"Time after Time" by Cindy Lauper is the theme song of the day and everyday for those of us visionary pediatricians who keep speaking up and advocating for children and teens! I wasn't planning on doing a YouTube video today or IME Community podcast, but was made aware of a new study by Dr. Brynn Marks and her team at Children's National Hospital in Washington D.C. that showed that Type 2 Diabetes in pediatrics increased by 182% during the first year of the COVID pandemic based on their hospital data. Most concerning is the fact that black youth are disproportionately affected and that an increased number of patients presented with DKA or hyperosmolar DKA, which is very severe complication of diabetes. Boys were also more affected compared to their pre-pandemic data. Based on their data, there is not a direct correlation to positive COVID infection. Lack of preventative care and screening during the pandemic may have contributed as well as environmental and social factors, such as increased sedentary time, lack of structure and routine, more screens. What we know at IME Community is that our food system with processed carbs and refined sugars and the marketing and advertising to children and teens that conditions our brains to desire these foods, is a major contributing factor. The lack of access to healthy foods, including school meals, and how that increased during the COVID. With increased stress and emotional and mental health stressors and family stresses, increased marketing, it's easy to see how the intake of processed carbs and refined sugars is a contributing factor to the development of Type 2 diabetes. The most alarming data from this important study is more evidence of health inequities. We know where to start and where to put resources from a public health standpoint. "Time after Time" it's the same story. Us visionary pediatricians are going to keep speaking up and we will keep advocating. We are loud! Type 2 diabetes which used to be termed adult onset diabetes is related to Insulin Resistance. Where to start? First, more studies from other hospitals reviewing their data will be helpful. Share this important study. If you are a parent or a teen, make sure you get vaccinated for COVID if you can and also make sure you get to your pediatrician or family medicine doctor for your well child visit and preventative care and get the screening you need. Follow IME Community on social media and follow the 12 week Reverse Your Insulin Resistance Challenge. It's free and for everyone! Like and Subscribe to the IME Community YouTube Channel and the IME Community podcast on Apple or Spotify. Share IME Community with everyone you know! It's time for an innovative approach, so check out IME Community and if you are a teen or parent of a teen, ages 12 to 18, Join IME Community where self-love is your superpower to achieve your life and weight goals and make your mark in the world! Email me at [email protected] if you have questions, a study to share, and don't forget if you are a teen with weight loss and health transformation goals, Join IME Community! Self-love superpower, Dr. Karla, ActivistMD  See omnystudio.com/listener for privacy information.

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