August 22, 2013

Low Glycemic Families, Healthier Families


mid section view of a woman cutting vegetablesA Chinese proverb says that with crisis comes danger or opportunity. A study in the Journal of Pediatric Endocrinology & Metabolism suggests that the low glycemic diabetes lifestyle might be an opportunity for a healthy family.

In the past, families that have children with T1D have less severe metabolic derangement when they are diagnosed compared to sporadically T1D diagnosed patients. This study aims to share information that gives a science-based approach to understanding this phenomenon.

Families with a history of T1D will have less severe symptoms and better HbA1c over 5 years compared to families that have a sporadic diagnosis of T1D. Typically, it is found that the HbA1c of the sporadic diagnosis T1D kids have parents with a less than desired metabolic profile.

Furthermore, the second generation of children in the sporadic T1D families will correlate with the first affected sibling. In other words, the kids have less than stellar metabolic profiles, as do their parents.

At diagnosis, families with a history of T1D vs. spontaneous T1D averaged an HbA1c of 9.6% vs. 10.7%,. The glucose levels averaged 428 vs. 463 mg/dL. At 5 years, both groups HbA1c, clinic visits,  and ER visits were not different.

Family history T1D and spontaneous T1D metabolic control, at diagnosis and at 5 years, was similar in both groups.  The shock of T1D diagnosis is a bit unexpected. Nobody welcomes a chronic disease into their home but once it shows up, it’s there to stay for a while. So you might as well make the best of it.

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