American Academy of Pediatrics
(AAP) recently issued guidelines to provide
evidence-based recommendations on managing type 2 diabetes in children aged 10
to 18. The guidelines are the first of their kind for this age group.
The recommendations suggest
integrating lifestyle modifications, including diet and exercise, in concert
with medication rather than as an isolated initial treatment approach.
Specifically, clinicians should encourage patients to engage in
moderate-to-vigorous exercise for at least 60 minutes daily and to limit
nonacademic “screen time” to less than 2 hours a day. "Physical activity
is an integral part of weight management for prevention and treatment of
T2DM," write the authors. They suggest that when prescribing physical
exercise, clinicians should be sensitive to the needs of children, adolescents,
and their families. Noting that routine, organized exercise may be beyond the
family's logistical and/or financial means, it is "most helpful to
recommend an individualized approach that can be incorporated into the daily
routine, is tailored to the patients' physical abilities and preferences, and
recognizes the families' circumstance."
The guidelines also call for
additional research. In particular the authors recommend studies that delineate
whether using lifestyle options without medication is a reliable first step in
treating selected children with type 2 diabetes, explore the efficacy of school
and clinic-based diet and physical activity interventions to prevent and manage
pediatric type 2 diabetes, and investigate the association between increased
"screen time" and reduced physical activity with respect to type 2
diabetes risk factors.
guidelines were written in consultation with the American Diabetes Association,
the Pediatric Endocrine Society, the American Academy of Family Physicians, and
the Academy of Nutrition and Dietetics.
Mount, PT, a prolific member of the Ohio physical therapy community, who passed
away last August, has left a bequest of $32,000 to the Foundation for Physical
Therapy, which will be designated toward the Florence P. Kendall Doctoral
was the recipient of numerous awards and accolades for her lifelong service to
the physical therapy profession, some of which include: from the Ohio Chapter,
Physical Therapist of the Year (1997), Outstanding Service Award from the
Northeast District (2003), and Meritorious Service Award (2008); the Viking
Shield Award from Cleveland State University's Physical Therapy Program (2011);
and the Crains Cleveland Business Health Care Heroes Award for Allied Health
more about Mount in the Foundation's press release.
Last week, the Department of Education's
Office for Civil Rights issued guidance
clarifying school districts' existing legal obligations to provide equal access
to extracurricular athletic activities to students with disabilities. In
addition to explaining those legal obligations, the guidance urges school
districts to work with community organizations to increase athletic
opportunities for students with disabilities, such as opportunities outside of
the existing extracurricular athletic program.
Students with disabilities have the
right, under Section 504 of the Rehabilitation Act, to equal opportunity to
participate in their schools' extracurricular activities. A 2010 report by the
US Government Accountability Office found that many students with disabilities
are not afforded an equal opportunity to participate in athletics and therefore
may not have equitable access to the health and social benefits of athletic
"Sports can provide invaluable
lessons in discipline, selflessness, passion, and courage, and this guidance
will help schools ensure that students with disabilities have an equal
opportunity to benefit from the life lessons they can learn on the playing
field or on the court," said Education Secretary Arne Duncan.
The guidance letter provides
examples of the types of reasonable modifications that schools may be required
to make to existing policies, practices, or procedures for students with
intellectual, developmental, physical, or any other type of disability.
Examples of such modifications include:
The guidance also notes that the law
does not require that a student with a disability be allowed to participate in
any selective or competitive program offered by a school district, on the
condition that the selection or competition criteria are not discriminatory.