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Gestational Diabetes and Diet: How the Right Foods Can Help | Armando Fuentes, MD | Promise: Powered by Nemours Children's Health

Gestational Diabetes and Diet: How the Right Foods Can Help

You probably know someone who’s had gestational diabetes mellitus, or may have been diagnosed yourself. By any measure, it’s not rare. It’s estimated that about 200,000 cases of gestational diabetes—a condition that’s marked by glucose intolerance in pregnancy—occur every year. In fact, gestational diabetes may be present in up to 9.2% of all pregnancies. But the fact that gestational diabetes is pretty common doesn’t make it any easier to live with—especially when you’re dealing with all the other challenges of pregnancy. Gestational diabetes occurs when hormones from the placenta block the action of the insulin that the mother’s body produces. Insulin’s job is to help the body transform glucose in the bloodstream into useable energy. When the body can’t make or use insulin properly, glucose builds up in the blood, causing higher blood glucose levels that can be dangerous for a mother with diabetes and her baby. Women with gestational diabetes mellitus […]

Asthma Flare-Ups and Kids: What They Are, What You Can Do, Powered by Nemours Children's Health System

Asthma Flare-Up and Kids: What They Are, What You Can Do

A recent survey by Nemours Children’s Health System, the Delaware Survey of Children’s Health (DSCH), showed that parents of 88 percent of children with asthma were educated by health professionals on how to recognize early signs or symptoms of asthma episodes in their child. Understanding what an asthma flare-up is and how to recognize the early signs or symptoms are key steps in improving the health of your child. Increasing the percentage of parents who are taught how to recognize their child’s early signs or symptoms of an asthma flare-up (also called an asthma attack) can help reduce the number of asthma-related hospital visits and improve the overall health of their child. What is an Asthma Flare-Up? During an asthma flare-up, the breathing tubes (also called bronchial tubes) in the lungs constrict — like a straw being squeezed — which triggers wheezing, coughing and tightness in the chest. Some kids […]

Heart Murmurs in Kids: They’re Common and Usually Harmless, by Steven Ritz, MD | Promise, Powered by Nemours Children's Health System

Heart Murmurs in Kids: They’re Common and Usually Harmless

You might worry if you’re told your child has a heart murmur. But lots of kids are found to have heart murmurs at some point. And most won’t affect a child’s health at all. So What Is a Heart Murmur? The term “heart murmur” isn’t a diagnosis of an illness or disorder. The doctor might hear an extra sound in addition to the “lub-dub” we recognize as the heartbeat. A heart murmur is an abnormal sound (like a blowing or whooshing) that’s usually detected by a doctor who’s listening to the heart with a stethoscope during a routine examination. What’s an “Innocent” Heart Murmur? The most common type of heart murmur is an “innocent murmur” (also called a “benign” or “functional” murmur). This type of murmur is harmless. An innocent heart murmur is the sound of blood moving through a normal, healthy heart in a normal way. Just as you might hear air moving through an […]

Sudden cardiac arrest and teenage athletes | Steven Fishberger, MD | Promise: Powered by Nemours Children's Health System

Sudden Cardiac Arrest and Teenage Athletes: What’s the Risk?

Sudden cardiac arrest is nothing new, but it still gets plenty of attention when it affects a young athlete—usually because it’s so rare, unexpected and tragic. We’re all familiar with the stories of seemingly healthy teenagers collapsing on the field or court and succumbing to cardiac arrest. It’s estimated that between 6,000 and 8,000 young people experience sudden cardiac arrest (or SCA) each year, and only about one in 10 survive. The exact causes of SCA vary widely. Abnormalities in the heart or genetic conditions are often to blame, though there are times in which a definite cause is never found. In all cases, something causes the heart to unexpectedly beat out of control or stop beating altogether. Sudden cardiac arrest is so dangerous because it’s so hard to predict. But if the symptoms are recognized immediately, lives can be saved. Symptoms of SCA include: Collapse Lack of pulse No […]

Meet Emmy: An Atrial Septal Defect Success Story | Promise: Powered by Nemours Children's Health System

Meet Emmy: An Atrial Septal Defect Success Story

When Jill’s third child, Emmy, was born with a hole in her heart, Jill wasn’t too worried. Her two older sons also had the condition—called Atrial Septal Defect (ASD)—and theirs had cleared up over time. In children with ASD, blood recirculates inside the heart, and doesn’t reach the rest of the body as well as it should. Dr. Mary Mehta, Pediatric Cardiologist at Nemours Children’s Specialty Care, Pensacola, worked with the family to track Emmy’s condition. It didn’t improve, and it soon became clear that Emmy would need complex and invasive surgery to repair the hole in her heart. When Emmy was just three years old, the right side of her heart began to enlarge, presenting more risks: asthma-like symptoms and other coronary issues.  It was time to prepare for open heart surgery. Emmy’s family met with Dr. Peter Wearden, Cardiothoracic Surgeon at the Nemours Cardiac Center at Nemours Children’s Hospital […]

6 Common Pneumonia Questions Answered, by Kate Cronan, MD, Powered by Nemours Children's Health System

6 Common Pneumonia Questions Answered

Pneumonia is a very common illness in kids. In fact, an estimated 156 million cases of pneumonia are diagnosed worldwide each year — and that’s just in children younger than 5 years old, according to the World Health Organization (WHO). So here’s what you need to know about this infection that’s all too common around this time of year. 1. What is pneumonia, anyway? Simply put, pneumonia is an infection of the lungs. It causes fever, coughing and sometimes trouble breathing. The good news is that most kids with pneumonia can be treated at home, and they usually get better in 1 to 2 weeks. However, in some cases, babies and children with certain other medical problems can get sicker and may need to be admitted to a hospital while they get better. 2. Is there a pneumonia “season?” Your child may be more likely to get pneumonia after having a […]

Osgood-Schlatter Disease, Powered by Nemours Children's Health System

Kids’ Knee Pain: Is It Osgood-Schlatter Disease?

I remember when my son was 12 years old, he would wake up in the middle of the night crying and complaining of knee pain. He had started to run track in middle school, and he started to get a little bump just below his knee cap at the top of his shin bone. Our pediatrician called it “growing pains” and said it would go away. He recommended that he do some stretches and ice after track practice. Eventually it did resolve once track season was over, and he didn’t have any problems after that. What I found out later is that this wasn’t growing pains at all – it was a common sports injury known as “Osgood-Schlatter disease.” What is Osgood-Schlatter disease? Although it sounds scary because of the word “disease,” Osgood-Schlatter is one of the most common causes of knee pain in adolescents. It’s an overuse injury that […]

Sorting Out 7 Common Sports Injury Myths, by Alfred Atanda, Jr., MD, Powered by Nemours Children's Health System

Sorting Out 7 Common Sports Injury Myths

“No pain, no gain.” “Walk it off.” “He has a high tolerance for pain.” I’ve heard each one of these quotes and more during my many years as a pediatric orthopedic surgeon specializing in sports medicine. Many of them are actively detrimental to the health of your child, not just at that moment but when they grow into a professional athlete as well. As you already know sports injuries can be life-changing, that’s why many professional athletes take out long term disability insurance in case they are left permanently out of action. Would you be willing to put your child at risk of permanent injury because of a few false preconceived notions you can easily avoid? The answer should always be “no”. How many sports injury myths do you believe to be true? Here’s a list of the most popular things I hear regarding preventing and dealing with sports injuries, […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

Providing Support for Family and Friends with Diabetes: DOs and DON’Ts

People who live with diabetes need a lot of “extras” to live healthy, balanced lives. Most of those extras – testing supplies, insulin, and medical attention – can be costly. But there’s one thing that friends and family members of people with diabetes can help provide for free: understanding and emotional support. Here are some Dos and Don’ts for helping people with diabetes thrive with the condition. DO: Get informed. Diabetes can be a confusing condition, even for those who live with it every day. Take the time to learn the myths and facts about type 1 and type 2 diabetes by talking to your friend or relative with diabetes, your doctor, or relatives you know who have diabetes and by finding credible sources of information online. React calmly. For people with diabetes, high and low blood sugars can be common, even on a daily basis. Unless it’s an emergency, […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

Type 1 Diabetes: Myths and Facts

Diabetes can be a confusing condition, even for the children, teenagers and families who live with it every day. Here, we separate some of the myths from the truths about type 1 diabetes and those who have it. Myth: Diabetes comes from eating too much sugar. Fact: The exact causes of diabetes – both type 1 and type 2 – aren’t known. What is clear is that type 1 diabetes is an autoimmune disease, which means it results when the body’s immune system destroys its own tissues. In this case, the immune system destroys the insulin-producing cells located in the pancreas. What prompts the immune system to target these cells is unknown, but age, genetics, environment, and other factors all play a part. Overall, to reduce your chances of getting diabetes, you should reduce your sugar intake, eat smarter and perhaps consider looking into unify health reviews and others similar to ensure […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

The Type 1 Diabetes Warning Signs Every Parent Needs to Know

When Katy’s son’s second-grade teacher called the house one afternoon, neither of them knew they were discussing symptoms of type 1 diabetes. “The teacher contacted us because Brian was falling asleep after lunch. She was concerned that something was happening at home that was keeping him from sleeping.” A little worried, Katy took Brian to his pediatrician, who simply recommended that he get to bed earlier each night. “We started putting him to bed at 7:30 p.m., and he was still sleepy after lunch in school. It continued throughout the school year.” Katy, her son’s teacher, and the family pediatrician would later learn that Brian’s after-lunch fatigue was due to undiagnosed type 1 diabetes. “Over the summer, I noticed him drinking more and more. I eventually googled ‘excessive thirst’ and read about type 1 diabetes. The pediatrician had us come in for a urine test and sent us to the […]

Boccia: A Game for All Abilities, by Brie Sheppard, PT, DPT, Promise, Powered by Nemours Children's Health System

Boccia: A Game for All Abilities

The 2016 Rio Paralympics just came to a close, and the USA is celebrating its most successful Paralympic performance in recent history. A whopping 289 American Paralympic athletes brought home a total of 115 medals, and the USA finished fourth in the medal count. Independent of standings, results, and rankings, the Paralympics and Team USA never fail to remind us of what the body is truly capable of and what impossibilities the spirit can overcome. It’s this motivation and inspiration that was the driving force behind the creation of our Paralympic Boccia program in 2014, with Nemours becoming an official U.S. Paralympic Sports Club in 2015. What Is Boccia? Boccia is a game, similar to backyard Bocce, created especially for the Paralympics in 1984. The object of the game is to score points by propelling your team’s balls closest to the target ball on a long, narrow, indoor playing court. In Boccia, all […]

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