Hypercholesterolemia, atherosclerosis, and coronary artery disease are ever-growing problems in our society. While these “adult” medical issues rarely concerned pediatricians in the past, it is now well recognized that these troublesome processes begin in childhood.
It is midwinter. I’m tired of the cold weather and the white stuff falling from the sky. Lately, I’ve been thinking about another type of white stuff that often gets a bad rap—white rice and white foods in general. Rice cereal has a special significance for pediatric health care providers because it is typically the first solid food that is recommended for the 4 to 6 month old. Recently, I read about a pediatrician who is encouraging the use of brown rice cereal or a homemade brown rice mash or vegetable puree, instead of white rice cereal.
Obstructive sleep apnea (OSA) has a high prevalence in the pediatric population and is associated with significant morbidity, both physical and in the realms of development, cognition, behavior, and school performance.
Type 1 diabetes mellitus (T1DM) is the most common type of diabetes encountered in children. The incidence of T1DM in children is increasing in some populations. Early recognition of symptoms of T1DM is critical to avoid life-threatening metabolic decompensation. Such symptoms can include polyuria, polydipsia, fatigue, weight loss, urinary tract infection, vaginal candidiasis, and “fruity” breath. In the presence of clinical symptoms of hyperglycemia, diagnosis requires just 1 laboratory blood glucose measurement above the established threshold for the child’s age. In the absence of typical symptoms, a second abnormal blood glucose measurement on a different day is needed.