Research Topics
| W V TamborlaneSummaryAffiliation: Yale University Country: USA Publications
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Publications
Diabetes in overweight pediatric patientsWilliam V Tamborlane
Department of Pediatrics and General Clinical Research Center, Yale University School of Medicine, New Haven, Connecticut 06520, USA
Clin Cornerstone 7:S25-9. 2005..Insulin pumps and insulin analogues represent promising new avenues that have enhanced convenience, cost-effectiveness, patient satisfaction, and metabolic control of childhood DM...
Insulin pump therapy in children and adolescentsW V Tamborlane
Department of Pediatrics, Yale School of Medicine, 333 Cedar Street, New Haven, CT, USA
Diabetes Nutr Metab 15:422-5. 2002
The renaissance of insulin pump treatment in childhood type 1 diabetesWilliam V Tamborlane
General Clinical Research Center, Yale University School of Medicine, New Haven, CT 06520 8064, USA
Rev Endocr Metab Disord 7:205-13. 2006..Clinical studies of safety and efficacy of CSII in children are reviewed, as well as criteria for patient selection and practical considerations using pump therapy in youth with T1DM...
Insulin pump therapy in childhood diabetes mellitus: guidelines for useWilliam V Tamborlane
Department of Pediatrics and the Children s Clinical Research Center, Yale University School of Medicine, New Haven, Connecticut 06510, USA
Treat Endocrinol 2:11-21. 2003..The recent introduction of methods for continuous glucose monitoring provides a new means to optimize the basal and bolus capabilities of CSII and offers hope for the development of a feedback-controlled artificial pancreas...
Short-term effects of coping skills training as adjunct to intensive therapy in adolescentsM Grey
Department of Pediatrics, School of Medicine, Yale University School of Nursing, New Haven, Connecticut 06536 0740, USA
Diabetes Care 21:902-8. 1998....
Personal and family factors associated with quality of life in adolescents with diabetesM Grey
Department of Pediatrics, School of Medicine, Yale University School of Nursing, New Haven, Connecticut 06536 0740, USA
Diabetes Care 21:909-14. 1998..The purpose of this study was to evaluate the factors that influence quality of life in adolescents with IDDM...
Disease management in the young diabetic patient: glucose monitoring, coping skills, and treatment strategiesStuart A Weinzimer
Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06520, USA
Clin Pediatr (Phila) 44:393-403. 2005..Overall, careful management, monitoring, and education can improve glycemic control and yield positive treatment outcomes in the child or adolescent with diabetes...
Oral glucose augments the counterregulatory hormone response during insulin-induced hypoglycemia in humansR A Heptulla
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06520, USA
J Clin Endocrinol Metab 86:645-8. 2001..Thus, ingestion of glucose may reverse hypoglycemia directly by provision of substrate, as well as indirectly by stimulating counteregulatory mechanisms...
Continuous subcutaneous insulin infusion. A new way to lower risk of severe hypoglycemia, improve metabolic control, and enhance coping in adolescents with type 1 diabetesE A Boland
Yale Children s Clinical Research Center, Yale University School of Nursing, New Haven, Connecticut, USA
Diabetes Care 22:1779-84. 1999....
The normal glucose tolerance continuum in obese youth: evidence for impairment in beta-cell function independent of insulin resistanceCatherine W Yeckel
Yale University School of Medicine, Department of Pediatrics, P.O. Box 802064, New Haven, Connecticut 06520, USA
J Clin Endocrinol Metab 90:747-54. 2005..005). Increased 2-h plasma glucose within the range of normal glucose tolerance in obese youth is associated with a specific impairment of beta-cell responsiveness distinct from the deterioration of insulin sensitivity...
Use of lispro insulin and quality of life in adolescents on intensive therapyM Grey
Yale School of Nursing, New Haven, CT 06536 0740, USA
Diabetes Educ 25:934-41. 1999..This study examined the metabolic and quality-of-life effects of using lispro insulin in teenagers...
Epipen as an alternative to glucagon in the treatment of hypoglycemia in children with diabetesT P Monsod
Department of Pediatrics, Yale University, New Haven, Connecticut 06520, USA
Diabetes Care 24:701-4. 2001..Epinephrine is available as a premixed injection (Epipen) that may be used by all care providers. Using Epipen to treat hypoglycemia may be an effective, safe, and easy-to-use alternative to glucagon...
The "obese insulin-sensitive" adolescent: importance of adiponectin and lipid partitioningRam Weiss
Department of Pediatrics, Yale University School of Medicine, 333 Cedar Street, P O Box 208064, New Haven, Connecticut 06520, USA
J Clin Endocrinol Metab 90:3731-7. 2005..Obese insulin-sensitive adolescents are characterized by lower lipid deposition in the intramyocellular and visceral compartments and greater levels of adiponectin, despite similar degree of adiposity...
Prevalence of impaired glucose tolerance among children and adolescents with marked obesityRanjana Sinha
Department of Pediatrics, Yale University School of Medicine, New Haven, Conn 06520, USA
N Engl J Med 346:802-10. 2002..Impaired oral glucose tolerance was associated with insulin resistance while beta-cell function was still relatively preserved. Overt type 2 diabetes was linked to beta-cell failure...
Limitations of conventional methods of self-monitoring of blood glucose: lessons learned from 3 days of continuous glucose sensing in pediatric patients with type 1 diabetesE Boland
Yale University School of Medicine, Yale University, New Haven, Connecticut 06519, USA
Diabetes Care 24:1858-62. 2001..The MiniMed Continuous Glucose Monitoring System (CGMS) has provided a new method to obtain continuous glucose profiles and opportunities to examine limitations of conventional monitoring...
In situ evidence that peripheral insulin resistance in adolescents with poorly controlled type 1 diabetes is associated with impaired suppression of lipolysis: a microdialysis studyRubina A Heptulla
Department of Pediatrics, Baylor College of Medicine, Clinical Care Center, Houston, TX 77030 2399, USA
Pediatr Res 53:830-5. 2003..63, p < 0.01). Our data suggest that failure of insulin to inhibit lipolysis in muscle and adipose tissue contributes to the severe peripheral insulin resistance that characterizes poorly controlled T1DM during adolescence...
Predictors of changes in glucose tolerance status in obese youthRam Weiss
Yale University School of Medicine, Department of Pediatrics, P.O. Box 802064, New Haven, CT 06520, USA
Diabetes Care 28:902-9. 2005..Parameters derived from an OGTT and not fasting samples can serve as predictors of changes in glucose tolerance...
The influence of insulin on circulating ghrelinDaniel E Flanagan
Section of Endocrinology, Yale University School of Medicine, New Haven, Connecticut 06520, USA
Am J Physiol Endocrinol Metab 284:E313-6. 2003..Our data suggest that insulin may suppress circulating ghrelin independently of glucose, although glucose may have an additional effect. We conclude that the GH response seen during hypoglycemia is not regulated by circulating ghrelin...
A summer vacation from diabetes: evidence from a clinical trialE A Boland
Yale University School of Nursing, New Haven, CT 06536 0740, USA
Diabetes Educ 25:31-40. 1999..This study examined the metabolic trend and factors associated with an unexpected rise in HbA1c levels during the summer, with a return to baseline when school resumed, in 40 intensively treated adolescents with type 1 diabetes...
Using a primary nurse manager to implement DCCT recommendations in a large pediatric programJ A Ahern
Department of Pediatrics, Children s Clinical Research Center, Yale University School of Medicine and Yale New Haven Hospital, New Haven, Connecticut, USA
Diabetes Educ 26:990-4. 2000....
Metabolic impact of obesity in childhoodS Caprio
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA
Endocrinol Metab Clin North Am 28:731-47. 1999..These observations underscore the need for research efforts directed at the development of effective interventions to stem the tide of the childhood obesity epidemic...
Optimal control of type 1 diabetes mellitus in youth receiving intensive treatmentDena Springer
Department of Pediatrics and the General Clinical Research Center, Yale University School of Medicine, New Haven, Connecticut, USA
J Pediatr 149:227-32. 2006..Most children were able to attain glycemic targets at least as good as the Diabetes Control and Complications Trial recommendations in a large clinical practice...
Validation of insulin sensitivity indices from oral glucose tolerance test parameters in obese children and adolescentsCatherine W Yeckel
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06520, USA
J Clin Endocrinol Metab 89:1096-101. 2004..74 and -0.71; P < 0.0001), a tissue marker for insulin resistance. Insulin sensitivity can be estimated using plasma glucose and insulin responses derived from the OGTT in obese youth with normal and impaired glucose tolerance...
Ethnic differences in beta cell adaptation to insulin resistance in obese children and adolescentsR Weiss
Department of Pediatrics, Yale University School of Medicine, 333 Cedar Street, New Haven, P O Box 208064, CT 06520, USA
Diabetologia 49:571-9. 2006..The aim of this study was to evaluate the early insulin response and insulin clearance in response to an oral glucose load in obese children and adolescents...
Effect of a successful intensive lifestyle program on insulin sensitivity and glucose tolerance in obese youthMelissa Shaw
Department of Pediatrics, Yale University, New Haven, Connecticut, USA
Diabetes Care 32:45-7. 2009..To evaluate the impact on glucose metabolism of a lifestyle program (the Yale Bright Bodies Program) for obese children...
Practical aspects of real-time continuous glucose monitors: the experience of the Yale Children's Diabetes ProgramBrett Ives
APYale Children s Diabetes Program, 2 Church Street South, Suite 404, New Haven, CT 06519, USA
Diabetes Educ 36:53-62. 2010..Careful training and troubleshooting strategies will ensure the most positive experience possible for a family using RT-CGM...
Fulfilling the promise of insulin pump therapy in childhood diabetesWilliam V Tamborlane
Department of Pediatrics and the General Clinical Research Center, Yale University School of Medicine, New Haven, CT 06520, USA
Pediatr Diabetes 7:4-10. 2006....
Early pharmacokinetic and pharmacodynamic effects of mixing lispro with glargine insulin: results of glucose clamp studies in youth with type 1 diabetesEda Cengiz
Division of Pediatric Endocrinology, Yale University School of Medicine, New Haven, Connecticut, USA
Diabetes Care 33:1009-12. 2010....
Is an automatic pump suspension feature safe for children with type 1 diabetes? An exploratory analysis with a closed-loop systemEda Cengiz
Department of Pediatrics, Section of Pediatric Endocrinology, Yale University School of Medicine, New Haven, Connecticut 06520, USA
Diabetes Technol Ther 11:207-10. 2009..It has been proposed that the first step towards a closed-loop artificial pancreas might be to use a continuous glucose sensor to automatically suspend the basal insulin delivery based on projected low sensor glucose values...
Perception of the impact of type 1 diabetes on low-income familiesSadiqa Edmonds-Myles
Sadiqa Edmonds Myles, 3415 Bainbridge Avenue, Bronx, NY 10467, USA
Diabetes Educ 36:318-25. 2010..The purpose of this study was to explore the psychosocial impact of type 1 diabetes (T1DM) on low-income families of various racial/ethnic backgrounds...
From pumps to prevention: recent advances in the treatment of type 1 diabetesJennifer Sherr
Department of Pediatrics, Yale University School of Medicine, New Haven, CT, United States
Drug Discov Today 14:973-81. 2009..Another area of exploration is the autoimmune process that causes beta-cell destruction. Immunomodulators used for T1DM prevention and secondary intervention will be reviewed...
Continuous subcutaneous insulin infusion (CSII) in children with type 1 diabetesWilliam V Tamborlane
Department of Pediatrics and General Clinical Research Center, Yale University School of Medicine, New Haven, CT, USA
Diabetes Res Clin Pract 74:S112-5. 2006..Clinical studies of safety and efficacy of CSII in children are reviewed...
Effect of age of infusion site and type of rapid-acting analog on pharmacodynamic parameters of insulin boluses in youth with type 1 diabetes receiving insulin pump therapyKarena L Swan
Department of Pediatrics, Section of Pediatric Endocrinology, Yale University, New Haven, Connecticut, USA
Diabetes Care 32:240-4. 2009..The purpose of this study was to examine the effect of type of insulin analog and age of insertion site on the pharmacodynamic characteristics of a standard insulin bolus in youth with type 1 diabetes receiving insulin pump therapy...
Short-term metabolic and cardiovascular effects of metformin in markedly obese adolescents with normal glucose toleranceTania S Burgert
Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06520, USA
Pediatr Diabetes 9:567-76. 2008....
Past, present, and future of insulin pump therapy: better shot at diabetes controlJennifer Sherr
Department of Pediatrics and Yale Center for Clinical Investigation, Yale University School of Medicine, New Haven, CT, USA
Mt Sinai J Med 75:352-61. 2008..Finally, newer findings on continuous glucose sensors are discussed as the next era of pump therapy continues to focus on the goal of developing an artificial pancreas...
A tale of two compartments: interstitial versus blood glucose monitoringEda Cengiz
Section of Pediatric Endocrinology and Yale Center for Clinical Investigation, Yale University School of Medicine, New Haven, Connecticut 06520, USA
Diabetes Technol Ther 11:S11-6. 2009..This article will review the differences between interstitial and blood glucose and some of the challenges in measuring interstitial glucose levels accurately...
Sensor-augmented pump therapy in type 1 diabetesStuart A Weinzimer
Department of Pediatrics, Center for Clinical Investigation, Yale University School of Medicine, New Haven, Connecticut 06520 8064, USA
Curr Opin Endocrinol Diabetes Obes 15:118-22. 2008..The purpose of this review is to familiarize the reader with the new glucose sensors and discuss the literature evaluating their accuracy and effectiveness...
Fully automated closed-loop insulin delivery versus semiautomated hybrid control in pediatric patients with type 1 diabetes using an artificial pancreasStuart A Weinzimer
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06520 8064, USA
Diabetes Care 31:934-9. 2008..However, delays in insulin absorption associated with the subcutaneous route of delivery inevitably lead to large postprandial glucose excursions...
Decompensated hyperglycemic hyperosmolarity without significant ketoacidosis in the adolescent and young adult populationMichael F Canarie
Section of Critical Care Medicine, Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA
J Pediatr Endocrinol Metab 20:1115-24. 2007..To identify patients aged 10-30 years with probable hyperglycemic hyperosmolar syndrome (HHS), to describe demographic and clinical profiles, and to attempt to assess risk factors for poor outcomes...
Effect of puberty on the pharmacodynamic and pharmacokinetic properties of insulin pump therapy in youth with type 1 diabetesKarena L Swan
Section of Pediatric Endocrinology, Yale University, New Haven, Connecticut 06520, USA
Diabetes Care 31:44-6. 2008
Effects of a weight management program on body composition and metabolic parameters in overweight children: a randomized controlled trialMary Savoye
Yale Center for Clinical Investigation, Yale University School of Medicine, New Haven, CT 06520, USA
JAMA 297:2697-704. 2007..Since most overweight children become overweight adults, this chronic condition results in serious metabolic complications by early adulthood. To curtail this major health issue, effective pediatric interventions are essential...
Insulin pump treatment of childhood type 1 diabetesStuart A Weinzimer
Department of Pediatrics, Yale University School of Medicine, PO Box 208064, New Haven, CT 06520 8064, USA
Pediatr Clin North Am 52:1677-88. 2005..Clinical studies of safety and efficacy of CSII in children are reviewed...
Long-term results of an obesity program in an ethnically diverse pediatric populationMary Savoye
Yale University School of Medicine, Pediatric Endocrinology, PO Box 208064, New Haven, CT 06520 8064, USA
Pediatrics 127:402-10. 2011..To determine if beneficial effects of a weight-management program could be sustained for up to 24 months in a randomized trial in an ethnically diverse obese population...
Persistence of benefits of continuous subcutaneous insulin infusion in very young children with type 1 diabetes: a follow-up reportStuart A Weinzimer
Department of Pediatrics, Yale University School of Medicine, PO Box 208064, 333 Cedar St, New Haven, Connecticut 06520, USA
Pediatrics 114:1601-5. 2004..The objective of this study was to analyze the CSII efficacy and safety data in very young children with type 1 diabetes from our Diabetes Clinic database...
Analysis of continuous glucose monitoring data from non-diabetic and diabetic children: a tale of two algorithmsStuart A Weinzimer
Department of Pediatrics and Children s Clinical Research Center, Yale University School of Medicine, New Haven, Connecticut 06520, USA
Diabetes Technol Ther 5:375-80. 2003..Solutions 3.0 may be a more useful algorithm for preventing over-reading of low and high SG readings in non-diabetic children, whereas both algorithms give similar results in children with diabetes...
A randomized, prospective trial comparing the efficacy of continuous subcutaneous insulin infusion with multiple daily injections using insulin glargineElizabeth A Doyle
Department of Pediatrics and Children s Clinical Research Center, Yale University School of Medicine, New Haven, Connecticut, USA
Diabetes Care 27:1554-8. 2004..Our principal aim in this short-term study was to compare the efficacy of CSII to MDI with glargine in lowering HbA(1c) levels in children and adolescents with type 1 diabetes...
Do sensor glucose levels accurately predict plasma glucose concentrations during hypoglycemia and hyperinsulinemia?Teresa P Monsod
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06520, USA
Diabetes Care 25:889-93. 2002....
Beta-cell function across the spectrum of glucose tolerance in obese youthRam Weiss
Department of Pediatrics, Yale University School of Medicine, 333 Cedar St, P O Box 208064, New Haven, CT 06520, USA
Diabetes 54:1735-43. 2005..Obese youth with IGT have a significant defect in first-phase insulin secretion, while a defect in second-phase secretion and proinsulin processing is specific for type 2 diabetes in this age-group...
Quality of life in school-aged children with type 1 diabetes on intensive treatment and their parentsRobin Whittemore
Yale School of Nursing, 100 Church Street South, New Haven, CT 06536 0740, USA
Diabetes Educ 29:847-54. 2003..The purpose of this study was to examine the child, parent, and family factors associated with quality of life and metabolic control in school-aged children with type 1 diabetes on intensive treatment...
Case study: contrasting challenges of insulin pump therapy in a toddler and adolescent with type 1 diabetesElizabeth A Doyle Boland
Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA
Diabetes Educ 31:584-90. 2005..To describe the challenges and outcomes of continuous subcutaneous insulin infusion (CSII) pump therapy in a toddler and adolescent with type 1 diabetes. Insight into patient-family aspects motivating pump use is provided...
Local lactate perfusion of the ventromedial hypothalamus suppresses hypoglycemic counterregulationMonica A Borg
Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520-8020, USA
Diabetes 52:663-6. 2003..05). In conclusion, the glucose-sensing mechanism in the VMH responds to lactate and, thus, is not specific for glucose. This implies that the VMH may act as a fuel sensor rather than as a glucose sensor...
Continuous glucose monitoring in type 1 diabetesStuart A Weinzimer
Yale University School of Medicine, Department of Pediatrics, PO Box 208064, 333 Cedar Street, New Haven, CT 06520, USA
Curr Diab Rep 4:95-100. 2004..The current "state of the art" of this technology, including accuracy, performance in clinical trials, limitations, and recommendations for use, is discussed for the two currently approved continuous glucose monitoring devices...
Defective activation of skeletal muscle and adipose tissue lipolysis in type 1 diabetes mellitus during hypoglycemiaStaffan Enoksson
Department of Medicine, Section of Endocrinology, Yale University School of Medicine, New Haven, Connecticut 06510, USA
J Clin Endocrinol Metab 88:1503-11. 2003..This defect within peripheral tissues may lead to a delayed increase in glucose disposal that could contribute to the severity of hypoglycemia when it is prolonged...
Cardiac responses to insulin-induced hypoglycemia in nondiabetic and intensively treated type 1 diabetic patientsR R Russell
Department of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut 06520, USA
Am J Physiol Endocrinol Metab 281:E1029-36. 2001..Although diabetic subjects have a more pronounced cardiac response to hyperinsulinemia per se than nondiabetic subjects, their response to hypoglycemia is blunted...
Beneficial effects of intensive therapy of diabetes during adolescence: outcomes after the conclusion of the Diabetes Control and Complications Trial (DCCT)N H White
Yale University School of Medicine, New Haven, CT, USA
J Pediatr 139:804-12. 2001....
Recent advances in treatment of youth with Type 1 diabetes: better care through technologyW V Tamborlane
Department of Paediatrics and the Children s Clinical Research Center, Yale University School of Medicine, New Haven, CT 06520, USA
Diabet Med 18:864-70. 2001..Even more important, we may finally be at the threshold of development of a practically applicable artificial pancreas...
Clinical and psychosocial factors associated with achievement of treatment goals in adolescents with diabetes mellitusM Grey
Office of Research Affairs, Yale School of Nursing, New Haven, Connecticut 06536 0740, USA
J Adolesc Health 28:377-85. 2001..and psychosocial factors are associated with achievement of metabolic control treatment goals after 1 year? and (b) What baseline clinical and psychosocial factors are associated with improvement in the quality of life after 12 months?..
Prediabetes in obese youth: a syndrome of impaired glucose tolerance, severe insulin resistance, and altered myocellular and abdominal fat partitioningRam Weiss
Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06520, USA
Lancet 362:951-7. 2003..INTERPRETATION: In obese children and adolescents with prediabetes, intramyocellular and intra-abdominal lipid accumulation is closely linked to the development of severe peripheral insulin resistance...
Clinical outcomes and cost-effectiveness of retinopathy screening in youth with type 1 diabetesBetty Huo
Department of Pediatric Endocrinology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA
Diabetes Care 30:362-3. 2007
Degree of obesity and glucose allostasis are major effectors of glucose tolerance dynamics in obese youthRam Weiss
Department of Pediatric Endocrinology, Yale University School of Medicine, New Haven, Connecticut, USA
Diabetes Care 30:1845-50. 2007..quot; We examined whether glucose allostasis can be demonstrated using oral glucose tolerance tests (OGTTs) and the effects of the dynamics of beta-cell demand on longitudinal changes of glucose tolerance in obese youth...
Alanine aminotransferase levels and fatty liver in childhood obesity: associations with insulin resistance, adiponectin, and visceral fatTania S Burgert
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06520, USA
J Clin Endocrinol Metab 91:4287-94. 2006..Hepatic fat accumulation in childhood obesity is strongly associated with the triad of insulin resistance, increased visceral fat, and hypoadiponectinemia. Hence, hepatic steatosis may be a core feature of the metabolic syndrome...
Temporal patterns of circulating leptin levels in lean and obese adolescents: relationships to insulin, growth hormone, and free fatty acids rhythmicityR Heptulla
Department of Pediatrics and the Yale Children's Clinical Research Center, Yale University School of Medicine, New Haven, Connecticut 06510, USA
J Clin Endocrinol Metab 86:90-6. 2001..The nocturnal rise in leptin was paralleled by a nocturnal rise in GH and FFA levels. Additional studies are needed to test the potential link between the adipose-derived peptide and GH axis in humans...
Importance of plasma leptin in predicting future weight gain in obese children: a two-and-a-half-year longitudinal studyM Savoye
Department of Pediatrics and The Children's General Clinical Research Center and the Yale University School of Medicine, New Haven, Connecticut 06520, USA
Int J Obes Relat Metab Disord 26:942-6. 2002..High basal leptin levels in girls explained 18% of the weight gain. CONCLUSION: High leptin levels are associated with excessive future weight gain only in girls...
Obesity and the metabolic syndrome in children and adolescentsRam Weiss
Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06520, USA
N Engl J Med 350:2362-74. 2004..Biomarkers of an increased risk of adverse cardiovascular outcomes are already present in these youngsters...
JDRF randomized clinical trial to assess the efficacy of real-time continuous glucose monitoring in the management of type 1 diabetes: research design and methodsWilliam V Tamborlane
Diabetes Technol Ther 10:310-21. 2008..RESULTS: Recruitment for the study was completed on December 15, 2007. CONCLUSION: Results of this clinical trial should help establish whether or not current RT-CGM devices are beneficial to patients with T1D...
Insulin pump therapy in the 21st century. Strategies for successful use in adults, adolescents, and children with diabetesBruce W Bode
Diabetes Resource Center, Atlanta Diabetes Associates, 77 Collier Rd NW, Suite 2080, Atlanta, GA 30309, USA
Postgrad Med 111:69-77; quiz 27. 2002..Careful adjustment of basal and bolus doses and close follow-up, including patient education, are vital to the success of CSII...
Single- and multiple-dose pharmacokinetics of pioglitazone in adolescents with type 2 diabetesMichael L Christensen
University of Tennessee, 50 North Dunlap, Room 306, Memphis, TN 38103, USA
J Clin Pharmacol 45:1137-44. 2005..5- to 3.0-fold for M-III and M-IV. The sustained total serum concentration of active compounds during multiple dosing provides the basis for once-daily dose administration of pioglitazone in adolescents...
Triple jeopardy: nocturnal hypoglycemia after exercise in the young with diabetesWilliam V Tamborlane
J Clin Endocrinol Metab 92:815-6. 2007
The effects of aerobic exercise on glucose and counterregulatory hormone concentrations in children with type 1 diabetesMichael J Tansey
DirecNet Coordinating Center, Jaeb Center for Health Research, Tampa, FL 33647, USA
Diabetes Care 29:20-5. 2006..To examine the acute glucose-lowering effects of aerobic exercise in children and adolescents with type 1 diabetes...
Accuracy of newer-generation home blood glucose meters in a Diabetes Research in Children Network (DirecNet) inpatient exercise studyStuart A Weinzimer
DirecNet Coordinating Center, Jaeb Center for Health Research, Tampa, FL 33647, USA
Diabetes Technol Ther 7:675-80; discussion 681-3. 2005..The objective of this study was to assess how the accuracy of the FreeStyle Flash (Abbott Diabetes Care, Alameda, CA) meter compares with that of the One Touch Ultra (Lifescan, Milpitas, CA) home glucose meter (HGM)...
Limitations of statistical measures of error in assessing the accuracy of continuous glucose sensorsCraig Kollman
The Jaeb Center for Health Research, Tampa, Florida 33647, USA
Diabetes Technol Ther 7:665-72; discussion 673-4. 2005..Various statistical methods are commonly used to assess the accuracy of near-continuous glucose sensors. The performance and reliability of these methods have not been well described...
Insulin pumps in pediatrics: we have the technology. We have the evidence. Why are still so few kids using it?Thomas Danne
Pediatr Diabetes 7:2-3. 2006
Continuous glucose monitoring and intensive treatment of type 1 diabetesWilliam V Tamborlane
N Engl J Med 359:1464-76. 2008..Further work is needed to identify barriers to effectiveness of continuous monitoring in children and adolescents. (ClinicalTrials.gov number, NCT00406133.)..
Accuracy of the modified Continuous Glucose Monitoring System (CGMS) sensor in an outpatient setting: results from a diabetes research in children network (DirecNet) studyMichael J Tansey
DirecNet Coordinating Center, Jaeb Center for Health Research, Tampa, FL 33647, USA
Diabetes Technol Ther 7:109-14. 2005..19%; P < 0.001]. Baseline data from a subsequent outpatient study provide an opportunity to further assess the accuracy of the modified sensor in a much larger sample of children with type 1 diabetes...
Continuous glucose monitoring in children with type 1 diabetesBruce Buckingham
J Pediatr 151:388-93, 393.e1-2. 2007..The results provide a compelling rationale for conducting a randomized trial of daily use of a continuous glucose monitor in children with T1D...
The accuracy of the FreeStyle Navigator continuous glucose monitoring system in children with type 1 diabetesDarrell M Wilson
DirecNet Coordinating Center, Jaeb Center for Health Research, 15310 Amberly Dr, Suite 350, Tampa, FL 33647, USA
Diabetes Care 30:59-64. 2007..To evaluate the accuracy and precision of the FreeStyle Navigator continuous glucose monitoring system in children with type 1 diabetes...
Use of the DirecNet Applied Treatment Algorithm (DATA) for diabetes management with a real-time continuous glucose monitor (the FreeStyle Navigator)Bruce Buckingham
Pediatr Diabetes 9:142-7. 2008..CONCLUSIONS: These results show the feasibility of implementing the DATA when real-time continuous glucose monitoring is initiated and support its use in future clinical trials of real-time continuous glucose monitoring...
Impact of exercise on overnight glycemic control in children with type 1 diabetes mellitusEva Tsalikian
DirectNet Coordinating Center, Jaeb Center for Health Research, Tampa, Florida 33647, USA
J Pediatr 147:528-34. 2005..To examine the effect of exercise on overnight hypoglycemia in children with type 1 diabetes mellitus (T1DM)...
Insulin glargine versus intermediate-acting insulin as the basal component of multiple daily injection regimens for adolescents with type 1 diabetes mellitusH Peter Chase
Barbara Davis Center, University of Colorado, Aurora, CO 80045 6511, USA
J Pediatr 153:547-53. 2008....
Evaluation of factors affecting CGMS calibrationBruce A Buckingham
DirecNet Coordinating Center, Jaeb Center for Health Research, 15310 Amberly Drive, Suite 350, Tampa, FL 33647, USA
Diabetes Technol Ther 8:318-25. 2006..The optimal number/timing of calibrations entered into the CGMS (Medtronic MiniMed, Northridge, CA) continuous glucose monitoring system have not been previously described...
The accuracy of the Guardian RT continuous glucose monitor in children with type 1 diabetesMichael Tansey
Diabetes Technol Ther 10:266-72. 2008..The Guardian RT has an accuracy similar to that of other available continuous glucose monitors and can give important and useful clinical information...
Comparison of fingerstick hemoglobin A1c levels assayed by DCA 2000 with the DCCT/EDIC central laboratory assay: results of a Diabetes Research in Children Network (DirecNet) StudyWilliam V Tamborlane
Jaeb Center for Health Research, Tampa, FL 33647, USA
Pediatr Diabetes 6:13-6. 2005..The DCA 2000 + Analyzer (Bayer Inc., Tarrytown, NY, USA), which uses an immunoassay, is a very popular device for measuring HbA1c levels in pediatric diabetes practices...
Lack of accuracy of continuous glucose sensors in healthy, nondiabetic children: results of the Diabetes Research in Children Network (DirecNet) accuracy studyNelly Mauras
DirecNet Coordinating Center, Tampa, Florida, USA
J Pediatr 144:770-5. 2004..CONCLUSIONS: Neither the CGMS nor the GW2B is accurate enough to establish population standards of the glycemic profile of healthy children and cannot be recommended in the workup of hypoglycemia in nondiabetic youth...
Research Grants
- PEDIATRIC PHARMACOLOGY RESEARCH UNITWilliam Tamborlane; Fiscal Year: 2002..abstract_text> ..
- Pediatric Endocrine/Diabetes Physician ScientistsWilliam Tamborlane; Fiscal Year: 2005..Dr. James Gavin, former President of the ADA and incoming President of Morehouse School of Medicine, has indicated his interest in linking his school to our program in the recruitment of African American trainees. ..
- Training in Pediatric Endocrinology/Diabetes ResearchWilliam Tamborlane; Fiscal Year: 2006..James Gavin, former President of the ADA and incoming President of Morehouse School of Medicine, has indicated his interest in linking his school to our program in the recruitment of African American trainees. ..
