Fran R. Cogen
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View article: Glycemia and Gluconeogenesis With Metformin and Liraglutide: A Randomized Trial in Youth-onset Type 2 Diabetes
Glycemia and Gluconeogenesis With Metformin and Liraglutide: A Randomized Trial in Youth-onset Type 2 Diabetes Open
Objective Elevated rates of gluconeogenesis are an early pathogenic feature of youth-onset type 2 diabetes (Y-T2D), but targeted first-line therapies are suboptimal, especially in African American (AA) youth. We evaluated glucose-lowering …
View article: Effects of Low-Calorie Sweetener Restriction on Glycemic Variability and Cardiometabolic Health in Children with Type 1 Diabetes: Findings of a Pilot and Feasibility Study
Effects of Low-Calorie Sweetener Restriction on Glycemic Variability and Cardiometabolic Health in Children with Type 1 Diabetes: Findings of a Pilot and Feasibility Study Open
Low-calorie sweeteners (LCS) are commonly consumed by children with type 1 diabetes (T1D), yet their role in cardiometabolic health is unclear. This study examined the feasibility, acceptability, and preliminary effects of 12 weeks of LCS …
View article: Preferences for Health Care Professional Interactions Among Adolescents and Young Adults with Type 1 Diabetes
Preferences for Health Care Professional Interactions Among Adolescents and Young Adults with Type 1 Diabetes Open
View article: P18-064-23 Effects of Low-Calorie Sweetened Beverage Restriction on Glycemic Variability in Youth With Type 1 Diabetes
P18-064-23 Effects of Low-Calorie Sweetened Beverage Restriction on Glycemic Variability in Youth With Type 1 Diabetes Open
View article: First STEPS: Primary Outcomes of a Randomized, Stepped-Care Behavioral Clinical Trial for Parents of Young Children with New Onset Type 1 Diabetes
First STEPS: Primary Outcomes of a Randomized, Stepped-Care Behavioral Clinical Trial for Parents of Young Children with New Onset Type 1 Diabetes Open
Objective: Despite the emotional challenges of parental adjustment to a child’s type 1 diabetes diagnosis and the unique complexities of early childhood, there are few programs designed to meet the needs of parents of young children at n…
View article: Parent Perspectives of School/Daycare Experiences in Young Children Newly Diagnosed With Diabetes
Parent Perspectives of School/Daycare Experiences in Young Children Newly Diagnosed With Diabetes Open
Objective A central part of family adjustment to a new diagnosis of type 1 diabetes (T1D) is integrating T1D management into the child’s school/daycare. This may be particularly challenging for young children who rely on adults for their d…
View article: Positive Impact of the Bionic Pancreas on Diabetes Control in Youth 6–17 Years Old with Type 1 Diabetes: A Multicenter Randomized Trial
Positive Impact of the Bionic Pancreas on Diabetes Control in Youth 6–17 Years Old with Type 1 Diabetes: A Multicenter Randomized Trial Open
Objective: To evaluate the insulin-only configuration of the iLet® bionic pancreas (BP) in youth 6-17 years old with type 1 diabetes (T1D). Research Design and Methods: In this multicenter, randomized…
View article: Multicenter, Randomized Trial of a Bionic Pancreas in Type 1 Diabetes
Multicenter, Randomized Trial of a Bionic Pancreas in Type 1 Diabetes Open
In this 13-week, randomized trial involving adults and children with type 1 diabetes, use of a bionic pancreas was associated with a greater reduction than standard care in the glycated hemoglobin level. (Funded by the National Institute o…
View article: Impacts of the COVID-19 Pandemic on Pediatric Type 1 Diabetes Management: A Qualitative Study
Impacts of the COVID-19 Pandemic on Pediatric Type 1 Diabetes Management: A Qualitative Study Open
Purpose: The purpose of this study was to understand impacts of the coronavirus (COVID-19) pandemic on pediatric type 1 diabetes management. Methods: In-depth qualitative interviews were conducted with 15 parents of children (age 6-12 year…
View article: First STEPS: Primary Outcomes of a Randomized, Stepped-Care Behavioral Clinical Trial for Parents of Young Children with New Onset Type 1 Diabetes
First STEPS: Primary Outcomes of a Randomized, Stepped-Care Behavioral Clinical Trial for Parents of Young Children with New Onset Type 1 Diabetes Open
Objective: Despite the emotional challenges of parental adjustment to a child’s type 1 diabetes diagnosis and the unique complexities of early childhood, there are few programs designed to meet the needs of parents of young children at n…
View article: First STEPS: Primary Outcomes of a Randomized, Stepped-Care Behavioral Clinical Trial for Parents of Young Children With New-Onset Type 1 Diabetes
First STEPS: Primary Outcomes of a Randomized, Stepped-Care Behavioral Clinical Trial for Parents of Young Children With New-Onset Type 1 Diabetes Open
OBJECTIVE Despite the emotional challenges of parental adjustment to a child’s type 1 diabetes diagnosis and the unique complexities of early childhood, there are few programs designed to meet the needs of parents of young children at new …
View article: First STEPS: Primary Outcomes of a Randomized, Stepped-Care Behavioral Clinical Trial for Parents of Young Children with New Onset Type 1 Diabetes
First STEPS: Primary Outcomes of a Randomized, Stepped-Care Behavioral Clinical Trial for Parents of Young Children with New Onset Type 1 Diabetes Open
Objective: Despite the emotional challenges of parental adjustment to a child’s type 1 diabetes diagnosis and the unique complexities of early childhood, there are few programs designed to meet the needs of parents of young children at n…
View article: Promoting glycemic control in young children with type I diabetes: Results from a pilot intervention for parents.
Promoting glycemic control in young children with type I diabetes: Results from a pilot intervention for parents. Open
The TOTs program demonstrated preliminary feasibility and acceptability. Future research will examine components of treatment for evidence of efficacy and target the intervention to those most likely to benefit. (PsycInfo Database Record (…
View article: Multicenter, Randomized Trial of a Bionic Pancreas in Type 1 Diabetes
Multicenter, Randomized Trial of a Bionic Pancreas in Type 1 Diabetes Open
BACKGROUND Currently available semiautomated insulin-delivery systems require individualized insulin regimens for the initialization of therapy and meal doses based on carbohydrate counting for routine operation. In contrast, the bionic pa…
View article: Rationale and design of DRINK-T1D: A randomized clinical trial of effects of low-calorie sweetener restriction in children with type 1 diabetes
Rationale and design of DRINK-T1D: A randomized clinical trial of effects of low-calorie sweetener restriction in children with type 1 diabetes Open
View article: Metformin treatment and gastrointestinal symptoms in youth: Findings from a large tertiary care referral center
Metformin treatment and gastrointestinal symptoms in youth: Findings from a large tertiary care referral center Open
GI symptoms are common in youth with type 2 diabetes taking metformin XR and SR. Adjuncts to mitigate GI symptoms in youth on metformin therapy are needed to improve quality of life and medication adherence.
View article: Author response for "Metformin Treatment and Gastrointestinal Symptoms in Youth: Findings from a Large Tertiary Care Referral Center"
Author response for "Metformin Treatment and Gastrointestinal Symptoms in Youth: Findings from a Large Tertiary Care Referral Center" Open
View article: Incorporation of the Ketogenic Diet in a Youth With Type 1 Diabetes
Incorporation of the Ketogenic Diet in a Youth With Type 1 Diabetes Open
Before the discovery of insulin in 1922, treatment of diabetes was limited to palliative methods along with carbohydrate restriction. Bouchardat observed resolution of glycosuria with calorie-controlled diets as well as intermittent fasts …
View article: Author response for "Metformin Treatment and Gastrointestinal Symptoms in Youth: Findings from a Large Tertiary Care Referral Center"
Author response for "Metformin Treatment and Gastrointestinal Symptoms in Youth: Findings from a Large Tertiary Care Referral Center" Open
View article: Metformin improves blood glucose by increasing incretins independent of changes in gluconeogenesis in youth with type 2 diabetes
Metformin improves blood glucose by increasing incretins independent of changes in gluconeogenesis in youth with type 2 diabetes Open
View article: Blood pressure during sleep is associated with arterial stiffness and urine microalbumin to creatinine ratio in youth with type 1 diabetes
Blood pressure during sleep is associated with arterial stiffness and urine microalbumin to creatinine ratio in youth with type 1 diabetes Open
View article: Substance Use Among Adolescents and Young Adults With Type 1 Diabetes: Discussions in Routine Diabetes Care
Substance Use Among Adolescents and Young Adults With Type 1 Diabetes: Discussions in Routine Diabetes Care Open
Pediatric health care providers are in a unique position to discuss the health implications of alcohol, tobacco, and drug use with adolescents and young adults (AYAs) with type 1 diabetes (T1D). This study evaluated the frequency of self-r…
View article: Diabetes-specific family conflict and responsibility among emerging adults with type 1 diabetes.
Diabetes-specific family conflict and responsibility among emerging adults with type 1 diabetes. Open
Emerging adulthood is a transitional period for type 1 diabetes management, and aspects of family functioning such as family conflict and responsibility for diabetes management likely change following high school graduation. This study exa…
View article: Low cholesterol efflux capacity and abnormal lipoprotein particles in youth with type 1 diabetes: a case control study
Low cholesterol efflux capacity and abnormal lipoprotein particles in youth with type 1 diabetes: a case control study Open
Background Patients with type 1 diabetes (T1DM) have increased mortality from cardiovascular disease (CVD). Risk factors for CVD include an elevation of LDL (LDLp) and small HDL (sHDLp) particles, and a decrease in reverse cholesterol tran…
View article: Acceptability and Feasibility of Examining Physical Activity in Young Children with Type 1 Diabetes
Acceptability and Feasibility of Examining Physical Activity in Young Children with Type 1 Diabetes Open
View article: Type 1 Diabetes: Urinary Proteomics and Protein Network Analysis Support Perturbation of Lysosomal Function
Type 1 Diabetes: Urinary Proteomics and Protein Network Analysis Support Perturbation of Lysosomal Function Open
While insulin replacement therapy restores the health and prevents the onset of diabetic complications (DC) for many decades, some T1D patients have elevated hemoglobin A1c values suggesting poor glycemic control, a risk factor of DC. We s…
View article: The Feasibility of a Pilot Intervention for Parents of Young Children Newly Diagnosed With Type 1 Diabetes
The Feasibility of a Pilot Intervention for Parents of Young Children Newly Diagnosed With Type 1 Diabetes Open
We evaluate the feasibility, acceptability, and indicators of preliminary efficacy of the pilot of a parent-focused, phone-based intervention to improve glycemic control and parental and child well-being in young children newly diagnosed w…
View article: Self-Management Strategies in Emerging Adults With Type 1 Diabetes
Self-Management Strategies in Emerging Adults With Type 1 Diabetes Open
View article: Changes in type 1 diabetes health indicators from high school to college
Changes in type 1 diabetes health indicators from high school to college Open
Diabetes health indicators are stable or decline upon college entrance. Results signal the need for targeted support for college students with type 1 diabetes.
View article: <i>Checking In</i>
<i>Checking In</i> Open
Low-cost, translatable interventions to promote adherence in adolescents with type 1 diabetes are needed. This study evaluated a brief physician-delivered intervention designed to increase parent–adolescent communication about blood glucos…