- Diabetes Management and Research
- Diabetes and associated disorders
- Pancreatic function and diabetes
- Mobile Health and mHealth Applications
- Childhood Cancer Survivors' Quality of Life
- Adolescent and Pediatric Healthcare
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Diabetes Treatment and Management
- Retinal Diseases and Treatments
- Retinopathy of Prematurity Studies
- Pancreatic and Hepatic Oncology Research
- Retinal Imaging and Analysis
- Obesity and Health Practices
- Diet and metabolism studies
- Metabolism and Genetic Disorders
- Growth Hormone and Insulin-like Growth Factors
- Lung Cancer Research Studies
- Neuroendocrine Tumor Research Advances
- Eating Disorders and Behaviors
- Optimism, Hope, and Well-being
- COVID-19 Clinical Research Studies
- Sexual Differentiation and Disorders
Vanderbilt University Medical Center
2015-2024
Vanderbilt University
2013-2022
OBJECTIVE We compared the uptake of telemedicine for diabetes care across multiple demographic groups during coronavirus disease 2019 pandemic to understand impact adoption on access care. RESEARCH DESIGN AND METHODS The study analyzed information patients with type 1 seen between January 2018 and 30 June 2020 at a single center. odds completing visit via characteristics. RESULTS Among 28,977 patient visits, were lower among non-English-speaking (1.7% vs. 2.7%; adjusted ratio [aOR] 0.45, 95%...
The purpose of this study is to examine timing meal insulin and further determine whether an association exists between missed doses. cohort included 4768 T1D Exchange clinic registry participants <26 years with type 1 diabetes ≥1 year. Chi-square tests, t-tests, regression were used assess the relationship participant characteristics doses, respectively. Timing doses was analyzed using logistic regression. In all, 21% reported administering several minutes before, 44% immediately 10%...
Purpose The purpose of this study was to identify barriers adherence in type 1 diabetes through adolescent focus groups and use information determine how educators can have a positive impact on their patients’ management. Methods Two were conducted with adolescents young adults (n = 11) ages 17 21 diabetes. A group script, which consisted 4 open-ended questions about care challenges associated management diabetes, used elicit discussion. transcripts coded analyzed using the...
OBJECTIVE Although mortality from coronavirus disease 2019 (COVID-19) among youth with type 1 diabetes is rare, severe acute respiratory syndrome 2 associated increased pediatric hospitalizations for diabetic ketoacidosis (DKA). To clarify whether the relationship between COVID-19 and DKA coincidental or causal, we compared tissue glucose disposal (TGD) during standardized treatment patients those without COVID-19. RESEARCH DESIGN AND METHODS We retrospectively TGD therapy in all children...
OBJECTIVE Despite evidence that continuous glucose monitoring (CGM) use is associated with lower HbA1c among children type 1 diabetes, uptake of this technology remains those difficulty accessing health care, including from socioeconomic status backgrounds and racial ethnic minorities. In study, we sought to explore the impact rural location in CGM guide patient provider decision making. RESEARCH DESIGN AND METHODS retrospective study electronic record demographic visits data a single...
Abstract Background Positive psychology interventions demonstrate improvements in diabetes self-management and quality of life among adults with chronic health conditions, but few for adolescents use this approach. Objective This study describes engagement a positive intervention delivered via automated SMS text messages aimed at treating distress improving outcomes. In addition, demographic clinical predictors were examined. Methods Adolescents type 1 (ages 13-17 years) who reported least...
Background: Continuous glucose monitor (CGM) use has been linked with better glycemic outcomes (HbA1c), yet many adolescents type 1 diabetes (T1D) struggle to maintain optimal CGM use. Methods: This study examined and its association HbA1c psychosocial factors among T1D experiencing at least moderate distress (N = 198). We mean differences in HbA1c, distress, diabetes-related family conflict, quality of life user groups ( Current Users, Past Never Users). Results: Users demonstrated...
Purpose . The current study compares the relative strength of associations different adherence measures with glycemic control in adolescents type 1 diabetes, while highlighting challenges using more objective (i.e., glucometer data). Methods Adolescents diabetes (<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>149</mml:mn></mml:math>) and their caregivers completed a questionnaire measure assessing adolescents’ (Self-Care Inventory...
Purpose: The purpose of the study was to identify demographic factors associated with continuous glucose monitor (CGM) and automated insulin delivery (AID) use among adolescents type 1 diabetes explore why may start stop using CGMs. Methods: Adolescents ages 13 17 caregivers completed device surveys at baseline for a randomized trial behavioral intervention conducted 2 large medical centers in United States. This is secondary analysis data. Results: sample consisted 198 participants 17, 58%...
<b>Objective: </b>We compared the uptake of telemedicine for diabetes care across multiple demographic groups during COVID-19 pandemic to understand impact adoption on access care. <p><b>Research Design and Methods:</b> The study analyzed information patients with type 1 seen between 1/1/2018 6/30/2020 at a single center. We odds completing visit via characteristics.</p> <p><b>Results: </b>Among 28,977 patient-visits, were lower among...
This case details the presentation and surgical management of a 15-year-old male patient with multiple endocrine neoplasia syndrome type 1 (MEN1) who required distal pancreatectomy for nonfunctional pancreatic tumors. An intraoperative ultrasound was utilized to allow proper location pancreatectomy, as well visualization splenic vessel relationships ensure all lesions were contained within specimen. Pathology demonstrated 5 well-differentiated neuroendocrine tumors no evidence malignancy....
<p dir="ltr">Objective:</p><p dir="ltr">Despite evidence that continuous glucose monitoring (CGM) use is associated with lower HbA1c among children type 1 diabetes, uptake of this technology remains those difficulty accessing health care including from SES backgrounds and racial ethnic minorities. In study, we sought to explore the impact rural location in CGM guide patient provider decision-making.</p><p dir="ltr">Research Design Methods:</p><p...
<p dir="ltr">Objective:</p><p dir="ltr">Despite evidence that continuous glucose monitoring (CGM) use is associated with lower HbA1c among children type 1 diabetes, uptake of this technology remains those difficulty accessing health care including from SES backgrounds and racial ethnic minorities. In study, we sought to explore the impact rural location in CGM guide patient provider decision-making.</p><p dir="ltr">Research Design Methods:</p><p...
<p>Objective: Although mortality from COVID-19 among youth with type 1 diabetes is rare, SARS-CoV-2 associated increased pediatric hospitalizations for diabetic ketoacidosis (DKA). To clarify whether the relationship between and DKA coincidental or causal, we compared tissue glucose disposal (TGD) during standardized treatment patients versus those without COVID-19. </p> <h2>Research Design Methods: We retrospectively TGD therapy in all children preexisting Cases were...
<p>Objective: Although mortality from COVID-19 among youth with type 1 diabetes is rare, SARS-CoV-2 associated increased pediatric hospitalizations for diabetic ketoacidosis (DKA). To clarify whether the relationship between and DKA coincidental or causal, we compared tissue glucose disposal (TGD) during standardized treatment patients versus those without COVID-19. </p> <h2>Research Design Methods: We retrospectively TGD therapy in all children preexisting Cases were...