashion show presented by BCBGMAXAZRIA. Continued on page 3

1. Ed Greene, Madeline van Orman 2. The Brass Ring Luncheon Ballroom

All Brass Ring Luncheon Photos: © Broxton Art

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THE 36TH ANNUAL BRASS RING LUNCHEON

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1. BDC patients discuss life

with diabetes

2. Ed Greene, Master of Ceremonies

3. Cooper Keglovits,

Dianne Santa Maria

4. Shane Hendryson and Dana Davis

5. Sammie and Parker Durand

6. Lori and Christina Finch

The

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The Brass R

ing Luncheon

1. Trendy work wear from

BCBGMAXAZRIA

2. The Vazquez Family

1. 2.The Children’s Diabetes Foundation’s Executive Director, Dana Davis, thanked all attendees for coming to the Brass Ring Luncheon and for supporting the children and adults living with diabetes.

Ed Greene from CBS4 hosted the show as the Master of Ceremonies throughout the morning. Shelley Lucas (The Guild President) and Eva Schoonmaker (Brass Ring Luncheon Chair) thanked everyone for their continuous support. They both have a personal connection to diabetes and are thrilled to be involved with The Guild of the Children’s Diabetes Foundation.

The real stars of the afternoon were the children from the Barbara Davis Center who represent the hundreds of thousands of children living with diabetes around the world. They walked the runway and received a heartwarming standing ovation from the crowd for their courage to take diabetes head on.

Several children discussed their lives with diabetes, including Ellie White who described her complications living with both Wolfram Syndrome and type 1 diabetes. She asked guests to “reach deep in their pocket books” and give whatever they could. Madeline van Orman, a Barbara Davis Center patient, then captured the audience with the prayer before lunch.

The live auction was a treat for everyone in attendance. It featured a 4-night stay at The Grand Wailea in Maui; an United Airlines Flight Simulator experience with dinner for two; 2-Night Westin stays; a 7 night Adventure Safari in South Africa; 4 Stadium Series Tickets; and a choice between two bulldog puppies. Two young

patients, Violet and Keaton stole the show by auctioning off a dozen cupcakes that they each handmade. Keaton shared his secret ingredient- LOVE!

A huge thank you to all who donated to the appeal, which raised an astounding $78,000 and will provide an incredible amount of supplies and support research for Barbara Davis Center patients.

The silent auction featured numerous packages including spa days, an evening on the town, and trips to wonderful destinations. The auction also included Corks For A Cause, where you could choose a mystery bottle of wine for a small donation, and Dine ‘N Dash, where people bought restaurant gift cards at cost and the proceeds went to CDF. A big thanks to Barbara Feeney for doing an outstanding job as the Auction Chair for the Luncheon.

Runway models presented sophisticated fashion designs from BCBGMAXAZRIA that included casual city-looks to gorgeous gowns for a star-studded event. Many thanks to BCBGMAXAZRIA

for their outstanding runway presentation.

The proceeds of this event benefit the programs of The Guild of the Children’s Diabetes Foundation, including Helping Hand (assisting families in need), the Charlotte Tucker Scholarship Award, the diabetes awareness and education program, and clinic and research programs at the Barbara Davis Center.

We are so thankful for our generous sponsors, including BCBGMAXAZRIA, Reign Media, Marriott Denver City Center, The Denver Post, SAP, WILMAC Foundation & The Crazy Merchant, Allan and Margot Frank, Meagher Energy Advisors, NexGen Resources, and Lisa & Tom Corley.

Thank you to all who attended the 2015 Brass Ring Luncheon and made the event a tremendous success. Your support means the world to us!

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The

Bra

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Lunc

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1. Violet Keglovits, Zetana Behymer,

Keaton Isakson, Dillon Hunter

2. Cheryl and Trey Lebsock,

Joan Drawer, Jordon Lebsock

3. In the silent auction room

4. Suzy Sparling and Deidre Hunter

5. Andrea, Hannah, and Emma Fey

6. Shelley and Steven Lucas

1. 2.

3.

5. 6.

4. 5.

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The Brass R

ing Luncheon

1. In the Luncheon’s lobby

2. Elegant BCBGMAXAZRIA gown

3. Gina Abou-Jaoude,

Eva Schoonmaker

4. Susan Squyer,

Chair for Jewels For Hope

5. Ashley, Tracy, Madeline, and

Cameron van Orman

6. Aspasia Vazquez, Ellie and

Ryan White, and Kayley Carson

2.

3.

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4. 5.

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Bar

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rvery doctor has those adolescent patients who aren’t interested in caring for their diabetes. This

ranges from not getting enough blood sugar checks a day to blatantly ignoring the disease altogether. This leads to high blood sugars, an outrageous A1c, and increased chances of long-term complications.

These high-risk patients are what encouraged Dr. David Maahs of the Barbara Davis Center, along with Dr. Elizabeth Mayer-Davis and Michael Seid, PhD to develop the Flexible Lifestyle Empowering Change (FL3X) study, a research study with a motivational interviewing and intervention style appointment. The plans started in 2008 and the study came to life in April of 2014 with 250 study subjects to be enrolled. The appointments focus on developing problem-solving and communication skills as opposed to simply educating. This is the difference between saying, “you should get at least four blood sugar checks a day” and “if it’s

THE FLEXIBLE LIFESTYLE EMPOWERING CHANGE STUDY

Improving Diabetes Care for High-Risk Patients at the Barbara Davis CenterBy Mattie Peck

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important to you to do more blood sugar checks, how can we work together to make that happen?” It’s a slight difference, but has created some amazing results.

The patients in this study are 13-16 years old with an A1c over 8%. This age group often sees difficulties because they are focused on their peers and don’t want to be the “special case.” They want to fit in with their group of friends and not be judged for being different. Each patient is in the study for a year and a half and during that time, has a monthly appointment that starts with a questionnaire to determine what is difficult

for the patient right NOW. Individual issues are constantly changing so the study is able to stay dynamic along with the individual’s case.

Another common issue is the patients’ communication with their parents. The study works with teens and a parent to improve communication for more effective care. This allows teens to ask for more or less reminders, make weekly or daily meetings with their parents, etc. Parents are invited into the session at the end of the appointment to discuss what changes need to be made in order to improve daily diabetes care and issues in communication. They are taught to trust their teens and support them by using a communication style that best fits the teen. Patients become more empowered when they have developed these problem-solving skills and are able to create a better outlook and diabetes care routine.

Tonya Jenkins, RD, CDE, who is a coach for this study, runs these intervention style appointments and says “it’s very rewarding to see families turn things around from shaming and

Photo: ©Janssen Photography

Photo: ©Janssen Photography

7

blaming to strategies that work for each individual teenager and their parents.” Because the patients are seen monthly, the coaches really get to know and understand their patients and the obstacles they need to overcome.

Eventually, this study will be a model for high-risk patient care. Other diabetes clinics will be able to implement this same approach to improve quality of life, A1c results, and parent/child interaction and communication. If the results continue to be this positive, these motivational interviewing and problems solving techniques may eventually be implemented as a standard of care.

Dr. David Maahs continues to dive head first into diabetes research. In clinics, he gets to watch kids grow up and is able to help them through this disease. This FL3X study, along with his other research, will make an incredible difference for his patients and the diabetes world. One of the most exciting studies at the Barbara Davis Center is the Artificial Pancreas. There are currently 3 multi-center clinical studies, funded by the NIDDK, testing prototypes of the Artificial Pancreas from the University of Virginia, Cambridge, and Boston University. The Barbara Davis Center is excited to be one of only two research centers to test all 3 systems. These human trials will provide data that will determine FDA approval to have the systems commercially available in future.

You can support these research studies by donating to the Children’s Diabetes Foundation here: www.ChildrensDiabetesFoundation.org/fl3x/

Barbara D

avis Center

included prevention of type 1 diabetes and development of the Closed Loop (or Bionic) Pancreas. His work has resulted in over 300 peer-reviewed publications and 76 book chapters. He is the author of five diabetes educational books for families with type 1 diabetes (see page 17 to order). The books have reached over two million families in the past 38 years (with the First Book for Understanding Diabetes being available in English, Spanish, Arabic and Chinese) and have been a major fundraiser for the Children’s Diabetes Foundation. Dr. Chase will continue to work part-time in research and teaching.

DR. H. PETER CHASE

fter 48 years of caring for children with diabetes (50 years including fellowship), Dr. Peter Chase is no

longer seeing clinical patients as of December 31, 2015. Dr. Chase was appointed the first Director of the University of Colorado Pediatric Diabetes Clinic in 1976, four years prior to the opening of the Barbara Davis Center (BDC). He was the only full-time physician in the BDC from 1980-1983. He has been the Executive, Clinical and Pediatric Clinic Director of the BDC. His research interests have

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Photo: ©Kent Meireis

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Bar

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rveryone with diabetes should know that diabetic eye disease can cause vision loss. In fact, diabetic

eye disease has been the leading cause of preventable vision loss in developed countries such as the United States for decades. A common misconception is if a person has any degree of diabetic eye disease, they should be able to notice some type of visual change. In reality, the vast majority of people with eye disease from diabetes cannot tell they have it because it is a very “quiet” condition with few symptoms. Patients who have progressed to the treatment stage are likely to have 20/20 vision and be totally unaware of what is going on inside of the eye.

For patients and family members, it is important to understand how this is possible and requires a short anatomy lesson using the diagram below.

This is a photograph of the retina, which is the back inner lining of the eye. When light enters the eye, it lands on the retina. The job of the retina is to

capture this light and then create a very complex electrical signal. This signal is sent through the optic nerve to the brain for processing. The retina can be separated into two separate regions; a very small region for central vision (fovea) covering 5% of the retinal surface area and a region for peripheral vision, which encompasses the other 95% of the retina. Most things in diabetic eye disease happen in the peripheral regions where we do not see very sharply. If diabetes occurs in this region, it will not produce anything noticeable to the patient. In contrast, if certain

things happen in the central vision region, it will disrupt the clarity of our central vision and therefore produce a disturbance that we are more able to notice. This is why we want to protect the central vision region at all costs.

The fact that this vision-threatening process is able to occur in the eye without someone’s knowledge is the main reason for recommending annual examinations for patients with diabetes. The aim of these annual exams is to identify the following: if diabetic eye disease is present, establish its severity, and identify any vision-threatening processes that the person may not be aware of.

To schedule your eye appointment at the Barbara Davis Center, call 303-724-2323.

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DIABETIC EYE DISEASE: THERE ARE VERY FEW VISUAL SYMPTOMS

By Dr. Brian Bucca

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We used to see people with eye or kidney complications in every clinic. Now we rarely see complications. I tried to show changes in management through the years in the seven chapters of the Center’s History Book (dealing with Billy).

I have enjoyed watching every youth grow – often starting with little ones, conquering their fears, teens learning to manage their own diabetes, young adults leaving home for college, work, marriage, or whatever. It was impossible not to get emotionally attached. I have attended many weddings, bar mitzvahs and bat mitzvahs, and am looking forward to another wedding in June (for a young man I followed for 18 years). As I said goodbye to many a family, I had tears on my cheeks.

The staff at the Center has always been so dedicated. One year, I did a survey and half of the clinical staff either had type 1 diabetes or a close family

QUESTIONS AND ANSWERS

— H. Peter Chase, MD

Dr. Chase: What have you enjoyed most about the Barbara Davis

Center (BDC) and the 50 years of seeing your patients?

Wow, this would take an entire NewsNotes if I were to give

a complete answer. I’ll try to outline a few favorites:

First, the changes in management of type 1 diabetes have been enormous. When I began, patients were either on one shot a day of Lente insulin or two shots of NPH insulin. Now, 58% of our patients are on insulin pumps, and the rest on intensive diabetes management with injections.

member with diabetes. Their loving and devoted care has always been a stimulous for me.

Families’ willingness to participate in research has always amazed me. It has resulted in improvements in care, culminating in an Artificial (Bionic) Pancreas, likely to become available in 2017. Even though we are not yet there, we have learned so much in getting closer to preventing diabetes. I was honored to be one of the physicians who set up the initial NIH Diabetes Prevention program (DPT-1) and to be the program director at our Center for the first decade. A cure, other than by pancreas transplant, is still a hoped-for possibility. I will continue to help in research for a period, so I will still be seeing research patients.

The support for the BDC through the years has been amazing. The Davis family donated the original building and Barbara set up the Children’s

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Questions and A

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Diabetes Foundation and The Guild. Our Center would not have survived without the financial help from the Foundation. The Guild gives college scholarships to many of our youth, provides tens of thousands of dollars each year for the Helping Hand fund to help families with supplies, and provides Christmas gifts and other needs to these families. The Community support for the BDC has also been important, be it through contributions, attending the Foundation’s Carousel Ball, golf tournaments, etc. or The Guild’s Brass Ring Luncheon and family functions.

Watching the growth of the Center through the years has also been amazing. We started with a Pediatric Clinic and eventually expanded to have Eye and Adult Clinics. The Adult Clinic was very important as there were not good alternatives for affordable adult care in the 1980s. As the Pediatric Clinic

follows each youth for about 10 years, and the Adult Clinic then follows them for about 50 years, the Adult Clinic will eventually be larger than the Pediatric Clinic. Since 1980, the BDC has grown from having one full-time physician to having 18 full-time physicians, and was named the #1 Center in the world for type 1 diabetes in 2014.

Education has been an enjoyable part of my career. In 1976, when the first edition of Understanding Diabetes was written, there were not good educational materials. The synopsis First Book for Understanding Diabetes reaches about 14,000 newly-diagnosed children every year. The First Book is available in English, Spanish, Arabic, and Chinese. It is currently estimated that over 2 million families in the U.S. have received at least one of our 4 educational books.

Most exciting, without question, are the wonderful youth I have had the honor to meet and follow through the years. All have become wonderful young adults. Many have chosen the field of medicine – and patients I followed are currently in: a heart-surgery residency at Brown University, nursing school at University of Colorado, medical school (one in Chicago [Fall, 2015 NewsNotes], and one at Columbia) as well as many other schools and professions. I recently counted 34 people who had worked for me who went on to medical or nursing schools. It would take a book to tell about all the great youth we have had the opportunity to know and follow in the 35 years the BDC has been open. I feel I have been both fortunate and honored to have been here at the Barbara Davis Center. It is me who must say, THANK YOU.

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Photo: ©Kent Meireis

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he Guild of the Children’s Diabetes Foundation held its 38th Annual Meeting

and Installation of Officers on January 12 at the Cherry Hills Country Club. The group was able to celebrate an exciting year of record-setting events to help families of the Barbara Davis Center. Judy McNeil chaired the event and Shelley Lucas, the 2015 Guild President, thanked everyone for a wonderful year of hard work that raised unprecedented amounts for the BDC’s Acorn Project (the Junior Research Program), pediatric clinic, and more.

Susan Squyer, Chair of Jewels For Hope, shared a year of incredible success. The program is starting its 12th year and has contributed an astounding $350,000 to CDF in that time. Gladys Villa, a Barbara Davis Center Social Worker, shared inspiring stories of the Helping Hand program assisting families who cannot afford the high cost of supplies or need incentives to improve blood sugar control. Jill Nystul was the guest speaker for the morning. She is the creative force behind the blog, “One Good Thing by Jillee” and the author of “One Good Life.” She inspired everyone by sharing how she turned her life around after a difficult battle with alcoholism and her son’s diagnosis of type 1 diabetes.

The Children’s Diabetes Foundation is honored to have this wonderful group of volunteers who put an unbelievable amount of effort and heart into our cause. Their constant advocacy is greatly appreciated and we are excited for another year of success!

Guild G

uideTHE GUILD ANNUAL MEETING

Lisa Corley, Chris Petre, Lotte Bowman, Tangy Buchanan, Christy Alberts, Barb Oberfeld, Shelley Lucas

The Guild’s 2016 Slate of Officers:

Tangy Buchanan, President

Christy Alberts, President-Elect

Chris Petre, Treasurer

Lisa Corley, Treasurer-Elect

Lotte Bowman, Corresponding Secretary

Barb Oberfeld, Recording Secretary

“Give without remembering and receive without forgetting”

–Tangy Buchanan, the 2016 Guild President

The Guild had a wonderful morning at the Madden Museum of Art for the Membership Tea. Nine crafty women decorated whimsical tables that reflected the Valentine’s Day spirit and Guild members invited friends and family who were interested in becoming a new member. Thank you to all who decorated and attended!

GUILD MEMBERSHIP TEA

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ISAAC EPP’S HALLOWEEN FUNDRAISER

saac Epp, a 10 year old with diabetes, presented a check to The Guild of the Children’s Diabetes Foundation from his online fundraiser. Instead of

trick-or-treating on Halloween, Isaac decided he wanted to raise money to help families affected by diabetes. He wrote a letter on his fundraising page asking for $100. It wasn’t long before Isaac raised over $2,000! To donate to Isaac’s cause, you can go to www.gofundme.com/4y7qh3ss.

¿HABLA ESPAÑOL GRANT? rant Carmain is a senior in high school and is a

patient at the Center who hails from Houston, Texas. He made it his mission to support education for Spanish-speaking families/communities in the Gulf-Coast of Texas. He translated type 1 diabetes

fact cards into Spanish and acquired copies of the Pink Panther First Book in Spanish to distribute at a diabetes walk in Houston as well as to medical practices and physicians. ¡Muy Bien Hecho, Grant!

DIAMONDS FOR DIABETES

roy and Joy Thollot presented a check to The Guild’s Helping Hand program from

their fundraiser, Diamonds for Diabetes, at Thollot Diamonds and Fine Jewelry. For a $25 donation to CDF, Thollot customers could choose a box off a Christmas tree for a gift of precious stones, a tennis bracelet, or even diamond earrings. Thank you Troy and Joy for your generous, annual fundraiser!

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Win

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Contact Mattie Peck at [email protected]

or 303-863-1200.

ARE YOU INTERESTED...

...in fundraising for the Children’s Diabetes

Foundation or sharing your impact on the

diabetes community?

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Fun for Kids

Unscramble the letters to create a diabetes

related word

mnokete cstik _________________

silunni ______________________

tealcn _______________________

stte sprist ___________________

grinsye ______________________

bardaystroche________________

troiomn _____________________

ietprono _____________________

eledne ______________________

I have Type ___ Diabetes.

Right now, my blood sugar is _____.

How do you feel about diabetes today?

_____________________________________________________.

For a slice of pizza, I dose ____ units of insulin.

For an apple, I dose ____ units of insulin.

My favorite food is ____________________________. I dose ______ units of insulin for it.

When my blood sugar is 300, I _______________________________________________________.

I test my blood sugar _______ times a day.

My favorite low blood sugar snack is ______________________________.

My favorite exercise is _______________________________.

Another word for low blood sugar is ________________________.

The organ responsible for creating insulin is the _____________________.

When my blood sugar is high, there might be _____________________ in my urine.

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14

Upc

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ents JUNE 11

Reel ‘Em In Fishing Trip for BDC Kids, 8 AM – 3 PM Buchanan Rec Center Ponds

Kids ages 6-16 learn the basics of fly fishing by working with fun, local experts.

JUNE 25 Run for the Ring 5K and Kids’ Fun Run Barbara Davis Center for Diabetes

Run through the exciting courses on the Anschutz Medical Campus- perfect for any age!

JULY 11 Tied to a Cure Denver Golf Tournament

Pinehurst Country Club is the perfect place to enjoy a day on the course and support CDF.

JULY 18 High Hopes Golf Tournament Meridian Golf Club

Spend the day at the Meridian Golf Club to support The Guild of the Children’s Diabetes Foundation.

JULY 14-17 Practical Ways to Achieve Targets in Diabetes Care Keystone Resort and Conference Center

Join us in beautiful Keystone, Colorado for this annual medical education meeting designed for healthcare providers caring for adolescents and adults with diabetes.

OCTOBER 8 The Carousel of Hope The Beverly Hilton Hotel, Beverly Hills, CA

This star-studded gala is an incredible evening of entertainment that raises awareness and funds for the Children’s Diabetes Foundation.

OCTOBER 23 Boo Bash Colorado School of Mines

A spooky party for BDC patients (ages 12 and under) and their families.

Photo: ©Berliner Studio

Photo: ©Jensen Sutta

OCTOBER 27-28 Tied to a Cure Las Vegas Golf Flyaway Tournament

Enjoy an overnight excursion to Las Vegas for a game on the exquisite Shadow Creek Golf Course.

NOVEMBER Diabetes Awareness Month

There’s no better time to spread awareness and education for diabetes. Check our social media to share our messages!

NOVEMBER 14 World Diabetes Day

A day to recognize the strength and courage of those living with diabetes around the world.

NOVEMBER 18 Brass Ring Luncheon Marriott City Center

Denver’s premiere fashion event, complete with silent and live auctions and a delicious lunch.

TO LEARN MORE ABOUT CDF EVENTS, VISIT WWW.CHILDRENSDIABETESFOUNDATION.ORG/OUR-CALENDAR

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Upcom

ing Eventshe Children’s Diabetes Foundation (CDF) will be supporting Girls on the Run, which is a

team of girls ages 7-13 who have type 1 diabetes and their friends/siblings. These girls spend 10 weeks training together, while also focusing on building character and confidence.

Exercising with type 1 diabetes can be difficult because it causes large variations between high and low blood sugars. By creating a diabetes-centric team that is coordinated by administrators at the Barbara Davis Center (BDC), these girls can run and train, knowing their peers understand the difficulties and that someone can step in if an emergency arises. These efforts and more are why the Children’s Diabetes Foundation is happy to

Tsupport this team by sponsoring their training registration, t-shirts, snacks, etc.

The Children’s Diabetes Foundation will be a partner of the Colfax Marathon, which consists of a 5K at City Park on Saturday, May 14th, and then a half and full marathon (including a relay) on Sunday, May 15th. In addition, all Colfax Marathon runners can choose to be a charity partner and win money for CDF if the team/individual wins a category.

CDF SPONSORS GIRLS ON THE RUN TEAM

You can raise funds for the BDC chapter of Girls on the Run by visiting our Crowdrise page for the Colfax Marathon:

www.crowdrise.com/ColfaxRun-RunforCDFandtheBDC

For more information about sposoring Girls on the Run or fundraising for the Colfax Marathon, please contact Mattie Peck,

Communications Coordinator at [email protected] or 303-628-5106.

July 14-17, 2016

Join us in beautiful Keystone, Colorado for this annual, continuing medical education meeting designed for healthcare providers caring for adolescents and adults with diabetes.

Target Audience: certified diabetes educators, internists, pediatricians, family physicians, physician assistants, nurse practitioners, nurses, dietitians and all healthcare providers interested in receiving the most up-to-date type 1 and type 2 diabetes information from world-renowned diabetes experts.

REGISTRATION DETAILS: View program details and registration information at http://www.regonline.com/atdc

THERE IS STILL TIME TO REGISTER! PRACTICAL WAYS TO ACHIEVE TARGETS IN DIABETES CARE

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Nut

ritio

n N

ews Parents and

caregivers often wonder if their child is getting everything

needed to optimize growth and development. Children may seem like they are “not eating anything,” “eating only junk food,” and “eating the same things every day.” Although children are resilient and are probably eating better than it appears, it can make caring

• A variety of foods

• Fruits and vegetables that are colorful

• Calcium-rich foods, such as milk, yogurt, broccoli, and almonds

Knowing what signs and symptoms display malnutrition may help alleviate some of the stress in wondering if your child is eating well. Here are some examples of what a well-nourished child looks like:

for your child less stressful if you know what to look for in determining if your child is eating a healthy diet.

Your child’s pediatrician has a list of markers that are used during visits. Growth charts are used to assess nutritional status, weight, and development. Besides weight and height, pediatricians look at biochemical markers and lab values, and

• Meals and snacks every 3 to 4 hours while awake

• Protein-rich foods, such as eggs, meat, fish, beans, chicken, or tofu

• Water in place of sugary juices and sodas

gather dietary information to interpret nutritional status. A determination of overweight or underweight and understanding your child’s growth curves may shed light into your child’s dietary intake. You should share any concerns about your child’s diet with your pediatrician or endocrinologist and expect them to discuss any problems pertaining to your child’s growth that are affected by nutrition.

• Foods rich in iron, such as meats, beans, and leafy green vegetables

• Enriched and whole grain breads, grains, and cereals

Hair: Shiny, not falling out, or appearing brittle or dry

Eyes: Bright and clear; pink or red under the eyelids

Skin: Smooth, firm, and of good color (skin of undernourished children looks off in color, scaly, flaky, or cracked)

Lips: Smooth with good color (lips of malnourished children sometimes are red or swollen, with cracking in the corners of the mouth)

Fingernails: Firm and pink (not spoon-shaped, brittle, or ridged)

Posture: Healthy with good muscle tone and long straight bones (undernourished children may have a wasted appearance of muscles, swollen bumps on the skull or ends of bones, bowed legs or knock-knees, and may appear overweight or obese)

IS MY CHILD EATING RIGHT?

A healthful diet for children includes:

P

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Nutrition N

ews

Your child should not use food to deal with emotions. The following are common concerns and suggested solutions to feeding concerns:

Child refuses meat:

• Offer small servings of meat, poultry, or fish

• Incorporate small amounts of these foods in casseroles, pizzas, and soups

• Choose beans, eggs, and cheese as alternatives

Child drinks too little milk:

• Offer cheese and yogurt

• Add milk to soups, hot cereals, and puddings

• Use powdered milk for baking

Child drinks too much milk:

• Offer water between meals and if your child is thirsty

• Serve milk at the end of the meal and limit it to two times a day

Child refuses fruits and vegetables:

• Offer more of the preferred fruits and vegetables

• Serve vegetables raw, with a healthy dip

• Slice fruits to make them easy to eat

• Try dried fruits

• Put vegetables in soups and meals, so they are difficult to pick out

• Continue to offer fruits and vegetables at every meal and snack

Child eats too many sweets:

• Do not keep sweets or treats in the house

• Do not use sweets as a reward or bribe

• Make sure all caregivers are on the same page regarding sweetsPhoto: ©Kent Meireis

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22

THE PINK PANTHER™ & © 1964-2015Metro-Goldwyn-Mayer Studios Inc.All Rights Reserved.www.pinkpanther.com

For additional copies of the publication contact:

Children’s Diabetes Foundation4380 South Syracuse Street, Suite 430

Denver, CO 80237Phone: 303-863-1200 • Fax: 303-863-1122

www.ChildrensDiabetesFoundation.org

13th Edition

H. Peter Chase, MDand

David M. Maahs, MD, PhD

A handbook for people who areliving with diabetes

A handbook for people who areliving with diabetes

�Nothingcould totally prepare usfor the challenge

of our child’s diabetes,but this book paved the way for the acceptance and handling of this

change in our lives.�

understanding diabetes

13th Edition

PUBLICATIONS ORDER FORMAll our publications may be ordered by using this form or by calling the Children’s Diabetes Foundation

at 303-863-1200 or by visiting our website at www.ChildrensDiabetesFoundation.org.Children’sDiabetesFoundation•4380SouthSyracuseStreet,Suite430•Denver,CO80237

* Prices subject to change

Name: ___________________________________________________________________________________________________

Address: _________________________________________________________________________________________________

City, State, Zip: ___________________________________________________________________________________________

Phone: _____________________________________ Email: ______________________________________________________

❏ Check enclosed payable to: Children’s Diabetes Foundation

❏ VISA ❏ MasterCard ❏ Discover ❏ AmEx Card # _________________________________________________________

Expiration Date _____________________________________ Security Code _______________________________________

❏ Please include me on the Children’s Diabetes Foundation mailing list

All orders must be paid in full before delivery. Books are mailed USPS or Ground UPS. Allow one to three weeks for delivery.

International Purchasing: Please include sufficient funds for books and shipping to equal U.S. currency exchange rates.

THE PINK PANTHER™ & © 1964-2016 Metro-Goldwyn-Mayer Studios Inc.

All Rights Reserved.

For additional copies of this publication contact:

Children’s Diabetes Foundation777 Grant Street, Suite 302

Denver, CO 80203Phone: 303-863-1200 or 800-695-2873

Fax: 303-863-1122www.ChildrensDiabetesFoundation.org

The Pink Panther™ & ©1964-2010Metro-Goldwyn-Mayer Studios Inc.

All Rights Reserved

www.pinkpanther.com

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by H. Peter Chase, MD & Laurel Messer, RN, MPH, CDE

•

2nd Edition

12:4

3

Copias adicionales de “Un primer libro para entender la Diabetes”


Denver, CO 80237Phone: 303-863-1200


THE PINK PANTHER™ & © 1964-2015Metro-Goldwyn-Mayer Studios Inc.

Todos los derechos reservados. All Rights Reserved.www.pinkpanther.com

UN PRIMER LIBRO PARA ENTENDER LA DIABETES

H. Peter Chase, MDy


Traducido y Editado por

Andrea Gerard González, MD

13o Edició n

UN PRIMER LIBRO PARA ENTENDER LA

UN LIBRO DE COMPAñÍA PARA“ENTENDER LA DIABETES”

UN LIBRO DE COMPAñ A PARA“ENTENDER LA DIABETES”

For additional copies of the publication contact:


Denver, CO 80237Phone: 303-863-1200


THE PINK PANTHER™ & © 1964-2014Metro-Goldwyn-Mayer Studios Inc.

All Rights Reserved.www.pinkpanther.com

What the experts are saying about the “Understanding Diabetes” –

‘Pink Panther™’ books:

A FIRST BOOK FOR UNDERSTANDING DIABETES

13th Edition

H. Peter Chase, MDand


“The Understanding Diabetes” – ‘Pink Panther™’ series has emerged as the gold standard for education for youth with type 1 diabetes. Drs. Chase and Maahs are always updating the material so that it is contemporary, read-

able, fun and on target. The series is indeed a most valuable contribution.”

— Jay Skyler, MD, MACP, past President of the American Diabetes Association

“If you only have one book about diabetes, Understanding Diabetes should be it. There are more technical books, but none better to help you understand

how to live successfully with type 1 diabetes. Representing the clinical practice methods of the

Barbara Davis Center for Diabetes, the book is both complete and easy to read ...”

— Jeff Hitchcock, Children with Diabetes www.childrenwithdiabetes.com

“The Understanding Diabetes” – ‘Pink Panther™’ book ... is an incredible handbook for the child with type 1

diabetes and his family ... Adjustments are complicated for the type 1 diabetic and traumatic for the whole family ... Having ‘The Pink Panther™’ telling the story adds a bit of whimsy to a tremendously serious subject, making

the book extraordinarily ‘user friendly’.”— Lee Ducat, Founder of the Juvenile Diabetes Research Foundation

Quantity Item Price Total

Understanding Diabetes – “The Pink Panther Book,” 13th Edition $25.00*

Understanding Diabetes – “The Pink Panther Book,” 12th EditionDiscounted while supplies last!

$10.00*

A First Book for Understanding Diabetes, 13th Edition Presents the essentials from Understanding Diabetes

$13.00*

Un Primer Libro Para Entender La Diabetes, 13th Edition $13.00*

Understanding Insulin Pumps and Continuous Glucose Monitors, 2nd Edition $10.00*

Management of Diabetes in Adults, 1st Edition $15.00*

DIABETES: A History of a Center and a Patient $15.00*

SHIPPING AND HANDLING: $5.00 per book for orders of 1-9 books $2.00 per book for orders of 10 books and over

Shipping and Handling

TOTAL

MANAGEMENT OF DIABETES

IN ADULTS

H. Peter Chase, MD Satish K. Garg, MD

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BARBARA DAVIS CENTER FOR DIABETES

For purchasing information call:303-863-1200

www.BarbaraDavisCenter.org

1923

EXECUTIVE BOARD:Mrs. Barbara Davis, Chairman

Richard S. Abrams, M.D.

Jules Amer, M.D. Honorary Lifetime Member

Mr. Peter Culshaw

Stephen Daniels, M.D., Ph.D. Chairman of Pediatrics, The Children’s Hospital, Denver

Ms. Dana Davis

Mrs. Nancy Davis Rickel

Steven Farber, Esq.

Daniel Feiten, M.D.

Mr. Shane Hendryson

Mrs. Arlene Hirschfeld

Mrs. Deidre Hunter

Mr. Shawn Hunter

M. Douglas Jones, Jr., M.D.

Mr. Ken Rickel

John J. Reilly, Jr., M.D. Vice Chancellor for Health Affairs & Dean, School of Medicine, University of Colorado Denver

Mrs. Stacy Mendelson Robinson

Marian Rewers, M.D., Ph.D. Executive Director of the Barbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine

SCIENTIFIC ADVISORY BOARD:Richard S. Abrams, M.D. Associate Clinical Professor of Medicine; Rose Medical Center, Denver

Jules Amer, M.D.

M. Douglas Jones, Jr., M.D. Professor, Department of Pediatrics, University of Colorado School of Medicine; Section of Neonatology, The Children’s

Hospital, DenvereeeeeeeeeeeeNEWSNOTES will be published quarterly by the Children’s Diabetes Foundation. We welcome your comments.

If you would like to submit an article or a letter to Newsnotes send information to: [email protected]

Cindy Kalkofen Graphic Designer

Mattie Peck Dana Davis Editors

Know the symptoms of Childhood Diabetes: • Extremethirst• Frequenturination• WeightLoss• Excessiveirritability• Bedwetting(previously controlled)

Printed on recycled paper

A child reaching for the brass ring on a carousel is symbolic of the most important goal of the Children’s Diabetes Foundation — The Cure. Your contribution on behalf of a loved one will make a difference. It will support treatment programs to assist children with diabetes in leading healthier lives and it will fund research to help CDF “Catch the Brass Ring” by finding a cure.

Mark an anniversary, birthday or special occasion. Express appreciation or make a memorial tribute in honor of someone special with a contribution — for any amount — to the Children’s Diabetes Foundation. We now accept gifts online at www.ChildrensDiabetesFoundation.org.

Donations are tax deductible. Tax ID #84-0745008

The Brass Ring FundRemember a loved one –– Help CDF “Catch the Brass Ring”

Enclosed is my contribution of $ ______________________In memory of ______________________________________In honor of ________________________________________Occasion __________________________________________

Please send acknowledgements to:(Amount of gift will not be mentioned)

Name _____________________________________________Address ___________________________________________City ____________________ State ________ Zip ___________

This gift is from:Name _____________________________________________Address ___________________________________________City ____________________ State ________ Zip ___________

Children’s Diabetes Foundation4380 South Syracuse Street, Suite 430, Denver, CO 80237

Phone: 303-863-1200 • www.ChildrensDiabetesFoundation.org

Brian Kotzin, M.D. Vice President, Global Clinical Development, Amgen, Inc. Thousand Oaks, California

Aké Lernmark, M.D., Ph.D.

Ali Naji, M.D., Ph.D. J. William White Professor of Surgery, Hospital of University of Pennsylvania, Philadelphia

Gerald Nepom, M.D., Ph.D. Scientific Director and Director of Immunology and Diabetes Research Programs, Virginia Mason Research Center, Seattle

William V. Tamborlane, M.D. Professor of Pediatrics, Yale University School of Medicine, New Haven, Connecticut

J. William White Professor of Surgery, Hospital of University of Pennsylvania, Philadelphia

Robert H. William Professor, Department of Medicine, University of Washington School of Medicine, Seattle

ADVISORY BOARD:

Sir Michael CaineMs. Natalie ColeMr. and Mrs. Robert A. DalyThe Honorable Diana DeGette, U.S. House of Representatives, ColoradoMr. Neil DiamondMr. Placido DomingoMr. John ElwayMr. David FosterMr. Kenny GMr. David GeffenMr. Magic JohnsonMr. Quincy JonesMs. Sherry LansingMr. Jay LenoMr. Paul MarcianoMr. Mo OstinSir Sidney PoitierMrs. Ronald ReaganMr. Lionel Richie

Mrs. Adrienne Ruston FitzgibbonsMr. George SchlatterMs. Maria ShriverMr. Steven Spielberg and Ms. Kate CapshawMs. Brenda RichieMs. Barbera ThornhillMiss Joan van Ark Mr. Gary L. WilsonMr. Stevie Wonder

THE GUILD PRESIDENTS:

Founding President, Amy DavisMrs. Gina Abou-JaoudeMrs. Jamie AngelichMrs. Karen AylsworthMrs. Linda BroughtonMrs. Joy BurnsDr. Bonita CarsonMrs. Nancy CoweeDalyla CreagheMrs. Margy EpkeMrs. Chris FosterMrs. Helenn FranzgroteMrs. Sally FrerichsMrs. Debbie GradisharMrs. Helen HanksMrs. Marty JensenMrs. Gail JohnsonMrs. Sharon KamenMrs. Janet KniselyMrs. Shelley LucasMrs. Suzy LoveMrs. Judy McNeilMrs. Sally NewcombMrs. Gretchen PopeMrs. Carol RogerMrs. Kay StewartMrs. Diane SweatMrs. Loretta TuckerMrs. Jane Weingarten

23




Mr. Peter Culshaw


Ms. Dana Davis


Steven Farber, Esq.

Daniel Feiten, M.D.

Mr. Shane Hendryson


Mrs. Deidre Hunter

Mr. Shawn Hunter


Mr. Ken Rickel





Jules Amer, M.D.

M. Douglas Jones, Jr., M.D. Professor, Department of Pediatrics, University of Colorado School of Medicine; Section of Neonatology, The Children’s

Hospital, DenvereeeeeeeeeeeeNEWSNOTES will be published quarterly by the Children’s Diabetes Foundation. We welcome your comments.

If you would like to submit an article or a letter to Newsnotes send information to: [email protected]

Cindy Kalkofen Graphic Designer


Know the symptoms of Childhood Diabetes: • Extremethirst• Frequenturination• WeightLoss• Excessiveirritability• Bedwetting(previously controlled)


A child reaching for the brass ring on a carousel is symbolic of the most important goal of the Children’s Diabetes Foundation — The Cure. Your contribution on behalf of a loved one will make a difference. It will support treatment programs to assist children with diabetes in leading healthier lives and it will fund research to help CDF “Catch the Brass Ring” by finding a cure.

Mark an anniversary, birthday or special occasion. Express appreciation or make a memorial tribute in honor of someone special with a contribution — for any amount — to the Children’s Diabetes Foundation. We now accept gifts online at www.ChildrensDiabetesFoundation.org.

Donations are tax deductible. Tax ID #84-0745008

The Brass Ring FundRemember a loved one –– Help CDF “Catch the Brass Ring”

Enclosed is my contribution of $ ______________________In memory of ______________________________________In honor of ________________________________________Occasion __________________________________________

Please send acknowledgements to:(Amount of gift will not be mentioned)

Name _____________________________________________Address ___________________________________________City ____________________ State ________ Zip ___________

This gift is from:Name _____________________________________________Address ___________________________________________City ____________________ State ________ Zip ___________

Children’s Diabetes Foundation4380 South Syracuse Street, Suite 430, Denver, CO 80237

Phone: 303-863-1200 • www.ChildrensDiabetesFoundation.org








ADVISORY BOARD:

Sir Michael CaineMs. Natalie ColeMr. and Mrs. Robert A. DalyThe Honorable Diana DeGette, U.S. House of Representatives, ColoradoMr. Neil DiamondMr. Placido DomingoMr. John ElwayMr. David FosterMr. Kenny GMr. David GeffenMr. Magic JohnsonMr. Quincy JonesMs. Sherry LansingMr. Jay LenoMr. Paul MarcianoMr. Mo OstinSir Sidney PoitierMrs. Ronald ReaganMr. Lionel Richie

Mrs. Adrienne Ruston FitzgibbonsMr. George SchlatterMs. Maria ShriverMr. Steven Spielberg and Ms. Kate CapshawMs. Brenda RichieMs. Barbera ThornhillMiss Joan van Ark Mr. Gary L. WilsonMr. Stevie Wonder


Founding President, Amy DavisMrs. Gina Abou-JaoudeMrs. Jamie AngelichMrs. Karen AylsworthMrs. Linda BroughtonMrs. Joy BurnsDr. Bonita CarsonMrs. Nancy CoweeDalyla CreagheMrs. Margy EpkeMrs. Chris FosterMrs. Helenn FranzgroteMrs. Sally FrerichsMrs. Debbie GradisharMrs. Helen HanksMrs. Marty JensenMrs. Gail JohnsonMrs. Sharon KamenMrs. Janet KniselyMrs. Shelley LucasMrs. Suzy LoveMrs. Judy McNeilMrs. Sally NewcombMrs. Gretchen PopeMrs. Carol RogerMrs. Kay StewartMrs. Diane SweatMrs. Loretta TuckerMrs. Jane Weingarten


Dana Davis, Executive Director



Mr. Peter Culshaw



Steven Farber, Esq.

Daniel Feiten, M.D.

Mr. Shane Hendryson


Mrs. Deidre Hunter

Mr. Shawn Hunter


Mrs. Tracy van Orman

Mr. Cameron van Orman

Mr. Ken Rickel





Jules Amer, M.D.

M. Douglas Jones, Jr., M.D. Professor, Department of Pediatrics, University of Colorado School of Medicine; Section of Neonatology, The Children’s Hospital, Denver








ADVISORY BOARD:

Sir Michael CaineMr. and Mrs. Robert A. DalyThe Honorable Diana DeGette, U.S. House of Representatives, ColoradoMr. Neil DiamondMr. Placido DomingoMr. John ElwayMr. David FosterMr. Kenny GMr. David GeffenMr. Magic JohnsonMr. Quincy JonesMs. Sherry LansingMr. Jay LenoMr. Paul MarcianoMr. Mo OstinSir Sidney PoitierMrs. Ronald ReaganMr. Lionel RichieMrs. Adrienne Ruston Fitzgibbons

Mr. George SchlatterMs. Maria ShriverMr. Steven Spielberg and Ms. Kate CapshawMs. Brenda RichieMs. Barbera ThornhillMiss Joan van Ark Mr. Gary L. WilsonMr. Stevie Wonder


Founding President, Amy DavisMrs. Gina Abou-JaoudeMrs. Jamie AngelichMrs. Karen AylsworthMrs. Linda BroughtonMrs. Joy BurnsDr. Bonita CarsonMrs. Nancy CoweeMrs. Dalyla CreagheMrs. Margy EpkeMrs. Chris FosterMrs. Helenn FranzgroteMrs. Sally FrerichsMrs. Debbie GradisharMrs. Helen HanksMrs. Marty JensenMrs. Gail JohnsonMrs. Sharon KamenMrs. Janet KniselyMrs. Shelley LucasMrs. Suzy LoveMrs. Judy McNeilMrs. Sally NewcombMrs. Gretchen PopeMrs. Carol RogerMrs. Kay StewartMrs. Diane SweatMrs. Loretta TuckerMrs. Jane Weingarten

NewsNotes will be published quarterly by the Children’s Diabetes Foundation. We welcome your comments.

If you would like to submit an article or a letter to NewsNotes send information to: [email protected]

Zachary Reece Graphic Designer


Know the symptoms of childhood diabetes: • Extreme thirst • Frequent urination • Weight loss • Excessive irritability • Bedwetting (previously controlled)


Children’s Diabetes Foundation

4380 South Syracuse Street

Suite 430

Denver, CO 80237

Change Service Requested

Nonprofit Org.

U.S. POSTAGE

PAIDDenver, CO

Permit No. 1752

GET INVOLVED IN THE DIABETES ONLINE

COMMUNITY!

Facebook: ChildrensDiabetesFoundation

Twitter: Chldrnsdiabetes

Instagram: cdf_cares

CDF SPONSORS A BDC CHAPTER OF GIRLS ON THE RUNGirls on the Run is a team made up of girls ages 7-13 with type 1 diabetes and their siblings/friends. They spend 10 weeks training together, while also focusing on building character and confidence. Read more on page 15.

THE FLEXIBLE LIFESTYLE EMPOWERING CHANGE STUDY (FL3X) STUDYBarbara Davis Center doctors are creating a new style of appointment to help high-risk, adolescent patients improve their control and communication through problem-solving skills. Read more about this exciting study on page 6.

KNOW THE SYMPTOMS OF TYPE 1 DIABETES

Extreme Thirst • Frequent Urination Lethargy • Irritability • Weight Loss • Vision Changes

Documents

THE 36TH ANNUAL BRASS RING LUNCHEON T - Children's …test.childrensdiabetesfoundation.org/wp-content/uploads/2012/06/CDF... · processing. The retina can be separated into two separate