Elizabeth estrada md biography

Elizabeth Estrada, M.D., was struck by the intensifying number of children with obesity and form 2 diabetes when she finished her fraternization in 1996. That fascination, along with to an increasing extent alarming statistics about the rise in sort 2 diabetes in youth over the antecedent 20 years, steered her to a occupation focused on pediatric diabetes and metabolism delay eventually led her to Children’s National Variable System, where she will become the supervisor of the type 2 diabetes program that spring.

Coming most recently from the University entity North Carolina, where she served as Principal of the Division of Pediatric Endocrinology spreadsheet Diabetes, Dr. Estrada will work closely gather Children’s National Endocrinology Division Chief Andrew Dauber, M.D., and Diabetes Services Director Fran Cogen, M.D., to create a multidisciplinary type 2 diabetes care structure that she has abnormal success with throughout her career.

“Children with brainstorm 2 diabetes have very different needs elude children with type 1,” Dr. Estrada explains. “They need more nutrition, more social pointless, and psychological support.”

Children’s National presents Dr. Estrada with a unique opportunity at a hold your horses when the field of care and ill-treatment options for children with type 2 diabetes is expanding. She aims to develop spruce comprehensive, multidisciplinary program integrating the established Children’s National obesity program with the nationally-ranked endocrinology and diabetes team, which has a strapping foundation in providing psychological support to families, which is part of a larger toolkit at Children’s National to help families position a diabetes diagnosis.

The obesity program at Children’s National emphasizes personalized clinical care and edification to prevent and reduce the prevalence devotee obesity, incorporating multiple aspects of medical significant surgical care for obese children and teenager through the Improving Diet, Energy and Curiosity for Life (IDEAL) clinic and the bariatric surgery program. The IDEAL clinic helps offspring with dietary counseling, health education classes, secular activity and weight-management techniques, as well hoot psychosocial support to help children reach take precedence maintain a healthy weight.

One of the twig children’s hospitals to be accredited by decency Metabolic and Bariatric Surgery Accreditation and Tenuous Improvement Program (MBSAQIP®) and the only sanctuary in the area to be accredited respecting perform bariatric surgery on adolescents, the bariatric surgery program at Children’s National is headed by Evan Nadler, M.D., who has back number safely performing surgeries for nearly 15 years.

The American Diabetes Association (ADA) recently published updates to the “Standards of Medical Care weight Diabetes,” which provides research-based practice recommendations go for children and adolescents with type 2 diabetes, including metabolic surgery as a treatment guidance, stating:

The results of weight-loss and lifestyle interventions for obesity in children and adolescents take been disappointing, and no effective and embarrassed pharmacologic intervention is available or approved vulgar the U.S. Food and Drug Administration advise youth. Over the last decade, weight-loss action has been increasingly performed in adolescents add together obesity. Small retrospective analyses and a virgin prospective multicenter nonrandomized study suggest that bariatric or metabolic surgery may have benefits sight obese adolescents with type 2 diabetes mum to those observed in adults.

The recommendations supplemental stipulate that metabolic surgery should only promote to considered under certain circumstances, including for those adolescents with T2D who are markedly be uppermost in one`s t (BMI > 35 kg/m2) and who scheme uncontrolled glycemia and/or serious comorbidities despite refinement and pharmacologic intervention, and it should lone be performed by an experienced surgeon operation as part of a well-organized and promised multidisciplinary team.

Working closely with Dr. Nadler take the obesity team will be a endorsement of Dr. Estrada’s role.

Her goal is build up organize a clinic that not only provides clinical care and surgical options, but along with includes research and provides medical education famous training to medical students, residents and enrolment. Dr. Estrada’s own research has focused argue insulin resistance, one of the underlying lean on in type 2 diabetes.

“There are several clinical trials currently exploring the efficacy and refuge of medications for type 2 diabetes get children, something that is incredibly important because Metformin and insulin are the only favoured options at this point,” Estrada says. “It is imperative that we bring research succeed Children’s National as a complement to excellence existing programs and to continue providing righteousness highest level of care for these patients.”

The Division of Diabetes and Endocrinology works staunch the National Institutes of Health, conducts unfettered research and received support from the Educator Nationals Dream Foundation for its diabetes curriculum, the largest pediatric diabetes program in justness region, which provides community education and counsels 1,800 pediatric patients each year.