الأربعاء، 30 سبتمبر 2015

Higher-Protein Diet May Help Some With Type 2 Diabetes

Title: Higher-Protein Diet May Help Some With Type 2 Diabetes
Category: Health News
Created: 9/29/2015 12:00:00 AM
Last Editorial Review: 9/30/2015 12:00:00 AM

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Does Your Documentation Have To Change For ICD-10?

Author(s): 
Jeffrey D. Lehrman, DPM, FACFAS, FASPS, FAPWH

The answer to this question really lies in how you have been documenting up until now. The rule to code to the highest specificity has not changed. The rule that your documentation must support the specificity of the code and justify the code has not changed either. ICD-10 gives us the ability to (and in some cases the requirement to) indicate the etiology, anatomic site, laterality, severity and progression of a pathology with our coding in instances when this was not always possible with ICD-9. Going through some examples is a good way to illustrate this.

Section: 
Topics: 


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Parents Talking Type 1: Heather & Bekah

Heather and Mark

We recently asked our Facebook and Twitter communities to send us their stories—specifically, what it’s like to be the parent of a child living with type 1 diabetes. Having received a lot of wonderful stories, we’re excited to present these favorites on the blog every week.

We hope you’re as inspired by these personal stories as we are, and that you’re willing to keep the conversation going. Tell us more in the comments!


Name: Heather & Bekah (@yermawn)
Location: Fresno, CaliforniaHeather and Mark

Bekah was recently diagnosed on July 2, 2015. She is now 11 years old. I’ve had type 1 since I was 18 months old and now I’m 46. My grandmother also had it and lived until she was 89.

What motivates me? It’s that I know exactly what it’s like for Bekah. I am so very thankful, for once in my life, to have this disease. I am able to teach her and understand her frustrations from personal experience. But seriously, I’ve done everything I’ve ever wanted to—and I tell her she will do the same!

I have told her it’s an inconvenience to take a shot before you eat, but it could be worse. She has been giving her own shots since July 13, less than two weeks after she was diagnosed. I told her if she wants to be able to be independent and go to sleepovers, she’s going to have to do it herself. She did it and we were so proud of her. That’s a huge accomplishment!

There haven’t really been any challenges at school. The nurse is new, but she knows I know what I’m doing and what the doctors have ordered. We have set up a group text message between the school nurse assistant who is there daily and the district nurse and me. When Bekah checks her blood glucose at her designated times, she then group-texts us and tells us how many carbs she’s eating and what she is dosing. I pack her lunch so I text the carb count to everyone in the morning. Bekah just reconfirms that carb number along with her blood glucose levels and insulin dose at lunch time. Everyone is in the loop and has been wonderful and supportive.

My advice to other parents with newly diagnosed children is to no not overreact with the whole food thing. My kid eats whatever she wants, within reason. I obviously don’t let her eat candy bars for breakfast, apple pie for lunch and German chocolate cake for dinner. Everything is in moderation. She even got up in front of the whole class the first day of school and said, “If you can eat it, so can I!” She counts her carbs and knows how to dose insulin. It takes about two extra minutes out of her entire day to figure out the carb counts. Again, my philosophy is “everything in moderation.”

I believe everyone should expect and be prepared for a hypoglycemia situation. We were on day two of our journey with diabetes and on vacation for the Fourth of July (diabetes doesn’t stop us!) when Bekah said, “I think I’m low.”

I asked, “What are you feeling?”

She explained her symptoms and I said, “Let’s go check your levels and get you some juice.”

She was indeed low (72 mg/dl) and she knew what the feeling was. As we sat there as a family, I explained to her, “This is what it feels like. If you feel like this you need to eat or drink something.” Since then she’s all over it.

Let your friends, your child’s friends and their parents know right away about living with diabetes. Brag about it and post it on Facebook, Twitter and Instagram. Everyone needs to know the basics of diabetes, so there are as many people as possible looking out for your child. This way, your child should never feel ashamed or embarrassed to tell someone someday when they need help with a low, for example.

Lastly, make your child learn about diabetes. Do not do everything for them forever. They need independence and that cannot be done by hovering over them 24/7. They have to know what to do and what not to do. Granted, your child must be old enough to understand. I wouldn’t expect a 2-year-old to know the ropes, but an 8-year-old can and should. I was 8 when I started giving my own shots and I knew what to do if I was low.

There have been so many changes and advances since I was a kid, so with Bekah’s diagnosis there is a ton of new information for me as well. It’s a great refresher course on diabetes.


 

The American Diabetes Association’s Safe at School campaign is dedicated to making sure that all children with diabetes are medically safe at school and have the same educational opportunities as their peers. To learn more, visit http://diabetes.org/sas.



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الثلاثاء، 29 سبتمبر 2015

Experts Link Hormone-Disrupting Chemicals to Diabetes, Obesity

Title: Experts Link Hormone-Disrupting Chemicals to Diabetes, Obesity
Category: Health News
Created: 9/29/2015 12:00:00 AM
Last Editorial Review: 9/29/2015 12:00:00 AM

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Breaking News: The scoop on a key project for the American Diabetes Association and JDRF

ADA08120286

ADA08120286
The American Diabetes Association and JDRF co-hosted a gathering of scientists with distinct expertise in type 1 diabetes, type 2 diabetes, immunology, microbiology and technology. The experts agreed upon research priorities centered on understanding how the microorganisms that live in our bodies impact diabetes and obesity.

Overwhelmed? Don’t be. We broke it down in our Q&A below.

What did they actually talk about?

  • Human cells. And, human health.Specifically, they explored the microorganisms that inhabit the human body and their genetic makeup, which is known as the “microbiome,” and how these microorganisms are important factors in human health.

Okay, so what about the microbiome?

  • Within the first year of life, a community of microbes becomes established in the human gut. The exact composition of the population depends on the environment and diet, but is also influenced by the genes and immune system of the human host. Once it is established, the gut microbiota can be modified or changed by a number of factors including diet, probiotics, antibiotics and other pharmaceutical agents. Interestingly, these changes in the microbiota can also influence the human host’s metabolic function and other aspects of health.

Future findings may have an impact on diabetes. How?

  • Right now we know that the composition of the gut microbiome in people with obesity or diabetes is different from those who are lean. The composition also appears to be different between children who develop type 1 diabetes and those who do not. These differences suggest that something about obesity and diabetes may alter the microbiome, or alternatively, that microbiome composition may predispose individuals to these diseases.
  • The assembled researchers agreed upon what needs to be further explored to understand the impact of the microbiome on diabetes and obesity. The two organizations’ report was published summarizing the findings from this meeting, and highlighting the types of research that will be required to further advance this field of study. You can read the Association-JDRF joint press release here.

What’s the goal of this research?

  • Thanks in part to new technologies that allow large scale genomic sequencing and data analyses, the relationships between the microbiome and disease can now be addressed in a number of different ways. The ultimate goal is to develop and test microbiota-related interventions to prevent and treat diabetes.

With better understanding of the links between the microbiome and human health, we may be able to see a day when we can modify the bacteria living in our guts to prevent and treat diabetes.

For more information read the full paper here and check out the joint press release.



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الاثنين، 28 سبتمبر 2015

Your Rights, One Voice: Ella’s Story

Ella LEGAL ADV

“You made SUCH a big difference in our lives. Thank you.”

That was the message sent from Beth Burns, mother of 6-year-old Ella, to one of the American Diabetes Association’s Legal Advocates.

Months earlier, Ella’s parents had enrolled her in a Snohomish School District (Washington) program, held once per week for home-schooled children. Ella has type 1 diabetes and needs to take insulin on a daily basis to survive. The school needed to confirm that someone would be available to help Ella with insulin or glucagon, if she had a medical emergency. The school assured Ella’s parents that a school nurse, who worked half-days at the program, would be available.

Ella was all set for the program. But the weekend before her first day, the school nurse called and said that the school could not care for Ella. More than that, she stated the school was not required to do so.

The school’s position was that because the program was a “choice” program, it did not have to provide any school services or modifications above those that were already in place for the students.

The school had withdrawn its promise for Ella’s care, and that meant that she would not be able to attend the program. So, Beth contacted the Association for help.

Beth learned that Ella had rights. Under federal law (the Americans with Disabilities Act and Section 504 of the Rehabilitation Act), the school was required to meet Ella’s medical needs and allow her to attend the program.

With the help of the Association’s Legal Advocate, Beth wrote a letter to the head of the school district’s Special Education Program. After a meeting to discuss the issue, they were able to work things out.

“What you do truly changes lives—Ella LOVES her program. Instead of her first lesson in the ‘real world’ being that ‘diabetes holds you back from doing what you want to do,’ it’s been one of inclusion and support by her community.”–Beth Burns


The American Diabetes Association leads the effort to prevent and eliminate discrimination against people with diabetes at school, at work and in other parts of daily life. If you need help, call 1-800-DIABETES or visit http://ift.tt/1zCIiW2.

Through our nationwide Safe at School program, the Association is dedicated to making sure that all children with diabetes are medically safe at school and have the same educational opportunities as their peers. Visit our Safe at School website for information and resources.

Give the gift of fairness — donate now to help people with diabetes facing discrimination, just like Ella.

donate now



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الجمعة، 25 سبتمبر 2015

الخميس، 24 سبتمبر 2015

Human Insulinomas Show Distinct Patterns of Insulin Secretion In Vitro

Insulinomas are β-cell tumors that cause hypoglycemia through inappropriate secretion of insulin. Characterization of the in vitro dynamics of insulin secretion by perifused fragments of 10 human insulinomas permitted their subdivision into three functional groups with similar insulin content. Group A (four patients with fasting and/or postprandial hypoglycemic episodes) showed qualitatively normal responses to glucose, leucine, diazoxide, tolbutamide, and extracellular CaCl2 omission or excess. The effect of glucose was concentration dependent, but, compared with normal islets, insulin secretion was excessive in both low- and high-glucose conditions. Group B (three patients with fasting hypoglycemic episodes) was mainly characterized by large insulin responses to 1 mmol/L glucose, resulting in very high basal secretion rates that were inhibited by diazoxide and restored by tolbutamide but were not further augmented by other agents except for high levels of CaCl2. Group C (three patients with fasting hypoglycemic episodes) displayed very low rates of insulin secretion and virtually no response to stimuli (including high CaCl2 concentration) and inhibitors (CaCl2 omission being paradoxically stimulatory). In group B, the presence of low-Km hexokinase-I in insulinoma β-cells (not in adjacent islets) was revealed by immunohistochemistry. Human insulinomas thus show distinct, though not completely heterogeneous, defects in insulin secretion that are attributed to the undue expression of hexokinase-I in 3 of 10 patients.



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الأربعاء، 23 سبتمبر 2015

Parents Talking Type 1: Stacey & Benny

stacey simms

We recently asked our Facebook and Twitter communities to send us their stories—specifically, what it’s like to be the parent of a child living with type 1 diabetes. Having received a lot of wonderful stories, we’re excited to present these favorites on the blog every week.

We hope you’re as inspired by these personal stories as we are, and that you’re willing to keep the conversation going. Tell us more in the comments!


 

Name: Stacey & Benny (@staceysimms)
Location: Charlotte, North Carolinastacey simms

Benny was diagnosed in December 2006, just before he turned 2. Now he’s 10 years old, and we’re about to mark nine years of living with type 1 diabetes. We didn’t know anyone with type 1 in our family, but a few years later, a cousin was diagnosed.

When your child is diagnosed and he’s too young to even pronounce “diabetes” properly, the motivation is clear. It’s completely up to you to keep your child safe and healthy. We wanted Benny to live as normal a life as possible and to grow up with the idea that diabetes would not keep him from anything he wanted to do.

It was also important to us that our management and teachings about diabetes come from knowledge and experience, not from fear. I sometimes have to work hard to not let fear and worry take over. I remind myself that my goal as a parent is to make my children independent, confident and responsible.

Over the years, we transitioned more and more care to Benny, to the point where now he can be very independent. However, we are mindful of the mental burden and the potential for burnout, so we still help out quite a bit. I recently gave him a “diabetes free” day where I did everything. I didn’t even tell him his blood glucose numbers or the carb counts in his food. He had just come back from sleepaway camp, so I think he really appreciated having a break from diabetes management. I’ve offered another “free” day whenever he wants.

I think there are always challenges for kids with chronic conditions like diabetes. We want them to stay healthy, to stay safe and to also get a good education, make friends and pay attention in class. Mostly, they just want to go to school and not draw a lot of extra, unwanted attention to themselves. That’s a tough balance! I’m thankful our school staff has always worked with us and respected our wants and needs. Benny was the only child with type 1 in the school for kindergarten and first grade, but now there are four students, all of whom manage with different devices and different styles.

My advice to other parents with newly diagnosed children is to first take a deep breath. Remember that your child is unique. Connect with other diabetes parents in your area. However, I’d also recommend you connect with adults with type 1. When Benny was diagnosed, meeting healthy, happy adults with diabetes (even online) helped me picture him all grown up and doing great. Their perspective is very valuable. Although there is a lot of help and advice available on social media, often only the most dramatic situations get attention. That means you’re seeing the best and the worst, not necessarily the everyday.

I wrote a blog post recently about the different between trying to stay positive and trying to be perfect. The parent sets the tone, and I don’t want my son walking around in a gloom-and-doom cloud of fear. But diabetes is hard. It’s always there and if you ignore it, it just makes things worse. It’s a giant pain and it’s important to acknowledge it. I also don’t want anyone feeling bad for my son.

If you deny the frustration and sadness that comes along with a chronic illness, you don’t do yourself any favors. But if you also deny the joy you still have, you’re missing out on so much more. Be joyful. Enjoy your child. Life with diabetes isn’t what any of us wanted.

But when I watch my son crush a baseball in the playoffs, or receive a funny letter telling me he’s having a great time at camp or watch him happily crash on the couch after a sleepover at a friend’s house (where no one really slept), I smile and remember life is so much more than diabetes. Life is good.


 

The American Diabetes Association’s Safe at School campaign is dedicated to making sure that all children with diabetes are medically safe at school and have the same educational opportunities as their peers. To learn more, visit http://diabetes.org/sas.



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الثلاثاء، 22 سبتمبر 2015

الاثنين، 21 سبتمبر 2015

الجمعة، 18 سبتمبر 2015

الأربعاء، 16 سبتمبر 2015

Pesticide Exposure Tied to Diabetes Risk

Title: Pesticide Exposure Tied to Diabetes Risk
Category: Health News
Created: 9/16/2015 12:00:00 AM
Last Editorial Review: 9/16/2015 12:00:00 AM

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Parents Talking Type 1: Kelvis & Kelvis Jr.

KJR

We recently asked our Facebook and Twitter communities to send us their stories—specifically, what it’s like to be the parent of a child living with type 1 diabetes. Having received a lot of wonderful stories, we’re excited to present these favorites on the blog every week.

We hope you’re as inspired by these personal stories as we are, and that you’re willing to keep the conversation going. Tell us more in the comments!


 

Name: Kelvis & Kelvis Jr. (@iEvents_Kelvis)
Location: Kennesaw, GeorgiaKJR

My six-year-old son Kelvis has been diagnosed for four years now. No other family members have been diagnosed with type 1 diabetes.

Our motivation is to keep our son alive and as healthy as possible at all times. We teach and encourage self-management to ensure he understands the seriousness of his health issue. And also to make sure we feel comfortable when we can’t be there to help him, such as when he’s over his friend’s house; with diabetes it’s important to always be ready.

We haven’t had any challenges with managing diabetes in the school setting because he is home-schooled. However, we still deal with lows during playtime. When Kelvis attended preschool his diabetes was handled with the utmost care; we appreciated all their support. All teachers and staff were ordered to take a two-day class on diabetes management.

My advice to parents who are new to diabetes is to not get discouraged with all the constant highs and lows. Keep your head up and try to encourage your child every day. It’s a hard road, but remember you are not alone in this fight. Nights and days will start to run together, and although you may get discouraged, don’t let your child see you that way…it will discourage them. Stay positive.

Parents of children with diabetes are overlooked so many times. Our faith and friends are what gets us through at 2 a.m. when we check on our kids and find their sugars at 40. Your average type 1 parent does not know what a peaceful night sleep is; we are constantly listening and waking up to check on our kids and make sure they are okay. Others just don’t understand the struggles we go through, and sometimes they can say the meanest things. These distractions don’t bring us down, however; we have a wonderful support system and will keep it that way.


 

The American Diabetes Association’s Safe at School campaign is dedicated to making sure that all children with diabetes are medically safe at school and have the same educational opportunities as their peers. To learn more, visit http://diabetes.org/sas.



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الثلاثاء، 15 سبتمبر 2015

الجمعة، 11 سبتمبر 2015

Miss South Carolina 2015: Paving the Way to Stop Diabetes®

Daja Dial

Miss South Carolina 2015, Daja Dial, is the newest member of our Celebrity Cabinet and has joined the fight to Stop Diabetes. A family history of type 2 diabetes, plus her brother’s struggles with late-onset type 1 diabetes, led Dial to support the cause.

Read on to learn more about her story and how winning the Miss America 2016 title would help drive more awareness about diabetes. And don’t forget to tune in live on Sunday, September 13 (9:00 – 11:00 p.m. ET) on the ABC Network.


Daja DialI am Daja Dial, Miss South Carolina 2015, and I am an advocate for people with type 1 and 2 diabetes. My brother lives with type 1, my grandmother has prediabetes and my great-grandmother, at 92 years old, is blind from complications of type 2. This family history, plus my brother’s struggles with accepting his disease and transitioning to adulthood, led me to join the fight. I vowed to do all that I possibly could to keep others from experiencing that same struggle!

This week I am in Atlantic City, New Jersey, vying for the title of Miss America 2016. I have recently concluded my preliminary interview with the judges and had the honor of winning the Lifestyle and Fitness preliminary! At the forefront of my mind during the intense 10-minute interview was my brother, my grandmother, great-grandmother and the nearly 30 million other Americans living with diabetes.

Winning Miss America would be a dream come true. Not because I would have a new crown or a new title, but because it would provide me a bigger stage to make a difference for all people with diabetes.  For me the crown is about believing in myself, and believing that I can make a difference. Far too many lives are impacted and taken early by diabetes. I believe that can be changed.

I want everyone to believe in themselves. Believe that you can overcome your struggle. Believe you have power to manage your diabetes, no matter the type. Believe that you can make a difference in your life and the lives of others. Believe we will find a cure.

And believe there are passionate people out there working every day to inspire, encourage and motivate that change. I believe we will Stop Diabetes, and I’m thrilled to be a part of that!


To learn more about Daja, read her interview in Diabetes Forecast.



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الخميس، 10 سبتمبر 2015

Very High-Calorie Diets Show How Overeating May Lead to Diabetes

Title: Very High-Calorie Diets Show How Overeating May Lead to Diabetes
Category: Health News
Created: 9/9/2015 12:00:00 AM
Last Editorial Review: 9/10/2015 12:00:00 AM

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Short, Intense Workouts May Help Hearts of Type 2 Diabetics

Title: Short, Intense Workouts May Help Hearts of Type 2 Diabetics
Category: Health News
Created: 9/9/2015 12:00:00 AM
Last Editorial Review: 9/10/2015 12:00:00 AM

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Can Eye Screening for Diabetic Kids Be Delayed a Bit?

Title: Can Eye Screening for Diabetic Kids Be Delayed a Bit?
Category: Health News
Created: 9/9/2015 12:00:00 AM
Last Editorial Review: 9/10/2015 12:00:00 AM

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الأربعاء، 9 سبتمبر 2015

Diabetes a Concern for Half of Americans

Title: Diabetes a Concern for Half of Americans
Category: Health News
Created: 9/9/2015 12:00:00 AM
Last Editorial Review: 9/9/2015 12:00:00 AM

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Parents Talking Type 1: Scott and Arden

IMG_3166

We recently asked our Facebook and Twitter communities to send us their stories—specifically, what it’s like to be the parent of a child living with type 1 diabetes. Having received a lot of wonderful stories, we’re excited to present these favorites on the blog every week.

We hope you’re as inspired by these personal stories as we are, and that you’re willing to keep the conversation going. Tell us more in the comments!


Name: Scott and Arden (@ArdensDay)IMG_3166
Location: Central New Jersey

Arden, 11 years old, was diagnosed around her second birthday. No one else in the family has diabetes, but there are other varying endocrine issues with the women on my wife’s side.

My wife and I had children because we wanted to love and care for them, to help them to become happy and healthy adults. We certainly weren’t expecting that type 1 diabetes would be part of our lives as we planned a family. However, it’s here and the pressure, responsibility and burden of parenting with type 1 does not change our desire to be the parents that we imagined we were before Arden was born. We are living the life we have and living it as well as we can.

Arden is about to enter the sixth grade. She wears a Dexcom CGM (continuous glucose monitor) and I can see the blood glucose readings on my iPhone. Her A1C dropped over a point and a half a few years ago but afterwards we began to handle the school day as if we were together along with school staff. I talk about it on an episode of my Juicebox Podcast titled “Texting Diabetes.” I have worked extensively with the school staff over the years to build a good relationship. This time spent is invaluable.

My daughter’s type 1 diagnosis is, to date, the most terrible thing that has happened to our family. But we didn’t let it affect who we are at our core. Our goals and the way we go about our days, those things remain unchanged. I would do anything for diabetes not to exist, but living with and loving a person who has a chronic illness gives you a perspective that would take two lifetimes to fully understand. This perspective is a gift that will enhance your life in ways that you can’t imagine. It’s not a fair trade by any means, but please don’t let anger and sadness keep you from seeing it. It will carry you a long way.

My advice to other parents with newly diagnosed children would be to find a community. Also know that while living with type 1 diabetes never gets easier, you will get so much better at dealing with it that one day, much sooner than you can imagine right now, it will feel easy (on most days). Hang tough, gain experiences, pay attention to trends and stay fluid.


The American Diabetes Association’s Safe at School campaign is dedicated to making sure that all children with diabetes are medically safe at school and have the same educational opportunities as their peers. To learn more, visit http://diabetes.org/sas.



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الثلاثاء، 8 سبتمبر 2015

الجمعة، 4 سبتمبر 2015

الخميس، 3 سبتمبر 2015

الأربعاء، 2 سبتمبر 2015

Parents Talking Type 1: Annie & Hannah

Parents Talking Type 1: Annie & Hannah

We recently asked our Facebook and Twitter communities to send us their stories—specifically, what it’s like to be the parent of a child living with type 1 diabetes. Having received a lot of wonderful stories, we’re excited to present these favorites on the blog every week.

We hope you’re as inspired by these personal stories as we are, and that you’re willing to keep the conversation going. Tell us more in the comments!


 

Name: Annie & Hannah (@CarbCrunchingKids)Annie PTT1
Location:
Sarasota, Florida

Hannah was diagnosed with type 1 diabetes on April 10, 2013.

I am constantly telling Hannah, “We are never guaranteed tomorrow. If something was to ever happen to me or your dad, I have to know that you will always take care of your body so that you can live a long, fulfilling life.” She always reassures me that she will, and then we hug.

The biggest challenge we have when attending school is that others don’t understand how serious type 1 diabetes can really be. They think it’s a diet issue even though my daughter is in great shape and athletic.

Before the school year started, the principal asked if Hannah and I would like to come talk to the sixth grade staff about the gadgets she uses and wears to care for her diabetes and stay alive. This was extremely important to us because it’s an opportunity some parents would beg for and never get.

My advice to parents with newly diagnosed children is to get involved ASAP! Sign up for anything and everything you can so your child isn’t embarrassed to ask for help and help others with diabetes. Whether you ride a bike, walk or volunteer, it’s important to do something.

We signed up for Tour de Cure a month after Hannah’s diagnosis and she is now an ambassador for our local event. She’s also raised over $8,000 in two rides! We are really looking forward to our third Tour next April; it will be Hannah’s “diaversary.”

As parents of children with diabetes, we can feel bad for them or we can let them be even more amazing with diabetes and be an inspiration to others. I encourage Hannah to stay active and fight like a superhero.  She loves to say, “If God brought me to it, he’ll bring me through it!”


 

The American Diabetes Association’s Safe at School campaign is dedicated to making sure that all children with diabetes are medically safe at school and have the same educational opportunities as their peers. To learn more, visit http://diabetes.org/sas.



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