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Editor's e-Note
Big Changes from the ADA

Due to the many medical and technological advances in blood glucose management, the American Diabetes Association has released a new position statement that changes the A1c target for all pediatric type 1 diabetes patients.

You can read all about the new position statement and the rationale for the guideline change in this month’s E-News Exclusive.

After reading the article, visit Today’s Dietitian’s website at You’ll find the digital edition of the August issue plus the latest news and information relevant and reliable to daily practice. We welcome your feedback at Enjoy the e-newsletter, and follow Today’s Dietitian on Facebook and Twitter.

— Judith Riddle, editor
Field Notes
ADA Changes Pediatric A1c Recommendations
By Judith C. Thalheimer, RD, LDN

In July, the American Diabetes Association (ADA) released an important new position statement called “Type 1 Diabetes Through the Life Span.” These guidelines are the first clinical practice recommendations focused exclusively on type 1 diabetes across the entire age spectrum. The expert review involved in creating the guidelines led to a dramatic change in the ADA’s recommendation for A1c goals for children and adolescents.

The ADA previously had recommended A1c goals of <8.5% for children under 6, <8% for those aged 6 to 12, and <7.5% for teens aged 13 to 19. The new recommendation calls for an A1c goal of <7.5% across all pediatric age groups.

Full story »
Other News
NYC Experiment Helps Severely Obese Children
From incorporating exercise in the classroom and revamping the meals in the cafeteria, New York City officials have found these changes have reduced the severe obesity rates in public school students, NBC News reports.

Overweight and Obese Firefighters Lack Weight-Loss Advice
More than 70% of firefighters are overweight or obese, and their health care professionals are not giving them weight-loss advice, according to a study reported by The Los Angeles Times.
In this e-Newsletter
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In the September issue

Implementing electronic medical records

Enjoying ancient grains

The frailty syndrome

Gluten-free pastas

The link between diet and arterial health

The Atlanta dining guide
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Continuing Education
Learn about caring for cancer survivors in this month's issue of Today’s Dietitian. Read the CPE Monthly article, take the 10-question online test at, and earn two CPEUs!

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Field Notes
Bone Marrow Fat Tissue Secretes Hormone That Helps Body Stay Healthy

Bone marrow has been known for its flavorful addition to soups and as a delicacy for dogs but its fat also may have untapped health benefits, new research finds.

A University of Michigan-led study shows that the fat tissue in bone marrow is a significant source of the hormone adiponectin, which helps maintain insulin sensitivity, break down fat, and has been linked to decreased risk of cardiovascular disease, diabetes, and obesity-associated cancers. The findings appear online, ahead of print in Cell Metabolism.

Read more »
Tech & Tools
Shopping Sustainably
Farmstand by Mostly Brothers for iOS is an app that makes it easy to find local farmers’ markets, community gardens, community-supported agriculture information, grocery stores that sell local goods, and restaurants that serve local food. You also can share photos of local food to help promote your local market. Learn more »

Exercises Galore
The free version of Fitness Buddy, an iOS and Android app, contains more than 400 exercises with detailed descriptions, animations, and an assortment of workouts. Learn more »
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Certified Diabetes Educator
Beebe Medical Center, Delaware, US
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