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A Journey of Strength and Resilience: Anzlie’s Story

At just 14 years old, Anzlie has faced significant challenges, yet she remains determined and strong. A first-year high school student, Anzlie has a passion for animals, even raising chickens in her backyard. She is an athlete and a dedicated student in the International Baccalaureate program, balancing academics with volleyball and CrossFit. Anzlie also manages both Type 1 diabetes and scoliosis, two conditions that require continuous care.   Anzlie’s journey with Type 1 diabetes began shortly after she finished first grade. Her mother noticed that Anzlie was excessively thirsty and had lost weight, prompting them to consult a doctor. The diagnosis was confirmed, and they were quickly referred to Nemours Children’s Health, where Dr. Larry Fox and a supportive endocrinology team helped them learn to manage the condition. Anzlie quickly adapted to monitoring her blood sugar and adjusting insulin.   Despite the challenges of diabetes, Anzlie embraced an active lifestyle. She participated […]

Teenager with type 1 diabetes using an app to check his sugar level at home while working on homework

Managing Depression in Children with Type 1 Diabetes

Managing a chronic condition like Type 1 Diabetes (T1D) is never easy, especially for children and adolescents. It requires constant attention to blood sugar levels, insulin administration, and carbohydrate intake, among many other factors. But there is a lesser known obstacle to this condition that often goes overlooked: mental health struggles, specifically, depression. Alexandra Monzon, PhD, a clinical pediatric psychologist with Nemours Children’s Hospital, Florida, is working to provide targeted mental health interventions for children with T1D. Why Depression is More Common in Kids with Type 1 Diabetes Dr. Monzon explained that T1D is stressful for young patients due to its demanding and constant nature — it requires patients to “be their own pancreas.” The continuous effort to regulate blood sugar through diet and insulin shots can lead to patients being overwhelmed, anxious, and depressed. Dr. Monzon noted that symptoms can overlap and intensify in patients with Type 1 diabetes […]

Associate Highlight: Jenny Pfieffer, PCNS-BC, APRN, ESMHL

At Nemours Children’s Health, our nursing staff is integral to our mission of providing exceptional care to our patients and families. Jenny Pfieffer, a Clinical Nurse Specialist in our Pediatric Diabetes Center, embodies the dedication, compassion, and innovation that defines our nursing team. With over 20 years of experience, Jenny has made a lasting impact on the lives of countless children and families. Inspired by her mother’s belief that “the sky is the limit,” Jenny began her nursing journey in pediatric emergency care. Her work was driven by a deep love for helping others and making a difference. After relocating to Nemours Children’s Health, Jacksonville from Delaware, she transitioned into nursing administration and eventually found her calling to return to the bedside as a Clinical Nurse Specialist at the Diabetes Center. In this role, Jenny helped create a transition program that supports adolescents moving from pediatric to adult diabetes care. […]

Type 1 Diabetes Patient turned Endocrinologist: Patrick’s Story

As someone who grew up in Delaware, even before I was diagnosed with type 1 diabetes, Nemours Children’s Health has always held a special place for me. During my medical school rotations, I found a mentor in Dr. Daniel Doyle, who showed me the profound impact of pediatric endocrinology. After completing my fellowship training in Philadelphia, I reached out. I was excited to learn that there was an opening for a pediatric endocrinologist at Nemours. It was the moment I had envisioned for so long finally coming to life! Beyond patient care, I’m fortunate to have the opportunity to participate in other activities, such as clinical research. This enables me to consider and investigate the issues my patients encounter, develop targeted interventions to assist them, and conduct trials to gain a deeper understanding of their disease processes, ultimately aiming to enhance their care in the future. I am so fortunate […]

Collaborative Approaches to Obesity and Diabetes Prevention and Care

Aiden was tall, strong and active, and his weight was only slightly above expected for his age. His family had no cause for concern until he developed severe, unexplained abdominal pain at the age of 10. After multiple checkups and tests, Aiden was diagnosed with a metabolic liver condition. As part of his treatment, he enrolled at the Healthy Weight and Wellness Clinic at Nemours Children’s Hospital, Delaware, a multidisciplinary clinic dedicated to supporting and guiding families in helping children improve their health and well-being. Now 13, he is proud of the lifestyle changes he’s made working with the clinic. He’s increased his physical activity and added healthy foods to a balanced diet that still includes some teen favorites. “Now, I’ll snack on a salad, and I never thought I would do that,” he said. Aiden and his mother, Jennifer Downey, spoke at a December symposium titled “Obesity and Diabetes […]

A mother and son are sitting together in a living room. She is helping him check his blood sugar levels because he is diabetic.

Nemours Researcher Brings Conversation on Diabetes to National Platform

Being diagnosed with Type 1 diabetes is often an overwhelming and life changing experience for children and families. Julia Price, PhD, Pediatric Psychologist at Nemours Children’s Health, works to help patients adjust to life with diabetes, using behavioral interventions to help kids and caregivers communicate about managing this complex illness. A major focus of Price’s work is implementation science, which is aimed at making sure that scientific advances ultimately reach the patients and families who most need them. To raise awareness of this work and demonstrate her leadership in this space, on October 11, Price moderated a panel on community participation and partnerships at a workshop held by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. “This workshop offered a unique opportunity to connect with leaders in the fields of implementation science, health equity and community-engaged research, all focused on […]

Jacksonville DiaBesties Camp: Evie’s Journey

Thanks entirely to the generous support of our donors, Nemours Children’s Health, Jacksonville, in collaboration with Wolfson Children’s Hospital, hosts the Jacksonville DiaBesties Camp. This free five-day camp — the only one of its kind in our community — provides kids with diabetes from Northeast Florida and Southeast Georgia the opportunity to enjoy a traditional camp experience in a medically-safe environment. Our team of physicians, nurses, diabetes educators, social worker, psychologists, and volunteers donate their time to ensure this camp is accessible to all families, regardless of their resources. The benefits of camp are extensive and transformative. Children can spend time with others who understand their journey, fostering long-lasting relationships. They receive psychosocial support, increase their ability to manage their diabetes care independently, and more. Jacksonville DiaBesties Camp is not just a camp — it’s a community that allows children with diabetes to understand their disease better and learn how […]

Dining out with diabetes

Dining out with Diabetes

Dining out is a fun, cultural and social affair that everyone should be able to take part in, including people with diabetes. It can seem daunting for those who need to count carbohydrates and administer insulin. But with preparation, guidance, and practice, dining out with diabetes can become a smooth process! Below are tips for before, during, and after dining to help ensure an enjoyable experience. Before: There is no need to change the types of restaurants frequented. Continue visiting your favorite ones and do not feel limited to ones that offer “healthier” options. In time, you may develop a list of preferred locations due to the helpfulness of staff and information made available by the restaurant. Search for the restaurant’s website online and see if the menu and nutritional information are available. If there is no restaurant website, try calling the restaurant and asking for the same information. If […]

After 27 Years With Type 1 Diabetes, Here’s What I’ve Learned | Promise, powered by Nemours Children's Health System

After 27 Years With Type 1 Diabetes, Here’s What I’ve Learned

I celebrated my first National Diabetes Awareness Month in 1990. I was twelve years old, had just started seventh grade, and was very aware of Type 1 diabetes – I’d just been diagnosed with it. Aside from the distinctive smells of insulin and alcohol swabs, I don’t remember much about the time I spent in the hospital after my diagnosis, or about those first few months at home. I do, however, remember the sense of bewilderment that accompanied my family home from the hospital, and how uncertain we were about how our lives would proceed with a chronic condition to manage. If I could go back to that November, there’s so much I would tell my younger self about the reality of living with diabetes. Unfortunately, I can’t – so I’m sharing what I’ve learned here. Don’t panic. It’s true that diabetes can (and will) infiltrate every part of your […]

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, […]

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