Kent State Interns

We all know about diabetes, type I and II. However, there are many different and uncommon diabetes diagnosis that we as dietitians need to be familiar with. Between 1 and 5% of people diagnosed with diabetes do not have the traditional type one or type two diabetes. This article discusses the five types of diabetes that are uncommon. LADA is known as "type 1.5 diabetes". It is a slowly progressing type of type one diabetes that is often misdiagnosed as type 2. MODY is a type of diabetes that is most often found in young people. People with this type of diabetes are unable to have their beta cells release insulin. CFRD occurs when damage is done to the pancreas and is caused due to decreased numbers of beta cells. Cushing's Syndrome can cause diabetes and is seen in many cases. Antiretroviral-associated diabetes results from therapies for HIV. This article dives into more detail on each of these different diagnosis and processes of diabetes progression. Seeing as how diabe...

"Pregorexia" has been a term recently used in the media, it is not currently a medical term and therefor has no medical definition. However, it is becoming more and more common in the world of pregnant women struggling to maintain their weight while pregnant. This can occur in women that have previously had an eating disorder, but can also occur in women who have never had trouble with eating disorders in the past but are horrified to see a weight on the scale they are not use to.  OB/GYN's see their pregnant patients the most, and would therefore be the best line of defense when it comes to pregnancy eating disorders. Unfortunatly, most OB/GYN's do not know the signs and symptoms to look for when evaluating for an eating disorder. And with new standards and hospital regulations, patients are in and out of the office in 15 minutes or less, making it difficult to have the time to get the answers need to diagnose. Treatment requires counseling and looking out for tricks...

“Traditional beliefs still persist among surgeons to delay initiating nutrition support, despite recommendations to the contrary” said David Evans, MD at last year’s Food & Nutrition Conference and Expo in October 2014. David Evans is an Assistant Professor of Surgery, Medical Director, and Director of Nutrition Support Service at The Ohio State University. And the recommendations in question, a collection of strategies to improve surgical outcomes before, during, and after surgery, are garnering some press. The Sweden-based society, known as Enhanced Recovery After Surgery (ERAS) have considered the application of pre- and postsurgical nutrition interventions to surgical patients. Some of the interventions selected include “nutrition assessments and counseling; prebiotic/probiotics administration; limiting preoperative fasting to two to three hours, rather than the traditional six to 12 hours; and immediate postoperative fluid and diet initiation” (Webb, 2015), carbohydrate loadin...

Polycystic ovary syndrome (PCOS) is an endocrine disorder associated with metabolic dysfunction, menstrual irregularities, hyperandrogenism, insulin resistance, and decreased fertility (Grassi, 2014; Puurunen et al., 2011). Glucose intolerance tends to be more apparent in women with PCOS and often “occurs earlier than expected compared to the general population” (Gambineri, et al., 2012; Grassi, 2014). Elevated abdominal adiposity contribute to greater incidence of insulin resistance, type 2 diabetes, dyslipidemia, and cardiovascular disease. The risk of developing heart disease and type 2 diabetes are potentially increased five-fold in postmenopausal women with PCOS (Boudreaux et al., 2006; Grassi, 2014). Dietary and lifestyle interventions for prevention (e.g., nutritional deficiencies), early diagnosis and treatment (e.g. impaired glucose tolerance) and management are important for improving outcomes. Optimal management of PCOS requires lifestyle modification often in combinatio...

Loma Linda University is a college in San Bernardino, California. It is known for many things, one being that people around the university tend to have incredible longevity of life. It is actually one of the top three highest longevity cities in the world. There are many theories on why people at this university are living longer, but it seems that it can be attributed mainly to the large Seventh-Day Adventists. Many Seventh-Day Adventists are vegetarians, and the school even went so far as to make their entire campus "meat-free". Adventists also avoid smoking, drinking alcohol, pork, lamb, shellfish, coffee, and tea. This article describes how this university campus and surrounding community are prime ground for studying long term effects of certain diet restrictions. In a two part clinical study, nutritional scientists were able to study over 50,000 people and evaluate how their diet and lifestyle effects their longevity. This could be very valuable to clinical dietetics. I...