NEWSNOTESCHILDREN’S DIABETES FOUNDATION — SPRING 2019

SPRING BRASS RING

Meet Cheryl Lebsock,2019 Guild President

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FEATURED DESIGNERREBECCA MINKOFFAn industry leader in accessible luxury handbags, accessories, footwear and apparel, Rebecca Minkoff ’s playful and subtly edgy designs can be spotted around the world on young women and celebrities alike. Rebecca supports multiple philanthropies, and in September of 2018 established the Female Founder Collective, a network of businesses led by women that invest in women’s financial power across the socio-economic spectrum by enabling and empowering female-owned businesses.

CELEBRITY EMCEEBEN HIGGINSBen Higgins is best known for his starring role on season 20 of ABC’s “The Bachelor” which allowed Higgins an enhanced platform to share what he is most passionate about, including his faith and hope for humanity. Most recently he co-founded Generous International, dedicated to contributing profits to social issues around the world, and in 2018, fulfilled a lifelong dream, when he joined a culinary “supergroup” of chefs and restauranteurs to open restaurant, Ash’Kara, in his mile-high home town of Denver, Colorado. Higgins also serves on the board and works closely with Humanity and Hope United, an organization which assists underserved villages in Honduras.

FASHION SHOW PRODUCERCHARLIE PRICECharlie Price is an award-winning hairstylist and fashion show producer who travels the world entertaining and inspiring captive audiences. Over his 25 years tenure, Charlie has experienced every type of fashion and hair show production from Nightclubs to Neiman Marcus to Prada in Milan. Price currently produces shows for esteemed clients such as The Denver Art Museum, Cherry Creek North Shopping District, Bel Mar shopping District, TIGI, Scruples Haircare, Antoine Du Chez Spas and Salons, and 303 Magazine’s Denver Fashion Week.

NEIL & BARB OBERFELDBarb and Neil Oberfeld have been married for 25 years. Barb is a committed community volunteer and has served in various capacities on The Guild Executive Board for the past five years, including 2018 President. Neil is a principal shareholder of Greenberg Traurig, an international law firm, and is also involved with the Rose Community Foundation, Governor’s Commission on Community Service, University of Denver Bridge Project, and the ADL. Neil and Barb have two daughters, Blake, who is a first-year medical student at Harvard Medical School, and Cameron, who is a sophomore at Goizuetta Business School at Emory University.

EVENT CO-CHAIRSSTEVE & SHELLEY LUCASSteve Lucas, Chief Executive Officer of Marketo, is a technology industry leader, published author, and philanthropist who currently serves on the board of the Children’s Diabetes Foundation. Steve shares a successful 25-year marriage with Shelley Lucas, who is also an active philanthropist in the Denver community and has served as the President of The Guild of the Children’s Diabetes Foundation. Steve and Shelley have two children, Lynnie and Kenny, who both attend the University of Utah.

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WHEN YOUR BIRTHDAY AND DIAVERSARY COINCIDEBy Holly Scott

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type one diabetic. January marks his 6th year diagnosis anniversary. We want to celebrate his courage, strength and life by sharing his story…

“Leading up to his diagnosis, Miles had a cold around the holidays but he didn’t seem that sick to us. When I think back to that time, I do remember that he was looking pretty thin during those few weeks. I assumed he was growing taller and losing his baby fat.

It became apparent that something was wrong when we picked him up from preschool his first day back after winter break. His teacher told us he had gone to the bathroom an unusual amount of times and drank many bottles of water (too many to count). My mind went racing because I had some knowledge that those were symptoms of diabetes, but I couldn’t fathom that was the problem. I did what any mom would do (that you’re not supposed to do) and googled his symptoms. Loss of appetite, lethargy, bed-wetting, thirsty…it pulled up “Type 1 Diabetes.” I had a lump in my throat as I called our pediatrician and she said, “Come to my office as soon as you can.” It was 6 p.m. on Miles’s 5th Birthday.

Our doctor immediately did blood and urine testing, and she came in to tell us the devastating news. “Miles has diabetes. I don’t have a meter that will read his number because it’s so high, so you need to go to Children’s Hospital immediately.” She saw the fear and shock on both of our faces, and even offered to drive us herself. I tried to pull myself together as a mom (hiding my tears back) and held Miles tightly to comfort him. We thanked her for meeting us so late and drove ourselves to the hospital.

Soon after being admitted Miles was being poked and prodded and given saline to rehydrate him. Lots of new words like ketoacidosis, insulin, and bolusing were being thrown around as we followed their directions. As I finally called my husband and cried in the hallway, I looked through the hospital room window at Miles who had now been given insulin, and was watching a movie, laughing. All the color had come back to his face and you could tell he felt so much better. Wow! How could I not have known that he was suffering this much?

Everyone at the hospital was wonderful to us that night, comforting us, and even bringing wrapped birthday gifts into the hospital room for Miles. At 1:30 a.m. we were released to go home. They told us to go to the Barbara Davis Center the next day where we would learn about our “new normal” and how to care for our boy. I was relieved (and terrified) to take him home. When he fell asleep that night, I slept on the floor next to him and have dozens of times ever since. I never knew you could feel that much fear until then.”

Miles at the 2018 Carousel of Hope with Dana Davis and the rest of the CDF Advocates. Photo © www.JensenSutta.com

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Join our mailing list to receive updates on CDF Support Groups!www.ChildrensDiabetesFoundation.org/support-groups

You’ll love being a part of the diabetes community!

BECOME A CDF ADVOCATE

For almost 2 years now, the Children’s Diabetes Foundation has run diabetes support groups in the Denver Metro Area. People of all ages and relationships to diabetes (type 1s as well as their parents, grandparents, siblings, friends, caregivers, etc.) join together to have an informal conversation about diabetes, whether they’ve been handling type 1 diabetes for a few days or for many decades! All are welcome! We want to give you the opportunity to meet other people who are affected by this disease.

The Children’s Diabetes Foundation has recently added 3 new groups to the support group line up (in addition to continuing the Denver Metro Area groups):

• A group in Colorado Springs for all ages and relationships to type 1 diabetes

• A group in Sterling, Colorado for all ages and relationships to type 1 diabetes

• “The Keepers,” A Group for Parents & Caregivers of Teens with Type 1

Named after lighthouse keepers who symbolize the way forward and help in navigating our way through rough waters, “The Keepers” is a new group to meet other parents and caregivers who are navigating the unique challenges that come with raising and caring for a teen with type 1 diabetes.

For all Children’s Diabetes Foundation support groups, times and locations vary. Join our mailing list for updates here: www.ChildrensDiabetesFoundation.org/support-groups.

The Children’s Diabetes Foundation (CDF) is looking for children with type 1 diabetes (T1D) between the ages of 6 and 22, who want to educate, volunteer, and socialize! These awesome kids will be part of the CDF family and exude a positive attitude about T1D, while educating, creating awareness, and/or fundraising for our cause. Advocates will also get together for quarterly social events to promote friendship, support, and fun!

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Photo by Joshua Hibbert on Unsplash

If you are interested in joining the CDF Advocate Program, visit www.ChildrensDiabetesFoundation.org/cdf-advocate-program

to learn more and sign up!

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ALLERGIES TO YOUR DIABETES SUPPLIESKimber Simmons, MD MSAssistant Professor of PediatricsBarbara Davis Center

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Are you worried that you will develop an allergy to your continuous glucose monitor (CGM), pump infusion set, or even insulin? You are not alone. Although an allergy to insulin is exceedingly rare, skin reactions to pump infusion sets and CGM adhesives are common.

With 57% of our pediatric patients using insulin pumps and 52% using CGMs, redness, itching, dryness, swelling, tenderness, increased warmth, lightening or darkening, and even blistering of skin are common concerns among our patients.

Fortunately, an allergic reaction that occurs immediately after exposure to a pump infusion set or CGM adhesive that could result in a severe allergic reaction (anaphylaxis) is very uncommon. Generally, skin reactions to pump infusion sets and CGM adhesives are diagnosed as contact dermatitis, or simply inflammation of the skin due to direct contact of a substance with the skin surface.

Contact dermatitis can be divided into two categories:

Irritant contact dermatitis occurs when pump infusion sets or CGM adhesives cause physical, mechanical, or chemical irritation of the skin. Inflammation of the skin occurs within minutes to hours following exposure. People with eczema tend to be more prone to this form of skin inflammation.

Allergic contact dermatitis is an immune response that occurs to one of the substances used in the pump infusion set or CGM adhesive. This immune system-mediated inflammation usually takes at least 12-24 hours to appear, peaks 3-5 days after exposure, and usually worsens with repeated exposures. Sweating can disrupt the skin barrier and increase inflammation from both irritant and allergic responses.

For all skin reactions, the mainstay of treatment is to identify and avoid the allergen to prevent reoccurrence. Unfortunately, pump and CGM manufacturers do not readily disclose the substances used in their products as it is proprietary information. We do know that most adhesives contain acrylate monomers, which are known to cause contact dermatitis; however, avoidance of diabetes technology is not a desired option for many of our patients. Because identification of the offending agent is not possible in our current diabetes technology climate, avoiding the offending agent or identifying alternatives cannot occur. Therefore, we focus on protecting skin from the offending agent(s) and, when necessary, treating skin inflammation and restoring the skin barrier. Photo © www.JensenSutta.com

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1) SET YOURSELF UP FOR SUCCESS• Place pump site or CGM on healthy skin that

has not been used for at least 1 week.

• Avoid insertion around waistline or pantline, which can lead to irritation.

2) PROTECT YOUR SKIN• Skin should be clean and COMPLETELY dry

before insertion.

• Avoid using adhesive supplements, which can potentially cause skin inflammation, by exfoliating oily skin, trimming hair with dry razor if needed, and thoroughly drying skin prior to insertion.

• If prone to sweating, apply an unscented antiperspirant to skin, wait 10-15 minutes, wipe off excess then apply diabetes device.

• Using wipes to create a barrier film can protect from mild skin irritation. If using a wipe, leave a small circle where the insulin pump catheter or CGM sensor will be inserted. Skin barrier films include IV Prep (Smith&Nephew), Bard Protective Barrier Film (Bard® Medical, SurePrep™ (Medline), Skin prep/no-sting skin prep (Smith&Nephew), Cavilon™ No Sting Barrier AllKare® Protective Barrier Wipe (ConvaTec, Inc)

• Barrier patches and bandages offer more protection from skin allergies and irritation than wipes and can be placed on skin before device insertion. Options include IV 3000 (Smith&Nephew), Tegaderm or Tegaderm HP, Opsite/Flexifit (Smith&Nephew), Hydrocolloid dressings (DuoDERM®, Toughpads, Dynaderm™) and COMPEED® Plasters

• Applying 1-2 puffs of a nasal steroid (fluticasone) to skin can reduce skin reactions if due to allergic contact dermatitis. Although generally thought to be safe, long term studies have not been done to evaluate the safety of nasal steroids used in this way.

3) TREAT SKIN INFLAMMATION AND SYMPTOMS• Topical corticosteroids are first line treatment

for skin inflammation (pain and redness) and can be purchased over the counter. Use hydrocortisone 1% ointment (not cream) daily for 2-3 weeks, even after the skin reaction has gone away. If you stop too early, rebound skin inflammation is likely to occur. Do not use for longer than one month without consulting your doctor.

• Benadryl can help with itching.

• If skin barrier is broken, Maalox can relieve pain and redness. Dab on broken skin and let dry into a chalky paste.

• Polysporin/bacitracin ointment may reduce the risk for infection when the skin barrier is broken. If skin become hot, red or looks infected, please call your doctor.

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Although time-consuming, the best way to deal with skin reactions is to work with your health care provider and try different methods to protect your skin. What works for one patient may not work for another, and you may have to try several different products in order to find one that works! For contact dermatitis that does not heal with the above tips, we recommend seeing a dermatologist and considering skin patch testing to evaluate for allergens that may be causing allergic contact dermatitis.

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MEET CHERYL LEBSOCK 2019 GUILD PRESIDENT

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WHY DID YOU BECOME A GUILD MEMBER?

My son Jordon was diagnosed in April 2004 with type 1 diabetes – we first became introduced to the Guild through the Colorado Rockies game pre-party…my son was so excited because there were so many types of diet pop to choose from!! Usually there was only one type of pop to choose from. It was also good for him to see other kids checking their blood sugar and getting shots. Our diagnosis was a difficult time and we depended on the Barbara Davis Center for so much. I was excited to find a community who understood what we were going through.

WHAT IS YOUR CONNECTION TO TYPE 1 DIABETES?

My father was diagnosed with type 1 diabetes in his 20’s – my childhood was spent living with the disease in the household. Because of the limited knowledge about type 1 in his early life, his later life was spent navigating complications including loss of vision, amputation of many of his toes, a feeding tube, dialysis and finally a kidney transplant. He passed away in 2000. Our son Jordon was named after him and was then diagnosed in 2004. Jordon is 18 and is thriving thanks to the “village” at the Barbara Davis Center.

WHAT GUILD INITIATIVE ARE YOU MOST PASSIONATE ABOUT?

Wow, so many of them! I love the community – the people and the idea that, although I can’t personally cure this disease, I can work together with others to make a difference in the lives of those who live with this every day. I love the Helping Hand Program – type 1 diabetes is hard enough when you have the supplies to take care of your child, but having to choose between food on the table or diabetes care is just heartbreaking. Also as someone who has navigated the school system with a child who has type 1, the people on the Education Committee are my heroes!!

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2019 GUILD EXECUTIVE BOARD

THE G

UILD

President:Cheryl Lebsock

Treasurer Elect: Katie Grassby

Recording Secretary: Lori Finch

Corresponding Secretary:

Letitia ValdezPresident Elect: Lisa Corley

Immediate Past President: Barb Oberfeld

Treasurer: Betsy Sklar

WHAT IMPACT HAS CDF MADE ON YOU AND YOUR LIFE?

Type 1 diabetes is an isolating condition, it requires so much energy to just maintain a normal lifestyle and many people don’t understand what goes into caring for someone with type 1. To be able to be part of a strong vibrant community that gives back on so many levels is empowering. My family is much stronger in the ability to care for my son because of the community.

WHO OR WHAT INSPIRES YOU?

I find strength in my faith first and foremost, and the knowledge that God can bring good from any situation. Second, I am inspired every time I meet a child who is shouldering a chronic illness and is finding the strength to move forward. I have heard so many stories of people overcoming difficult circumstances and thriving within them.

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THE

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The Guild is the volunteer membership group of the Children’s Diabetes Foundation. Members have the unique opportunity to be involved in program and event committees that impact diabetes awareness, research, and betterment of care.

Member Benefits:

• Attend Guild meetings with engaging speakers and get an inside look about the latest in type 1 diabetes care and research from leading doctors, researchers, and social workers at the Barbara Davis Center

• Connect with a supportive community that advocates for diabetes awareness, research, and betterment of care

• Complimentary Guild Membership Brunch and Charlotte Tucker Scholarship Reception Dinner

• Invitations to member-only events

Consider becoming a Guild Member to make a difference in the T1D community!Learn more or join at www.ChildrensDiabetesFoundation.org/The-Guild.

SUPPORT THE CAUSE BY BECOMING A MEMBER

Type one diabetes does not only affect the individual – it affects the family, schools, and community. Being a part of The Guild

strengthens lives through education, fundraising, scholarships, and most

importantly gives hope all those impacted by type one.”

– Cheryl Lebsock 2019

Guild President

DiabetesDiabetes14th Edition

A First Book forUNDERSTANDING

A CompanionBook to“Understanding

Diabetes”(“The Big Book”)

Brigitte I. Frohnert, MD, PhDand

H. Peter Chase, MD

Barbara Davis Centerfor Diabetes

A First Book for Understanding Diabetes is now available on Amazon Kindle!

This book is a great all-in-one resource to learn about caring for diabetes, written by Barbara Davis Center doctors, Brigitte I. Frohnert, MD, PhD & H. Peter Chase, MD. With your Amazon Kindle, you’ll be able to take this valuable resource with you on the go!

www.ChildrensDiabetesFoundation.org/booksOrder Your Copy at:

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HEALTHCARE PROVIDERSIT’S TIME TO REGISTER

July 11-14, 2019 RATES INCREASE MARCH 31, 2019

It’s time to register for our annual, continuing education conference designed for healthcare providers caring for adolescents and adults with diabetes.

This conference is for: certified diabetes educators, internists, pediatricians, family physicians, physician assistants, nurse practitioners, nurses, dietitians and all healthcare providers interested in receiving the most up-to-date type 1 and type 2 diabetes information from world-renowned diabetes experts.

What you can expect this year: Hands-on workshop limited to 50 attendees; keynote by FDA; meet-the-peers sessions; patient-provider panels and more!

Register at: www.regonline.com/atdc

View program details at: www.atdcconference.com

Questions? Contact Lisa Steele at lisa@childrensdiabetesfoundation.org or 303-628-5108

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An evening to benefit the Children’s Diabetes Foundationand the Barbara Davis Center for Diabetes

SAVE THE DATE - Saturday, October 19, 2019Hyatt Regency Denver at Colorado Convention Center

High Hopes Tribute Award Honorees: Lisa & Tom CorleyFounder’s Award Honoree: Richard Abrams, MD

Chairman: Dana Davis • Honorary Chairman: Barbara Davis

Tickets and sponsorships available soon atwww.ChildrensDiabetesFoundation.org

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EPIC Diabetes Conference

The Barbara Davis Center & Children’s Diabetes Foundation Present:

May 11, 2019 | 9 am to 3:30 pm | The Westin Denver DowntownType 1 and Type 2 Diabetes | Pediatric, Adult, & Advanced Tracks

REGISTRATION NOW OPEN!

Join us for our one-day educational, interactive conference for type 1 and type 2 diabetes. This conference will feature three tracks: pediatrics, adults, and advanced (for those looking for an in-depth and detailed knowledge on the session topic).

Attendees are encouraged to bring questions for the sessions to get answers from Colorado’s top diabetes specialists. Sessions will begin with a 15 minute presentation followed by 45 minutes for questions and discussions. Session topics include: exercise, complications, nutrition, management in schools, technology, women’s and men’s health, adolescence, and more.

Our Keynote Speaker, Desmond Schatz, MD, will discuss research focused on finding a cure for diabetes.

Visit www.EPICconferences.org to register!

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HELPING LITTLE HANDS PROGRAM12 THINGS YOU DIDN’T KNOW ABOUT PREGNANCY WITH TYPE 1 DIABETESBy Sarit Polsky, MD, MPH and Rachel Garcetti, PA-C, MSPregnancy and Women’s Health Clinic, Barbara Davis Center for Diabetes

Blood sugar goals in pregnancy resemble normal or near-normal levels: • A1c <6% for most of the pregnancy • Fasting glucose of 70-95 • Post-meal glucose <130-140 at 1 hour and <120 at 2 hours

Insulin requirements change dramatically as the pregnancy progresses: • Usually insulin doses go down in the first trimester (insulin- sensitive phase) • Insulin doses go up by double or triple in the 2nd and 3rd trimesters (insulin-resistant phase) • Insulin needs decrease the most significantly after delivering the baby (to pre-pregnancy doses or less) • Breastfeeding can reduce insulin doses further

Low blood sugar risk increases dramatically in the first trimester because of increased insulin-sensitivity. Pregnant women often lose their body’s warning signs of low blood sugar, such as shaking, sweating, hunger, irritability, fatigue, etc. If low blood sugars are not caught and treated quickly, mom and baby may be in immediate danger.

Women with poorly controlled blood sugars at conception and in the first trimester have a higher risk of having babies with congenital malformations, while the risk of malformations in women with good glucose control approaches that of women without diabetes: • Risk of malformations can be as high as 25% when A1c is > 10% at conception/early pregnancy • Women with T1D should use some form of contraception until A1c is at least < 7.0% and ideally < 6.5%

Children of women with T1D are at higher risk fordeveloping T1D: • Risk of developing T1D is about 3% when just the mother has T1D • Risk of developing T1D is about 6% when just the father has T1D • Risk of developing T1D is as high as 10-20% when both parents have T1D • Children of mothers with T1D can be screened for autoantibodies associated with the development of T1D after their first birthday through the TrialNet Pathway to Prevention Study (www.TrialNet.org) at the Barbara Davis Center

Diabetes technologies can be helpful in managing pregnancies with T1D:

• Insulin pumps can provide more precise insulin dosing (fractions of a unit of insulin), take into account active insulin in the body, record carbohydrate loads and insulin doses, and can temporarily reduce or lower insulin delivery in the event of low or impending low glucose

• Continuous glucose monitors (CGMs) allow women to identify trends in glucose levels and, with some monitors, to get alerts in real-time when their levels are too high or too low

• Insulin pumps and CGMs can be downloaded from home and the data shared with a diabetes expert who is still in his/her office to help determine insulin adjustments

• There are glucose meters and smartphone apps that have calculators to help women on insulin injections figure out how much insulin to give to correct high glucose or for a carbohydrate load

• Some of these technologies are not approved by the FDA for use in pregnancy, so they are used “off-label.” Their use in pregnancy should be discussed with the diabetes experts women work with during pregnancy

Use of a CGM throughout pregnancy can reduce the risk of complications in the babies of pregnant women with T1D:

• Research shows that women who used a CGM during pregnancy had fewer large babies (>90th percentile), babies requiring intravenous dextrose (glucose) for low sugars, and babies requiring admission to the neonatal intensive care unit

• These effects are most consistent in women who use the CGM all the time, rather than intermittently

The pregnancy can place a heavier emotional burden on women:

• There is stress from the daily goals of diabetes care• Some women develop a fear or a worsening fear of low

blood sugars• Extra medical visits and health care costs can be

worrisome

Pregnancies associated with type 1 diabetes (T1D) need a team of medical experts to be successful. The number of medical visits goes up drastically in pregnancy:

• Regular visits with the diabetes care team every 1 to 4 weeks throughout pregnancy

• Visits with an eye expert for diabetes eye exams at least once each trimester and a month post-partum

• Obstetric visits every 2 to 4 weeks in the 1st and 2nd trimesters, and every week in the 3rd trimester

• Ultrasound visits every month starting around 18-20 weeks of pregnancy

• Fetal non-stress testing 1-2 times per week starting at 32 weeks of pregnancy

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Children’s Diabetes Foundation Board Members and Guild PresidentsEXECUTIVE BOARD:Mrs. Barbara Davis, Chairman

Dana Davis, Executive Director

Richard S. Abrams, M.D.

Stephen Daniels, M.D., Ph.D. Chairman of Pediatrics, The Children’s Hospital, Denver

Mrs. Nancy Davis Rickel

Steven Farber, Esq.

Daniel Feiten, M.D.

Mr. Shane Hendryson

Mrs. Arlene Hirschfeld

Mrs. Deidre Hunter

Mr. Shawn Hunter

Mr. Steve Lucas

Mrs. Tracy van Orman

Mr. Cameron van Orman

Mr. Ken Rickel

John J. Reilly, Jr., M.D. Vice Chancellor for Health Affairs & Dean, School of Medicine, University of Colorado Denver

Mrs. Stacy Mendelson Robinson

Marian Rewers, M.D., Ph.D. Ex-Officio Member

SCIENTIFIC ADVISORY BOARD:Richard S. Abrams, M.D. Director, Colorado Preventive Medicine, Rose Medical Center; Clinical Professor of Medicine UCD

Mark Atkinson, Ph.D. Professor of Pathology & Pediatrics, Director, University of Florida Diabetes Institute

Ezio Bonifacio, Ph.D. Professor for Preclinical Approaches to Stem Cell Therapy, Center for Regenerative Therapies, Dresden, Germany

Robert Eckel, MD Professor of Medicine, Physiology and Biophysics, University of Colorado School of Medicine

Matthias Hebrok, Ph.D. Professor in Residence and Director, Diabetes Center, University of California, San Francisco

Steven Kahn, MB, Ch.B. Professor of Medicine, Director of the Diabetes Research Center, University of Washington

Rudolph Leibel, MD Professor of Pediatrics and Medicine, Co-Director, Naomi Berrie Diabetes Center, Columbia University

Alvin Powers, MD Professor of Medicine, Molecular Physiology/Biophysics, Division Director, Vanderbilt University

William Tamborlane, MD Professor of Pediatrics, Yale University School of Medicine

ADVISORY BOARD:

Sir Michael CaineMr. and Mrs. Robert A. DalyThe Honorable Diana DeGette, U.S. House of Representatives, ColoradoMr. Neil DiamondMr. Placido DomingoMr. John ElwayMr. David FosterMr. Kenny GMr. David GeffenMr. Magic JohnsonMr. Quincy JonesMs. Sherry LansingMr. Jay LenoMr. Paul MarcianoMr. Mo OstinSir Sidney PoitierMr. Lionel RichieMrs. Adrienne Ruston FitzgibbonsMr. George SchlatterMs. Maria ShriverMr. Steven Spielberg and Ms. Kate CapshawMs. Brenda RichieMs. Barbera ThornhillMiss Joan van Ark Mr. Gary L. WilsonMr. Stevie Wonder

THE GUILD PRESIDENTS:

Founding President, Amy DavisMrs. Gina Abou-JaoudeMrs. Christy AlbertsMrs. Jamie AngelichMrs. Karen AylsworthMrs. Linda BroughtonMrs. Tangy BuchananMrs. Joy BurnsDr. Bonita CarsonMrs. Nancy CoweeMrs. Dalyla CreagheMrs. Margy EpkeMrs. Chris FosterMrs. Helenn FranzgroteMrs. Sally FrerichsMrs. Debbie GradisharMrs. Helen HanksMrs. Marty JensenMrs. Gail JohnsonMrs. Sharon KamenMrs. Janet KniselyMrs. Cheryl LebsockMrs. Shelley LucasMrs. Suzy LoveMrs. Judy McNeilMrs. Sally NewcombMrs. Barb OberfeldMrs. Gretchen PopeMrs. Carol RogerMrs. Kay StewartMrs. Diane SweatMrs. Loretta TuckerMrs. Jane Weingarten

NewsNotes is published quarterly by the Children’s Diabetes Foundation. If you would like to submit an article or a letter to NewsNotes, send information to: Mattie@ChildrensDiabetesFoundation.org

Mattie Peck Dana Davis Editors

Blood sugars throughout pregnancy can have lasting effects on the baby that persist into childhood and adulthood: • Infants exposed to maternal hyperglycemia in-utero are more likely to be born large-for-gestational age (LGA) • Infants whose weight is > the 90th percentile for gestational age are classified as LGA • LGA infants have a higher risk of developing childhood obesity, hypertension, metabolic syndrome, and type 2 diabetes as adults • Optimal glucose control in pregnant women with T1D decreases the likelihood of metabolic problems for their infants in the future

More studies are needed to help pregnant women with T1D: • Pregnant women are considered a vulnerable population. This sometimes makes it more difficult to get research studies approved • Pregnancy studies can be very expensive because pregnancy takes a long time (40 weeks) and many clinical centers don’t have enough pregnant women with T1D so they have to partner with other centers to do research • More studies are needed to help guide decisions about how best to manage insulin, reduce emotional burdens, reduce complications, and improve health outcomes in pregnancy

The Helping Little Hands Program, sponsored by the Children’s Diabetes Foundation, provides financial support for pregnant women with type 1 diabetes (T1D) to ensure they have the proper technology, supplies, and associated appointment funds to ensure a healthy pregnancy and baby. The program serves at-risk pregnant women who do not have access to Continuous Glucose Monitoring (CGM) systems and other related resources to improve their diabetes care.

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Zachary Reece Graphic Designer

Children’s Diabetes Foundation 4380 South Syracuse Street

Suite 430 Denver, CO 80237

Change Service Requested

Nonprofit Org.

U.S. POSTAGE

PAIDDenver, CO

Permit No. 1752

The Barbara Davis Center & Children’s Diabetes Foundation

Present:

May 11, 2019 | 9 am to 3:30 pmThe Westin Denver DowntownType 1 and Type 2 DiabetesPediatric, Adult, & Advanced Tracks

REGISTRATIONNOW OPEN!Visit www.EPICconferences.org

to register!