The Pediatric Lounge, Where Pediatric Physicians Come to Share Their Stories and Success

222 Redefining type 1 diabetes: Early identification, staging, and clinical implications for pediatric care


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Transforming T1D Care: Innovations, Early Detection, and Empowered Pediatric Practice


Article: https://www.contemporarypediatrics.com/view/redefining-type-1-diabetes-early-identification-staging-and-clinical-implications-for-pediatric-care

Therapy: https://www.contemporarypediatrics.com/view/novel-therapies-for-type-1-diabetes

Table: https://thepediatriclounge.com/screening-to-prevent-dka

Petiete Trial: https://link.springer.com/article/10.1007/s00125-025-06586-1#Sec5

Prevent Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2308743

Screening Summit : https://medschool.cuanschutz.edu/barbara-davis-center-for-diabetes/news-profdev/conferences-events/8th-childhood-diabetes-prevention-symposium---november-10th-11th--2025

In this episode of The Pediatric Lounge, host Herb Bravo is joined by Dr. Andrew Cagel, a pediatric endocrinologist, and Dr. Dan Feiten, a pediatrician and Chief Medical Officer of Office Practicum, to discuss groundbreaking advancements in Type 1 Diabetes (T1D) care. The episode delves into their recent publication, 'Redefining Type 1 Diabetes: Early Identification, Staging, and Clinical Implications of Pediatric Care,' highlighting the critical importance of early detection and intervention. The guests emphasize the urgent need for universal screening.


00:00 Introduction to the Pediatric Lounge
00:45 Meet the Guests: Dr. Andrew Cagel and Dr. Dan Fen
01:08 Redefining Type 1 Diabetes
01:36 Personal Stories and Experiences
01:52 The Importance of Early Detection
04:40 Advancements in Type 1 Diabetes Treatment
13:55 The Role of EHR and AI in Pediatric Care
19:13 Future Directions and Guidelines
29:06 Pivotal Study in Pediatric Diabetes
30:45 The Protect Trial: Slowing Disease Progression
33:19 Challenges in Screening and Implementation
37:46 The Role of Pediatricians and Influencers
43:03 Advocacy and Future Directions
56:22 Conclusion and Final Thoughts

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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.



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The Pediatric Lounge, Where Pediatric Physicians Come to Share Their Stories and SuccessBy Dr. George Rogu, MD, MBA and Dr. Herb Bravo

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