ADA Scientific Conference

UnknownThis year’s scientific news

The American Diabetes Association’s (ADA) 69th Scientific Conference began four days ago and closes today. This is the event of the year for the more than 14,000 scientists, clinicians, diabetes educators and exhibitors to get together and share their latest research findings and emerging new medicines, technologies and products. 

Many in the diabetes community are blogging and twittering about it including Amy Tenderich over at DiabetesMine, Kelly Close at Close ConcernsDavid MendosaManny Hernandez at TuDiabetes. Even the ADA has a Facebook page bringing you the highlights. 

Due to a report from Amy we know that mid-way during the conference there were already:

389 oral presentations

100 clinical symposia (more science talks)

104 late-breaking abstracts (papers submitted after the conference program was filled)

1,538 research posters

465 published abstracts (research synopses)

150+ exhibitors on one enormous exposition floor  

Much of the news you’ll find here portends what’s to come over the next year or two. Here are just a few posts among more information that I found interesting:

The Gene Effect

Diabetes Trailblazer Wins Banting Award

Don’t Beat Yourself Up

What you don’t know (about diabetes) can hurt you

Sept. 27 – Diabetes Expo at the Jacob Javitz Center, NYC

UnknownADA Diabetes Expo Saturday

I should have said this sooner but my head’s been in the clouds, well more literally the great outdoors, sniffing and savoring the cool, crisp breezes and changing light of fall, my favorite season. 

For those in the New York area, this Saturday is the American Diabetes Association Diabetes Expo at the Jacob Javitz Convention Center in New York City (11th Avenue at 34th Street) from  10 am to 4 pm. Entrance is free, however if you pre-register, it will make walking in easier. There’ll be eye and foot screenings, workshops, speakers, tons of info, free samples, cooking demos– and me. 

I will be there late morning at the Eat Smart America booth with my book,The ABCs Of Loving Yourself With Diabetes, and meeting and greeting anyone who drops by to say “hello.” 

Please come by, don’t be shy. It’s so nice to get out from behind this computer and rub shoulders with everyone.

 

What’s in the Exhibition Hall at the AADE conference

Major buzzing in the hall

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EatSmart, this scale does it all

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Pelikan Sun lancing device, it’s gold

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A pocket glucose spray

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A dream pasta, Dreamfields

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Dr. Francine Kaufman closing the conference

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You can make a difference in a child’s life

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Now, to  conclude my last post, remarking on the annual American Association of Diabetes Educators Conference in Washington D.C. Let’s be honest, the most fun at one of these events is looking at all the stuff in the exhibition hall, and of course eating your way through it. I managed to do both: nibbling almost every few feet on low-fat blueberry yogurt, Activia, walnuts, cereal bars, Lean Cuisine, soft serve ice cream and lots of tidbits that resembled food but I’m not really sure they were. Gadget-wise, in truth I’ve been to a lot of exhibition halls and I didn’t find all that much new, but these things are worth mentioning:

  1. Eat smart. A small, great looking scale that measures everything and tells you how much it weighs, its calories, carb content and 7 or so vitamins and minerals. To be honest, my husband was immediately attracted to the gadgetry while I thought oh another thing to be bothered by. But, having it in our kitchen now and knowing that the plum in my fruit bowl I’m about to eat has 27.6 carbs is an incredibly useful addition to my management.
  2. Meters, meters, meters everywhere. Glucose meters have become a parody product, but I did see one that caught my eye by Intuity. You put your finger over a hole at the bottom, it pricks it and in seconds gives you your blood sugar reading. Notice, no test strip. Due out next January, now let‘s just hope they make it a little less masculine looking.
  3. On site A1c testing. I only learned recently many doctor’s offices offer A1c testing right in their office, while I’m always trekking off to the lab. Well, here at the show I could avail myself of five booths that would give me my A1c result within minutes, so of course I had to test this. I tried three different booths and came up with a 5.0, 5.4 and 5.5. Given that I’d just had my A1c done at the lab two weeks ago and it was 5.8, I’m inclined to say two of my three tests at the exhibition hall were in the ball park.Reli-On makes a kit where you smear some blood on a pad, mail it in and get your A1C results in a week.
  4. My lancing device ratings. Since we all know lancing devices cause more pain than injections I have a personal investment in keeping up with improvements in this area.
    1. First place winner– Pelikan Sun. It’s battery operated and has a feather touch. Downside: expensive, about $200 for the instrument and a little larger than a pack of cards. I’m told lancets should be covered by insurance Upside: you won’t mind testing 10x a day.
    2. Accucheck Multi-clix. The best, least painful cheap lancing device. It runs on a track so the lancet doesn’t shred your skin when piercing. My favorite run of the mill device.
    3. Renew from Can-Am Care. Operates on the same track technology as Multi-clix. Cool packaging and the only other stand-out in the pack. You can request a free trial sample online.
  5. Pumps are getting smaller and more are getting tubeless. Omnipod, the only tubeless pump right now promises a pump half the size within two to three years, I’m staying tuned, and Medtronics is working toward the same. I’ve always said when the pump is the size of a credit card, count me in.
  6. Omron, a company that makes blood pressure machines and pedometers is coming out with a new pedometer next year that’s slim, you can slip it in your pocket rather than clip it on your belt and it will work at any angle. I like the ease of putting it in a pocket. The husband loves the techie gadgetry.
  7. Glucose Rapid SprayA tiny atomizer mist spray. 5 to 10 sprays onto your cheek will help bring your blood sugar up a bit when you’re going low. Handy to carry when away from home or exercising, but I’m told not a resue item. I’m waiting for my first potential low blood sugar to give it a try.
  8. Dreamfields. A dream of a pasta. I gave up pasta for a dozen years due to how high and how quickly it raised my blood sugar. Now Dreamfields has created a pasta that nets only 5 grams of carbs per serving and I know it works. They’ve reconfigured the pasta’s molecular structure and much of it is highly non-digestible when traveling through your stomach. It still tastes delicious but doesn’t break down into carb. I swear give it a shot. I find it at my local supermarket chain, Key Food, but they’re distributing many places.

Helping Third World Children with Diabetes

The conference was closed by Dr. Francine Kaufman, pediatric endocrinologist at the Center for Diabetes, Endocrinology and Metabolism at Childrens Hospital Los Angeles. Kaufman is a tireless advocate against childhood diabetes. She shared clips from a documentary she made for the Discovery Health channel, Diabetes: A Global Epidemic, where she traveled through Africa and India bringing medicine, training and treatment to poor children, families and caretakers. Countless children are dying of diabetes because there is no medicine, no meters, no test strips, no doctors. In places where insulin is obtained on an irregular basis children are given whatever is available. Can you imagine using only Humalog one month, then only Lantus another, then NPH yet another? How would you ever figure out your protocol? I get chills just thinking about it.

If you would like to donate unused, unexpired medical supplies they are taking them atwww.Lifeforachild.org. You can also contribute $1/day and a child will receive medicine and testing supplies.

Having this podium I leave you with my own closing remark which is an observation: I found it profound that here in America we are literally dying of abundance: too much food and too many luxuries that make us lazy, while around the planet people are dying of scarcity: too little food, too little medicine and too few health care professionals.

It’s something to ponder, I think.

In the Convention Center with diabetes educators

Washington D.C. Convention Center

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Inside a great maze of learning

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AADE President opens the event

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Elizabeth Edwards key-note speaker

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Shuttle buses everywhere

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AADE bookstore, upper right corner 

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The great Exhibition Hall

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 As promised, here’s my brief report of the 35th annual conference of theAmerican Association of Diabetes Educators (AADE). 4,000 educators from around the U.S. and a sprinkling from outside the U.S. convened at the Convention Center in Washington D.C. for four days of lectures to earn credits and learn the latest news regarding drugs, devices and behavioral practices to better help their patients. They are an impassioned group truly wanting to make a difference. Having a concern of my own, why I’m getting red dots every time I inject, each educator I asked went right to work examining the problem and investigating my behavior truly wanting to help, and yes, I did take advantage of my circumstances.  Unfortunately, diabetes educators are dwindling in number each year while patients are increasing, making their work ever-more demanding.

My husband and I descended upon Washington together both eager to hear what educators are learning, teaching, what’s new in the field and how patients are being served and responding. I also wanted to thank, in person, the many experts who were speaking there and have been helping me with the book I’m currently writing, debunking diabetes myths. Arriving the night before the conference began our first self-assigned task was to find fruit for the husband’s next morning breakfast. Within a 20 block radius of downtown D.C. there is not a banana, orange or apple to be had. Trust me, I know; I asked shopkeepers, restauranteurs, passers-by and the hotel concierge. The closest we came was Tang, a powdered orange juice like drink at a CVS drugstore, but alas, not a single piece of fruit. I found it remarkable that blocks away 4,000 people had convened to learn how to help patients improve their diet and eating habits, and yet in our nation’s capital I could not find a piece of fruit. Proving once again diabetes is not just a medical issue, not just a behavioral issue, but also a systemic issue: our society’s infrastructure does not support practicing the healthy behaviors we hear about daily on the morning news.

But, forgive me, I digress. The conference was opened by Amparo Gonzalez, current president of the AADE. Her lilting accent welcomed everyone in the huge basement hall where I sat amid a sea of largely Caucasian, middle-aged women, with perhaps one man to every 50 women. Elizabeth Edwards, the key-note speaker, gave an hour long, impassioned address sharing her own experience of living with cancer and built a bridge between all of us who live with a chronic illness. She was real, warm, bright, funny, engaging, shared her darker days with cancer and spent the last 15 minutes comparing Senators McCain and Obama’s health plans. While she promised to be impartial, which I believe she was, she gave both plans low grades letting us know neither is as workable as either politician would have us believe. I left concerned that our already broken health care system is not getting fixed anytime soon. Unfortunately, two days later her broken marriage was being aired on the Convention Center’s TV monitors every few feet.

Here’s what educators are learning:

  1. New medicines, largely that deal with type 2 diabetes, and more meds on the horizon indicate diabetes is not merely an insulin problem, gastric hormones are getting more and more attention.
  2. The artificial pancreas is inching ever forward in trials largely due to the efforts of  the Juvenile Diabetes Research Foundation.
  3. Diabetes educators’ largest hurdle is getting patients to change behaviors: adopt healthier eating habits and exercise.
  4. Educators’ second biggest hurdle is once they’ve gotten patients to adopt healthier behaviors, getting them to sustain them. The drop off seems to occur 4-6 weeks later.
  5. Educators are being encouraged to shift from being “teachers” instructing patients to being “coaches” partnering with patients.
  6. “Peers for Progress” is a new AADE initiative getting underway to utilize patient mentors. We knew it was coming, too many patients for too few educators.
  7. Personal note: My book, The ABCs Of Loving Yourself With Diabetes, initially declined by the AADE bookstore because it wasn’t deemed something educators would find useful, sold out in the first few days.

Most educators I spoke with find trying to change patients’ behavior difficult and challenging, yet derive enormous fulfillment when they can help a patient succeed. As one told me, “If I can really make a difference for just 10% of my patients, I’m so happy.” I think they are soldiers, every one of them always on active duty. In truth, I’m surprised there isn’t a higher burn-out rate amongst educators. 

 
In my next post I’ll tell you what I found new and interesting at the Exhibition Hall where another 1,000 people had gathered to show their wares.  

 

 

One advantage of diabetes can be friends for life

Kids celebrating themselves

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Opening Ceremony

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Irl Hirsch, MD, Endocrinology

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Exhibition Hall

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Me working hard. Can’t you tell?
 
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My own designer T-shirt

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‘Friends for Life’ is Children with Diabetes’ (CWD) national conference and it is aptly named. If you are six or eleven or sixteen and have diabetes you will probably come away after three days of sports, fun activities and spending time with the likes of basketball marvel, Adam Morrison, with a friend or two or three for life. As founder Jeff Hitchcock says, “Forever is how long our kids feel they’ve known each other, even if they’ve just met. Forever is how long they will remain friends, sharing something that is so deep and so emotional that their other friends often will never understand.”

If you are the parent of a child with diabetes, you will come away with an armful of medical and research updates, a head full of innovative family therapy strategies and a wallet full of contact information for your new friends. You will meet parents from near and far whose lives are remarkably like yours.

This was CWD’s 25th conference. Laura Billetdeaux, who runs the conference with Jeff, writes eloquently in the conference’s pamphlet. Nine years ago when her 8 year old son was diagnosed with diabetes she left the hospital with a binder full of information and CWD’s card in her pocket. Her first night home the binder sat on the table as she took the card out, turned on her computer and became a CWD mom. Today she is a driving force behind ‘Friends for Life.’ I myself witnessed the email flurry a few months prior to the conference as my inbox was flooded by parent’s emails excited beyond belief to be coming together.

This year more than 2,000 participants from ten countries attended. My husband proudly represented the Netherlands, and there were many from Canada, the United Arab Emirates, Scandinavia and Australia. Surgeon General Ken Moritsugu, M.D. kicked off the ceremonies and top research faculty from Diabetes Research Institute of Florida and Stanford, top therapists including current American Diabetes Association President, Richard Rubin, and a number of celebrated faces like former Miss America, Nicole Johnson Baker and American Idol star, Kevin Covais, heated things up. While I thought it a crazy idea to hold a conference in Orlando in July, obviously I am not a mom. The conference ended on Friday leaving the weekend for families to head over to Disney World.

In addition to three days of speakers, the Exhibition Hall hosted nearly every major pharmaceutical and device company in diabetes. I managed to pick up three new meters, a new battery operated lancing device from Pelikan Sunthat I’m now trying out, interesting information about wave sense technology and an application for theiport. It allows you to perform MDI (multiple daily injections) through a little plastic device dramatically reducing the number of needles that actually pierce your skin. I got a free Extend bar, which I highly endorse. A few bites before sleep always keeps me from crashing overnight. And, there were baskets full of every flavor Glucotab from Tropical punch to Mango right at the registration desk. How cool is that? I got the opportunity to be tested on my forearm for the first time but it is not for me. Rubbing my arm to get the blood to the surface and subsequently pressing around the needle prick made me feel a little faint. However, for many children it is a welcome, less painful method than finger pricks.

What I was at the conference is something I rarely am in mixed company – the majority. There was blood sugar testing going on everywhere, pumped up kids pumping, buffet tables littered with carb count cards and everyone intimately knew the frustrations of, and struggles with, high and low blood sugars. Parents who worry non-stop for their children’s safety, health and future shared their agony, learning, failures and successes.

One of my favorite workshops was given by Joe Solowiejczyk, RN, MSW and in my humble opinion, unparalleled family therapist. Joe changed the surface of the ground parents walk on when he said, “When your child doesn’t test or record his blood sugar numbers, since you will have already agreed this is their responsibility, treat it like bad behavior – and administer consequences. That’s how they’ll learn to be responsible.” How contrarian to the overwhelming desire to indulge your child. However, “The more you rush in to do,” Joe warned, “the less they will do.” I also loved Dr. Rubin’s presentation on ‘Diabetes Overwhelmus.’ Who of us has not been there?

Here are a few other resources I can point you to that may be of interest.Diabetestrialnet.org seeks candidates for trials that they are conducting to help prevent and cure type 1 diabetes. Insulin for Life is dedicated to providing insulin to children in countries where they cannot afford it. In these countries most children die within two years of being diagnosed. And maybe you want, as I have procured, that lovely little blue pin from Unite for Diabetes. I wore it the last night of the conference when everyone was invited to have dessert with the faculty. I should also mention that everyone on the faculty I asked for an interview readily agreed and gave me their email address.

As I go through my notes over the next few days I may share more highlights but here’s the bottom line. It’s inspiring to see this forum and the families who come. On the second day of the conference on the lunch line I met the mom behind me. When I turned around to hand her the serving implement, she saw the design on my T-shirt (above), Be a diabetes warrior, not a worrier. She immediately choked up and said, “Thank you, I needed to hear that today.” Later she came over to my table in the dining hall to tell me that her son had had a series of low blood sugars through the night and she was just wasted, frustrated and sad. Yes, I thought, that’s diabetes. I later heard the author of Cheating Destiny, James Hirsch, put it so succinctly, “Diabetes is numbers going up and down.” 

The very first day of the conference I learned something that surprised all of us in the session. The biggest predictor of a child’s A1c one year after diagnosis is how supported his or her mom feels, as a wife, a mother, a woman, a person. I like to think the sentiment on my shirt helped one mother in some small way. On a larger scale, if you know someone who has a child with diabetes tell them about the ‘Friends for Life’ conference and CWD. They will find a world of support, understanding, knowledge and comrades who may well last a lifetime.