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Most kids with type 1 diabetes are diagnosed during a crisis, often ending up in the hospital. But new research suggests we can change that. Type 1 diabetes is an autoimmune disease that can be detected in the blood years before symptoms appear. A recent study published in JAMA found that screening 200,000 kids during routine check-ups significantly reduced the number of diagnoses that involved diabetic ketoacidosis (DKA) from 40-60% to below 10%. It's important to understand that type 1 is primarily an immune system issue, not just a blood sugar problem. Many parents might feel reassured by a normal finger-stick test, but that can be misleading. In fact, the majority of kids diagnosed don’t have a family history of the disease. The process of developing type 1 diabetes can take years, and by the time kids reach the emergency room, it’s often too late to prevent complications. Screening is now available at Frontier Pediatrics, even for kids who aren’t regular patients. Parents can have a virtual visit to discuss screening for all their children, and most insurance plans cover the costs. If not, there are low-cost or free options available through research sites. Early detection can help reduce anxiety for families, making it easier to manage the condition before it escalates.
In this week’s episode, a mom named Emily shares her struggles with her almost-three-year-old daughter, Remy, who’s experiencing sleep issues, particularly at night and during naps. Remy screams and cries when her parents leave the room, and Emily suspects it’s tied to separation anxiety, possibly triggered by recent swim lessons and a chaotic daycare environment. The host emphasizes that this is a common phase for many parents, especially with a new baby in the house. They discuss how easy it can be to slip into co-sleeping out of exhaustion, but it’s possible to avoid that with some intentional strategies. They advise against using melatonin, noting that it doesn’t address the underlying issues of anxiety and habit. Instead, they suggest focusing on establishing new bedtime practices to help Remy feel secure in her own space. The host reassures Emily that what she’s experiencing isn’t a sleep regression in the traditional sense, but rather a typical response to separation anxiety. They encourage her to remain consistent in her approach to bedtime, reinforcing that this phase, while challenging, is manageable with the right techniques.