First Lady Michelle Obama made an appearance on comedian Jimmy Fallon’s late-night talk show to raise awareness for her “Let’s Move” campaign, which works to inspire families to combat childhood obesity and type 2 diabetes by adopting active lifestyles. The clip featured Obama and Fallon demonstrating “Mom Dancing” moves that are sure to give moms a giggle, ranging from “Raise the Roof” to the classic “Where’s Your Father (Get Him Back Here)!” Video clip below.
The American Academy of Pediatrics has, for the first time, issued guidelines for managing weight-related diabetes in children. The move is attributed to the rise in childhood obesity in America. The two major recommendations are that pediatricians should screen every child for diabetes, and take care to distinguish between type 1 and type 2 diabetes. More from Time.com:
Children have long been diagnosed with Type 1 diabetes, in which the body fails to make enough insulin-producing cells to process glucose in the blood, but doctors are now seeing an increasing number of children with type 2 diabetes, in which fat cells that enlarge with weight gain thwart the body’s ability to break down sugars. Up to a third of cases being diagnosed in kids these days are Type 2, which generally develops later in life, generally after age 40. “We’re seeing it much more than we did before,” says Dr. Janet Silverstein, co-author of the new American Academy of Pediatrics guidelines on diabetes and professor of pediatrics at the University of Florida. “Many pediatricians were never trained in managing Type 2 because it just wasn’t a disease we used to see. It was a disease of adulthood. But as we’re seeing more obesity in kids, we’re seeing adult diseases in childhood.”
The guidelines, which are the first of their kind for kids between the ages of 10 and 18, were developed in collaboration with the American Diabetes Association, the Pediatric Endocrine Society, the American Academy of Family Physicians and the Academy of Nutrition and Dietetics.
They emphasize the importance of distinguishing between type 1 and type 2 to determine an appropriate treatment plan. Children with type 2 don’t necessarily need insulin. They may initially be treated with medication that increases their sensitivity to insulin. And they should be encouraged to move: doctors should advise them to exercise at least an hour a day and limit screen time that’s not related to schoolwork to under two hours a day.
A large new study of children with Type 2 diabetes has found that the disease develops more quickly and is more difficult to treat than when adults are diagnosed with the same disease. The New York Times reports:
Why the disease is so hard to control in children and teenagers is not known. The researchers said that rapid growth and the intense hormonal changes at puberty might play a part.
The study followed 699 children ages 10 to 17 at medical centers around the country for about four years. It found that the usual oral medicine for Type 2 diabetes stopped working in about half of the patients within a few years, and they had to add daily shots of insulin to control their blood sugar. Researchers said they were shocked by how poorly the oral drugs performed because they work much better in adults.
The results of the study and an editorial were published online on Sunday by The New England Journal of Medicine.
The findings could signal trouble ahead because poorly controlled diabetes significantly increases the risk of heart disease, eye problems, nerve damage, amputations and kidney failure. The longer a person has the disease, the greater the risk. So in theory, people who develop diabetes as children may suffer its complications much earlier in life than previous generations who became diabetic as adults.
“I fear that these children are going to become sick earlier in their lives than we’ve ever seen before,” Dr. Nathan said.
Researchers urge aggressive, individualized treatment plans to keep the disease under control in children.