{"id":36302,"date":"2014-07-03T09:54:39","date_gmt":"2014-07-03T13:54:39","guid":{"rendered":"http:\/\/asweetlife.org\/?post_type=feature&p=36302"},"modified":"2016-01-11T03:49:43","modified_gmt":"2016-01-11T08:49:43","slug":"five-things-you-need-to-know-from-the-ada-74th-scientific-sessions","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=36302","title":{"rendered":"Five Things You Need To Know From The ADA 74th Scientific Sessions"},"content":{"rendered":"

The American Diabetes Association\u2019s 74th<\/sup> Scientific Sessions took place in San Francisco from June 13 to 17. Many, interesting and important findings were presented, and here are the five that I believe all people with diabetes should know.<\/p>\n

1.\u00a0<\/strong>ADA New Position Statement Changes The A1C Target Recommendations for the Type 1 Diabetes Pediatric Population<\/strong><\/h2>\n

Dr. Ann Peters, MD, FACP helped develop the new position statement for the standards of Type 1 diabetes. She states: “Our goal here is to present a position statement that looks specifically at the needs of people with Type 1 diabetes across the age spectrum.”<\/p>\n

Previously, the recommend target A1C for children under the age of 6 was 8.5%, 8.0% for six to twelve year olds, and 7.5% for teenagers. The authors of the new position statement explained that those targets had been chosen due to concerns about the risks of dangerous hypoglycemic episodes. Research has shown, however, the greater risk is prolonged hyperglycemia leading to early developments of serious complications in childhood<\/a>. Given that new tools to detect \u00a0hypoglycemia, such as continuous glucose monitors, are now available, lead the authors to issue a target of 7.5% A1C for the entire pediatric population<\/strong>.<\/p>\n

It is important to note that despite the new lower recommendation, a recent study showed that only 32% of the Type 1 pediatric population met the previous ADA targets for their age group.<\/a><\/p>\n

2.\u00a0<\/strong>\u201cDiabetes Distress\u201d for Type 2 Diabetics and Increased Mortality for Type 1 Diabetcis<\/strong><\/h2>\n

\u00a0<\/strong><\/p>\n

It\u2019s no secret that there is a strong correlation between diabetes and depression, but Dr. Lawrence Fisher, PhD, ABPP believes that many individuals with Type 2 diabetes suffer from \u201cdiabetes distress\u201d and not clinical depression. Diabetes distress is the feelings associated with the daily burden of a chronic, complex disease.<\/p>\n

Fisher states<\/a>: \u201cMany of the depressive symptoms reported by people with Type 2 diabetes are really related to their diabetes, and don\u2019t have to be considered psychopathology. So they can be addressed as part of the spectrum of the experience of diabetes and dealt with by their diabetes care team.\u201d His study placed individuals who scored high on a patient health questionnaire into three intervention groups: an online diabetes self-management program, an online individualized assistance program, and an education by mail program. All showed significantly reduced distress over a 12-month period.<\/p>\n

While Dr. Fischer did not research diabetes distress in the Type 1 diabetes population, a separate study<\/a> presented an alarming result: those who exhibit the highest level of depressive symptoms are most likely to die prematurely. This group of diabetics, all diagnosed between 1950 and 1980, \u00a0was studied over a 25-year period using the Beck Depression Scale<\/a>.<\/p>\n

Cassie Fickley, the lead author, said: \u201cFor every one point increase on the Beck Depression Inventory Scale, participants showed a four percent increase in risk for mortality \u2013 after controlling for other factors that might increase the risk of death.\u201d Results from this study show that the diagnosis of depression in the Type 1 diabetes population and intervention of some type is crucial.<\/p>\n

3.\u00a0<\/strong>The Diabetes Online Community Presented (and Represented)<\/strong><\/h2>\n

\u00a0<\/strong><\/p>\n

For the first time at ADA a panel made up entirely of representatives of the Diabetes Online Community (DOC) spoke about the importance of peer social support for the health of those living with diabetes. Jeff Hitchcock<\/a>, Kerri Sparling<\/a>, Manny Hernandez<\/a>, and Scott Johnson,<\/a> all icons in the DOC shared their thoughts, answered questions from clinicians, and gave important advice on ways to engage with the community.<\/p>\n

Kerri Sparling, touting the benefits of the Diabetes Online Community stated: \u201cPeople with diabetes can find empowerment through shared triumphs,\u201d with Scott Johnson adding his thoughts about the way that diabetes often creates a feeling of isolation and the online community helps to alleviate it. The audience was engaged, excited, and interested in the patient perspective, and it is hoped that this will be the first of many patient presentations at ADA.<\/p>\n

4.\u00a0<\/strong>The Bionic Pancreas Outperforms Insulin Pumps<\/strong><\/h2>\n

\u00a0<\/strong><\/p>\n

The latest research<\/a> regarding the bionic pancreas, a system using insulin and glucagon pumps to regulate blood glucose levels based on data from a continuous glucose monitor, should come as no surprise to those following this exciting next step in diabetes management.<\/p>\n

Two studies have shown that: \u201c\u2026this device far exceeded our expectations in terms of its ability to regulate glucose, prevent hypoglycemia and automatically adapt to the different needs of adults \u2013 some of whom were very insulin-sensitive \u2013 and adolescents, who typically need higher insulin doses, \u201c said Dr. Edward Damiano. \u201cThere\u2019s no current standard-of-care therapy that could match the results we saw.\u201d<\/strong><\/p>\n

Next steps for the bionic pancreas trials will involve longer periods of home use and the addition of larger multicenter trials, eventually leading to what the researchers hope will be FDA approval of this system within the next few years.<\/p>\n

5.\u00a0<\/strong>Does Cow\u2019s Milk Trigger Development of T1 Diabetes?<\/strong><\/h2>\n

\u00a0<\/strong><\/p>\n

Speculation<\/a> ran rampant for years about whether early exposure to cow\u2019s milk acts as a trigger for Type 1 \u00a0diabetes, with many Type 1 T1 parents choosing to breastfeed or use soy-based formula to lessen the chances of their offspring developing Type 1 diabetes. A randomized controlled study<\/a> separated infants into two groups: a cow\u2019s milk-based formula group and a hydrolyzed protein formula group.<\/p>\n

The researchers studied the children for 7 years and found no difference in the development of Type 1 antibody markers between the groups, leading to the conclusion that cow\u2019s milk is not a trigger<\/strong>. However, the children participating in the study will be followed until age ten to determine if they develop Type 1 \u00a0antibody markers and\/or Type 1 diabetes.<\/p>\n

*Author\u2019s airfare to San Francisco and hotel accommodations were paid by Diabetes Advocates, a program of the Diabetes Hands Foundation.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Given that new tools to detect hypoglycemia, such as continuous glucose monitors, are now available, lead the authors to issue a target of 7.5% A1C for the entire pediatric population. It is important to note that despite the new lower recommendation, a recent study showed that only 32% of the Type 1 pediatric population met the previous ADA targets for their age group.<\/p>\n","protected":false},"author":59,"featured_media":36303,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"image","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1429,1587],"tags":[],"yoast_head":"\nFive Things You Need To Know From The ADA 74th Scientific Sessions<\/title>\n<meta name=\"description\" content=\"The ADA 74th Scientific Sessions took place in San Francisco this June. Here are the five interesting and important findings presented that all people with diabetes should know.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/asweetlife.org\/?p=36302\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Christel Marchand Aprigliano\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/asweetlife.org\/?p=36302\",\"url\":\"https:\/\/asweetlife.org\/?p=36302\",\"name\":\"Five Things You Need To Know From The ADA 74th Scientific Sessions\",\"isPartOf\":{\"@id\":\"https:\/\/asweetlife.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/asweetlife.org\/?p=36302#primaryimage\"},\"image\":{\"@id\":\"https:\/\/asweetlife.org\/?p=36302#primaryimage\"},\"thumbnailUrl\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2014\/07\/ADA-Logo.jpg\",\"datePublished\":\"2014-07-03T13:54:39+00:00\",\"dateModified\":\"2016-01-11T08:49:43+00:00\",\"author\":{\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/58cb544984752afc5751b3a359230422\"},\"description\":\"The ADA 74th Scientific Sessions took place in San Francisco this June. Here are the five interesting and important findings presented that all people with diabetes should know.\",\"breadcrumb\":{\"@id\":\"https:\/\/asweetlife.org\/?p=36302#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/asweetlife.org\/?p=36302\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/asweetlife.org\/?p=36302#primaryimage\",\"url\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2014\/07\/ADA-Logo.jpg\",\"contentUrl\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2014\/07\/ADA-Logo.jpg\",\"width\":600,\"height\":400,\"caption\":\"ADA-Logo\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/asweetlife.org\/?p=36302#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/asweetlife.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Five Things You Need To Know From The ADA 74th Scientific Sessions\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/asweetlife.org\/#website\",\"url\":\"https:\/\/asweetlife.org\/\",\"name\":\"ASweetLife\",\"description\":\"The Diabetes Magazine\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/asweetlife.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/58cb544984752afc5751b3a359230422\",\"name\":\"Christel Marchand Aprigliano\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/ed97e9fdb7aa92ccb509f6bc6a806a16?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/ed97e9fdb7aa92ccb509f6bc6a806a16?s=96&d=mm&r=g\",\"caption\":\"Christel Marchand Aprigliano\"},\"description\":\"Diagnosed at twelve with Type 1 diabetes, Christel Marchand Aprigliano works with other prominent advocates to heighten public awareness and create meaningful positive changes in the diabetes community. She is the founder of The DiabetesUnConference, the first multi day peer-to-peer idea exchange conference for all adults with diabetes. Christel also devotes time to Strip Safely, a grassroots advocacy program for blood glucose meter accuracy; and the community through Diabetes Advocates. You can find her thoughts on life with diabetes (and an understanding husband and beautifully crazy preschooler) on her blog, www.theperfectd.com.\",\"url\":\"https:\/\/asweetlife.org\/?author=59\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Five Things You Need To Know From The ADA 74th Scientific Sessions","description":"The ADA 74th Scientific Sessions took place in San Francisco this June. Here are the five interesting and important findings presented that all people with diabetes should know.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/asweetlife.org\/?p=36302","twitter_misc":{"Written by":"Christel Marchand Aprigliano","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/asweetlife.org\/?p=36302","url":"https:\/\/asweetlife.org\/?p=36302","name":"Five Things You Need To Know From The ADA 74th Scientific Sessions","isPartOf":{"@id":"https:\/\/asweetlife.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/asweetlife.org\/?p=36302#primaryimage"},"image":{"@id":"https:\/\/asweetlife.org\/?p=36302#primaryimage"},"thumbnailUrl":"https:\/\/asweetlife.org\/wp-content\/uploads\/2014\/07\/ADA-Logo.jpg","datePublished":"2014-07-03T13:54:39+00:00","dateModified":"2016-01-11T08:49:43+00:00","author":{"@id":"https:\/\/asweetlife.org\/#\/schema\/person\/58cb544984752afc5751b3a359230422"},"description":"The ADA 74th Scientific Sessions took place in San Francisco this June. Here are the five interesting and important findings presented that all people with diabetes should know.","breadcrumb":{"@id":"https:\/\/asweetlife.org\/?p=36302#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/asweetlife.org\/?p=36302"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/asweetlife.org\/?p=36302#primaryimage","url":"https:\/\/asweetlife.org\/wp-content\/uploads\/2014\/07\/ADA-Logo.jpg","contentUrl":"https:\/\/asweetlife.org\/wp-content\/uploads\/2014\/07\/ADA-Logo.jpg","width":600,"height":400,"caption":"ADA-Logo"},{"@type":"BreadcrumbList","@id":"https:\/\/asweetlife.org\/?p=36302#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/asweetlife.org\/"},{"@type":"ListItem","position":2,"name":"Five Things You Need To Know From The ADA 74th Scientific Sessions"}]},{"@type":"WebSite","@id":"https:\/\/asweetlife.org\/#website","url":"https:\/\/asweetlife.org\/","name":"ASweetLife","description":"The Diabetes Magazine","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/asweetlife.org\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/asweetlife.org\/#\/schema\/person\/58cb544984752afc5751b3a359230422","name":"Christel Marchand Aprigliano","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/asweetlife.org\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/ed97e9fdb7aa92ccb509f6bc6a806a16?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/ed97e9fdb7aa92ccb509f6bc6a806a16?s=96&d=mm&r=g","caption":"Christel Marchand Aprigliano"},"description":"Diagnosed at twelve with Type 1 diabetes, Christel Marchand Aprigliano works with other prominent advocates to heighten public awareness and create meaningful positive changes in the diabetes community. She is the founder of The DiabetesUnConference, the first multi day peer-to-peer idea exchange conference for all adults with diabetes. Christel also devotes time to Strip Safely, a grassroots advocacy program for blood glucose meter accuracy; and the community through Diabetes Advocates. You can find her thoughts on life with diabetes (and an understanding husband and beautifully crazy preschooler) on her blog, www.theperfectd.com.","url":"https:\/\/asweetlife.org\/?author=59"}]}},"_links":{"self":[{"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/posts\/36302"}],"collection":[{"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/users\/59"}],"replies":[{"embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=36302"}],"version-history":[{"count":0,"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/posts\/36302\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/media\/36303"}],"wp:attachment":[{"href":"https:\/\/asweetlife.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36302"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36302"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36302"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}