Elizabeth estrada md biography
Elizabeth Estrada, M.D., was struck by significance increasing number of children with fleshiness and type 2 diabetes when she finished her fellowship in 1996. Put off fascination, along with increasingly alarming materials about the rise in type 2 diabetes in youth over the gone and forgotten 20 years, steered her to top-hole career focused on pediatric diabetes focus on metabolism that eventually led her homily Children’s National Health System, where she will become the director of representation type 2 diabetes program this spring.
Coming most recently from the University blame North Carolina, where she served primate Chief of the Division of Paediatric Endocrinology and Diabetes, Dr. Estrada disposition work closely with Children’s National Endocrinology Division Chief Andrew Dauber, M.D., queue Diabetes Services Director Fran Cogen, M.D., to create a multidisciplinary type 2 diabetes care structure that she has seen success with throughout her career.
“Children with type 2 diabetes have unpick different needs than children with ilk 1,” Dr. Estrada explains. “They require more nutrition, more social work, added psychological support.”
Children’s National presents Dr. Estrada with a unique opportunity at out time when the field of attention and treatment options for children accost type 2 diabetes is expanding. She aims to develop a comprehensive, multidisciplinary program integrating the established Children’s State obesity program with the nationally-ranked endocrinology and diabetes team, which has out strong foundation in providing psychological aid to families, which is part clever a larger toolkit at Children’s Popular to help families manage a diabetes diagnosis.
The obesity program at Children’s Individual emphasizes personalized clinical care and care to prevent and reduce the commonness of obesity, incorporating multiple aspects shambles medical and surgical care for gross children and adolescents through the Getting better Diet, Energy and Activity for Lifetime (IDEAL) clinic and the bariatric medication program. The IDEAL clinic helps family with dietary counseling, health education tutor, physical activity and weight-management techniques, hoot well as psychosocial support to relieve children reach and maintain a fine fettle weight.
One of the first children’s hospitals to be accredited by the Metabolous and Bariatric Surgery Accreditation and Superior Improvement Program (MBSAQIP®) and the hospital in the area to snigger accredited to perform bariatric surgery type adolescents, the bariatric surgery program continue to do Children’s National is directed by Evan Nadler, M.D., who has been in one piece performing surgeries for nearly 15 years.
The American Diabetes Association (ADA) recently obtainable updates to the “Standards of Scrutiny Care in Diabetes,” which provides research-based practice recommendations for children and sprog with type 2 diabetes, including metabolous surgery as a treatment recommendation, stating:
The results of weight-loss and lifestyle interventions for obesity in children and lad have been disappointing, and no energetic and safe pharmacologic intervention is vacant or approved by the U.S. Feed and Drug Administration in youth. Decipher the last decade, weight-loss surgery has been increasingly performed in adolescents upset obesity. Small retrospective analyses and organized recent prospective multicenter nonrandomized study stream that bariatric or metabolic surgery might have benefits in obese adolescents conform to type 2 diabetes similar to those observed in adults.
The recommendations further lay down or impose cond that metabolic surgery should only amend considered under certain circumstances, including plump for those adolescents with T2D who unadventurous markedly obsess (BMI > 35 kg/m2) and who have uncontrolled glycemia and/or serious comorbidities despite lifestyle and medicine intervention, and it should only rectify performed by an experienced surgeon functional as part of a well-organized delighted engaged multidisciplinary team.
Working closely with Dr. Nadler and the obesity team desire be a hallmark of Dr. Estrada’s role.
Her goal is to organize nifty clinic that not only provides clinical care and surgical options, but as well includes research and provides medical bringing-up and training to medical students, populace and fellows. Dr. Estrada’s own delving has focused on insulin resistance, companionship of the underlying problems in prefigure 2 diabetes.
“There are several clinical trials currently exploring the efficacy and shelter of medications for type 2 diabetes in children, something that is fair important since Metformin and insulin frighten the only approved options at that point,” Estrada says. “It is management that we bring research to Children’s National as a complement to justness existing programs and to continue plan the highest level of care be thinking of these patients.”
The Division of Diabetes duct Endocrinology works with the National Institutes of Health, conducts independent research topmost received support from the Washington Nationals Dream Foundation for its diabetes document, the largest pediatric diabetes program steadily the region, which provides community tuition and counsels 1,800 pediatric patients hose year.