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Tag Archives: Family health
This article has moved to: http://www.raisingarizonakids.com/2012/04/reacting-to-an-autism-diagnosis-whats-next/
It’s the fourth Tuesday in March, which means it’s time for Diabetes Alert Day.
Held by the American Diabetes Association, Alert Day is a one-day “wake-up call,” asking Americans to take the Diabetes Risk Test to find out if they are at risk for developing type 2 diabetes.
Diabetes affects nearly 26 million children and adults in the United States. About one-quarter of them—7 million—do not even know they have it.
An additional 79 million, or one in three American adults, have prediabetes, which puts them at high risk for developing type 2 diabetes.
What is prediabetes?
Pre-diabetes, says Dr. Floyd Shewmake, M.D., J.D., senior medical director for Blue Cross Blue Shield of Arizona (BCBSA), refers to a blood sugar level which is higher than normal but not yet high enough to result in the diagnosis of diabetes. Almost all type 2 diabetics go through a period of time when they meet the criteria for pre-diabetes.
The only way to determine if you are pre-diabetic is to have a fasting blood sugar test done, he adds. Pre-diabetes has no symptoms but there is evidence that even at this early stage damage to critical organs such as the heart and kidneys can begin.
So, who’s at risk?
Adults and children who have one or both parents diagnosed with type 2 diabetes are at a higher risk for developing type 2 diabetes, says Shewmake.
Women who developed elevated blood sugars during pregnancy are also at a higher risk of type 2 diabetes as they get older, and should be monitored more closely for diabetes.
Shewmake says that the risk for developing diabetes can be delayed, or even avoided. Healthy dietary habits, maintaining a normal weight, and an active lifestyle with regular exercise can help.
Type 2 diabetes occurs more often in adults with high blood pressure, so Shewmake encourages regular checkups to make sure that blood pressure stays in the normal range.
Recent research shows a link between type 2 diabetes and the development of colon cancer. This association has been identified in several studies though it is not yet understood exactly why this link exists.
Colon cancer screening is important for all adults, says Shewman, and especially important for individuals with type 2 diabetes because of this link.
“We have known for years that the better the sugar is controlled, says Shewman, “the less likely secondary complications such as heart, vascular and kidney diseases will occur.” New drug therapies developed over the last ten years are helping type 2 diabetics better control their blood sugars.
Blue Cross Blue Shield of Arizona encourages families to follow the “5-2-1-0” plan for staying healthy and active. Aim for:
FIVE fruits or vegetables per day
TWO hours or less of screen time
ONE hour of physical activity
ZERO sweetened drinks.
Would you recognize the warning signs of pediatric sudden cardiac arrest (SCA)? If not treated in minutes, SCA can result in death.
In a new policy statement to be published online on Monday, March 26, the American Academy of Pediatrics (AAP) provides guidance for pediatricians on underlying cardiac conditions that may predispose children to SCA.
Although the risk for SCA increases when children with underlying cardiac disorders participate in athletics, SCA can occur at very young ages and also when a child is at rest.
Research supports the need for a SCA registry, says the AAP. A registry would help experts gain a better understanding of the nuances of the condition.
Plus, many cardiac disorders are known to be genetic, so the evaluation of family members, even if asymptomatic, could be a critical step in the overall diagnosis of disorders predisposing to pediatric and young adult SCA.
We asked Arizona Pediatric Cardiology Consultants (APCC), members of the Arizona Chapter of the American Academy of Pediatrics, to weigh in on what parents need to know about SCA.
How common is SCA?
According to the Centers for Disease Control, each year 2,000 individuals less than 25 years of age will die suddenly with the majority of these having a cardiac etiology.
What causes SCA?
Pediatric sudden cardiac arrest and sudden cardiac death can occur with various types of cardiac causes, including conditions in the heart muscle (such as hypertrophic cardiomyopathy), unusual positioning of a coronary artery, or an electrical disturbance within the heart. (Long QT syndrome, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia).
How are family members evaluated, and what symptoms may be indicators that a child is pre-disposed to this?
Signs that may suggest an increased risk for SCD include fainting or seizure with exercise, excitement, or startle, significant dizziness with exertion, unusual and consistent shortness of breath or chest pain with exercise.
If a family member has died suddenly or unexpectedly at a young age, has unexplained seizure disorder, died at a young age from a heart problem, or has a history of fainting, then screening is appropriate.
How do doctors determine if a child is at risk? What tests are performed?
Evaluation by a pediatric cardiologist will include a thorough individual and family history, ECG, physical exam and perhaps an echocardiogram, an exercise stress test, and genetic testing if necessary.
Would automatic external defibrillators (AED) on playing fields and in schools help?
A great majority of these deaths relate to a life-threatening arrhythmia, ventricular fibrillation. CPR and use of an AED may be life saving. AEDs are often found in airports, casinos, and government buildings.
However, there is no law in Arizona currently requiring AED within schools, recreational sports fields, or other private facilities.
Are efforts being made to increase the availability of AEDs?
The decision about whether to have an AED on location is left up to the individual organization. APCC’s electrophysiologists are making an effort to educate schools, sports organizations, and families regarding the importance preparation to prevent SCD.
The role of an ECG in all sports physicals remains a debated topic within the United States. It is, however, very important to ask specific questions (use the attached screening tool) for risk factors and then refer to a pediatric cardiologist for further assessment.
What should parents or caregivers do if they believe a child might be at risk?
Once an individual is identified as having any of the conditions listed above, it is very important for first degree relatives to also be evaluated by a pediatric cardiologist even if they are not experiencing symptoms.
Sudden Cardiac Death is devastating to not only the families of those affected but to the communities in which they live. Educating families, schools, sports leagues, and primary care providers about quick and effective screening for children at risk for SCD is a first step in prevention.
Increased community awareness and the availability of AEDs in schools and sporting venues will help avert a tragedy.
Karen S. Eynon, RN, MSN, CPNP, MATS, compiled these answers with support from Mitchell Cohen, MD, Andrew Papez, MD, and Jennifer Shaffer, RN, MS, CPNP, all of Arizona Pediatric Cardiology Consultants along with information from SADS.org.
Check with your child’s physician if you are concerned about risks for SCA.
More from Parent Heart Watch, a network of parents and partners dedicated to reducing the effects of SCA.
Wondering if your car seat still fits your child? Confused about when to turn your child from rear-facing to front facing? Need the eye of a trained professional car seat fitter to make sure your safety system works the way it should?
On Saturday, March 24, the Governor’s Office of Highway Safety Car Seat Check Event takes place at the Target store located at 1525 W. Power Road in Mesa.
Cardon Children’s Medical Center Safety and Injury Prevention staff will have 100 car seats to give out to families who need one.
Families can have a child’s car seat recertified, learn how to install a seat correctly or get a free car seat.
Watch this video to see what a safety check event looks like:
Synthetic versions of marijuana are sending some teens to the hospital, says a case report to be released in the April issue of Pediatrics.
The drugs, created in uncontrolled settings and sold in gas stations and convenience stores, consist of herbs sprayed with chemicals that mimic the
psychoactive properties of THC, Continue reading
A recent study published by the American Academy of Pediatrics found that that the more exposure teens had to alcohol use in movies, the more likely they were to binge drink.
The age, affluence and rebelliousness of the teens did not seem to matter. And this pattern was observed across cultures in countries with different norms regarding teen and adult alcohol use and drinking culture.
What can parents do to make sure kids don’t pick up the cues from the many movies out these days that show alcohol use? And what are some ways that parents can prevent a child from binge drinking?
Dr. Dale Guthrie, a pediatrician in practice at Gilbert Pediatrics, says communication is the key.
Guthrie, who serves as vice president of the Arizona Chapter of the AAP, encourages parents to stay involved — and to make sure to meet and know their children’s friends, from the early days of pre-school right on through high school.
More tips from Dr. Guthrie on how to help prevent your child from using alcohol and other drugs:
- Know where your teen is at all times. Teens may act as if they don’t like it but teens are actually more secure knowing their parents care enough to know where they are and what they’re doing.
- Consciously and genuinely praise your teen for something good he does every day.
- Make sure she knows she can talk to you about anything, at any time, if it is important to her and that she won’t be interrupted judgmentally with a lecture.
- Remember you are his parent, (not his best friend, afraid to step on his toes) and offer advice when requested and at opportune teaching moments in short phrases, not long lectures which are tuned out anyway.
- Better yet, ask inspired questions of your teen—the kind which help her arrive at the correct solution.
- Attend movies with your teen and then ask open-ended questions about what he thought about it.
- At a nonthreatening time, (not right as your teen is headed out to a movie), sit down as a family and discuss what are your family goals and standards. As part of that, set family standards for what types of movies you will view and which are beneath your family standards.
- When your teen returns from being out with friends, it is helpful to have a “check-in” with parents. If the tradition has been set that he will give parents a hug (or even a kiss) no matter what time he returns, parents will know more about what he’s been doing just by being close to him, listening and observation.
Parents of younger children might not be thinking about the teenage years, but is there anything they can do to lower the risk that their child will abuse alcohol down the road?
One very simple way is for parents to make sure they truly listen to their child right from the start.
Guthrie says that children need to feel that what they say is of prime importance to their parents. “Then when she has something really serious to discuss, he adds, “she will feel comfortable coming to you.”
Modeling healthy behaviors themselves, and engaging kids in conversation at opportune moments (short snippets in lieu of lengthy lectures) are other ways parents can make a difference, says Guthrie.
RAK Archives: Talking to teens about alcohol poisoning
More on talking to kids about drugs and alcohol, and upcoming Parent Workshops from the Partnership for a Drug-Free America, Arizona Affiliate