Experts discuss childhood obesity and other topics at major diabetes conference

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The second day of a major diabetes conference for healthcare professionals was dominated by a "lively and engaging" debate about childhood obesity. Thousands of delegates attended Diabetes Professional Care 2018 (DPC2018) in London’s Olympia, where a panel of leading clinicians and policymakers took part in the discussion. Rt Hon. Keith Vaz MP, Chair of APPG Diabetes was joined by Dr Max Davie, Health Promotion Officer at the Royal College of Paediatrics and Child Health, Dr Fiona Campbell, Consultant Diabetes Paediatrician at Leeds Children’s Hospital and Dr Mayank Patel, Consultant Diabetologist at University Hospital Southampton. All four presented their views on key issues associated with childhood obesity including advertising, food labelling, family environment, technology, digital health and social media. The Diabetes Times Editor Oliver Jelley said: "Childhood obesity is dominating the headlines right now, so it was a highly relevant subject for this year’s Live Debate. The contributors all have vast experience within their field of work, so it was hugely interesting hearing their ideas about the subject. It certainly made for a lively and engaging discussion." According to the 2015/16 results of the National Child Measurement Programme (NCMP) in England, over a third of year 6 schoolchildren were measured as overweight or obese. DPC founder Maggie Meer, who also has the condition, said: "We already know type 2 diabetes is associated with poor lifestyle and can be avoided through a combination of diet, exercise and education but, sadly, it seems the younger generation have missed out on being told these vital health tips." The schedule for the second day was once again busy and kicked off in the morning with Dr Paul Chrisp, NICE’s Director at the Centre for Guidelines who gave the keynote speech about how the organisation’s recommendations are developed, and how they help attendees commission and provide high quality, person-centred care. Professor Alan Sinclair, Director of Diabetes Frail and the Foundation for Diabetes Research in Older People (FDROP), spoke about individualising diabetes care for older people with a focus on frailty, followed by a presentation delivered by Dr Kevin Fernando, a GP from Scotland, about biosimilar medicines. The subject of safer acute care for people with diabetes was approached by Dr Mayank Patel, a Consultant in Diabetes and Senior Clinical Lecturer at University Hospital Southampton NHS Trust and University of Southampton. The timetable for the rest of the day remained full and varied with many people queuing to attend each session. There were workshops on primary care training, how to empower patients to improve their diabetes and advice on injection techniques. In the afternoon Dr Partha Kar joined Professor Gerry Rayman, Head of Service at the Diabetes and Endocrine Centre, and the Diabetes Research Unit at Ipswich Hospitals NHS for a talk about reducing variation of diabetes care across England. In the evening the inaugural DPC Industry Awards, in partnership with The Diabetes Times, were held, celebrating success and innovation across pharmaceutical, medical device and life sciences companies working in diabetes care. The winners were presented with a trophy by Mail Online’s Health Editor Stephen Matthews. He said: "It was a huge honour to be asked to attend the very first DPC Industry Awards. The event was a great way to celebrate innovation among the companies and organisations working to improve the lives of people with diabetes." Founder Maggie Meer, who has type 2 diabetes and set up the conference in a bid to improve care, said: "We’re proud, once again, to welcome many of the foremost thought-leaders and practitioners in diabetes care to share their expertise at our conference and workshop sessions. "As the number of people diagnosed with diabetes continues to grow, it is more important than ever that they have this unique forum in which to impart their knowledge and experience." Commenting on the rise of DPC, Oliver Jelley, Editor of The Diabetes Times, said: "DPC has quickly become a force for good in diabetes care in the UK, with the conference acting like a platform to share best practice and innovation across the NHS to improve care for people with diabetes."

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kokhongw

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Can obesity occur in the absence of chronically elevated insulin?
 

ickihun

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Can obesity occur in the absence of chronically elevated insulin?
Well it does in none diabetics. As we know.
Obesity experts still claim calories in and calories out.
Newcastle diet proves low calorie diet loses weight and can in some reverse type2.
 

Mr_Pot

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Last week I was stuck in traffic in Maidenhead just at the time when a local state comprehensive school finished and several hundred children of all ages filed past my car. The school has a catchment area which includes expensive houses but also quite a lot of social housing, also I noticed a few children of Afro-Caribbean and a lot of South Asian descent so the school has a cross section of types. Having recently read an article on childhood obesity I watched them as they passed but I did not see one child who was obviously overweight or obese. So if it is true that one in three children in secondary schools are overweight or obese there must be some areas where the schools have a very high percentage to make up the average. I can't see that the problem can be genetic, there are no genes specific to Maidenhead. It seems to me that a study to compare the lifestyles and diets of children at the opposite ends of this spectrum would at least highlight the cause of the problem, if not solve it.
 

Guzzler

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Last week I was stuck in traffic in Maidenhead just at the time when a local state comprehensive school finished and several hundred children of all ages filed past my car. The school has a catchment area which includes expensive houses but also quite a lot of social housing, also I noticed a few children of Afro-Caribbean and a lot of South Asian descent so the school has a cross section of types. Having recently read an article on childhood obesity I watched them as they passed but I did not see one child who was obviously overweight or obese. So if it is true that one in three children in secondary schools are overweight or obese there must be some areas where the schools have a very high percentage to make up the average. I can't see that the problem can be genetic, there are no genes specific to Maidenhead. It seems to me that a study to compare the lifestyles and diets of children at the opposite ends of this spectrum would at least highlight the cause of the problem, if not solve it.

The piece speaks to Year 6 pupils which is (for us oldies) the last year of what used to be called Junior School.
My youngest is just approaching his 23rd birthday, when he was at school (from part-time Nursery and Reception Class) there were overweight and obese children right up to Year 11.

We live close by a High School, two Primary Schools and multiple Toddler groups/Nurseries and sad to say but I see many a child in need of some kind of intervention.
The other point I would like to make is that you cannot look at kids (or adults) and assess their risks, not everyone shows outward signs.
 

lucylocket61

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I think obesity is caused by several things, and happens for different reasons in different people. Its individual. Looking for the One answer i doomed to failure.

we are all different.
 

Mr_Pot

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I think obesity is caused by several things, and happens for different reasons in different people. Its individual. Looking for the One answer i doomed to failure.

we are all different.
So why are all these different reasons concentrated in certain parts of the country?
 

lucylocket61

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So why are all these different reasons concentrated in certain parts of the country?
we dont know that they are, do we? and maybe there are areas of poverty, or racial area which skew any finding which seem to indicate a cause
 

ickihun

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Last week I was stuck in traffic in Maidenhead just at the time when a local state comprehensive school finished and several hundred children of all ages filed past my car. The school has a catchment area which includes expensive houses but also quite a lot of social housing, also I noticed a few children of Afro-Caribbean and a lot of South Asian descent so the school has a cross section of types. Having recently read an article on childhood obesity I watched them as they passed but I did not see one child who was obviously overweight or obese. So if it is true that one in three children in secondary schools are overweight or obese there must be some areas where the schools have a very high percentage to make up the average. I can't see that the problem can be genetic, there are no genes specific to Maidenhead. It seems to me that a study to compare the lifestyles and diets of children at the opposite ends of this spectrum would at least highlight the cause of the problem, if not solve it.
The government guide to obesity level is when a child doesn't fit into their bracket of BMI levels. So most of those children looked OK to you but are classed as obese in government target levels. :(
 

Hotpepper20000

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If a woman like Oprah Winfrey, who has access to chefs and fitness gurus still has problems with weight control, then its not just about money or lack there of.

As well as what we eat I think we need to look at the environmental causes of insulin resistance
 

lucylocket61

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If anyone is interested, this report has lots of statistics about obesity, including maps of the uneven distribution around England. The last table in the report shows the percentage of obesity in other countries with the USA at the top with 38% and Japan at the bottom with 4%
https://researchbriefings.parliament.uk/ResearchBriefing/Summary/SN03336
interesting how obesity seems to be linked to poverty - high carb cheap food?
and obesity increases with age - long exposure to high carb cheap food?

its all about the carbs and paverty.