Experts say sedentary lifestyles, food insecurity, and other factors are driving an increase in childhood diabetes in Kentucky.

Research shows nationwide, the number of young people with type 2 diabetes jumped by 77% during the first year of the pandemic, compared with the two years prior.

Leslie Scott is an associate professor and pediatric nurse practitioner at the University of Kentucky's Barnstable Brown Diabetes Center.

She said she's seeing more diagnoses of both type 1 and type 2 diabetes in kids.

She said the younger a child is when diagnosed, the greater the odds of developing co-morbid conditions - such as high blood pressure, kidney disease and neuropathy later in life.

"Some of the symptoms are very vague and difficult to kind of tease out," said Scott. "But if you have a child that's drinking a lot more fluids than they normally have, if they're losing weight unexpectedly, if they're going to the bathroom a lot - those are some things that you would want to certainly seek an evaluation for."

According to the American Diabetes Association, 352,000 Americans under age 20 are estimated to have diagnosed diabetes.

Diabetes was the eighth leading cause of death in the U.S. in 2021, and was responsible for more than $300 billion in direct medical costs in 2022 alone.

Ben Chandler is the CEO of the Foundation for a Healthy Kentucky, whose new campaign aims to increase community prevention awareness and help families spot warning signs of the condition in children.

He said a more active lifestyle and maintaining healthy weight can go a long way toward reducing risk.

"We also don't have the proper screening for young people," said Chandler. "We could have more community events that could include free screening. So there are things that we can do, and there are things that schools can do."

Scott added that school nurses can play a critical role in spotting diabetes early on in kids, and improving overall health.

"There are guidelines for screening for risk of Type 2 diabetes in children," said Scott, "and that begins either at puberty, at the age of 10 - where they want to start children that are overweight or obese, you want to start monitoring for some of those risks."

Living with diabetes can be stressful and isolating for kids.

Scott said Camp Hendon - a diabetes summer camp based in Louisville - provides a supportive and educational environment, as well as a normal summer camp experience for kids who have to regularly check their blood glucose levels and administer insulin.

Everybody loves to get something free and right now, kids aged 12-17 can get a fishing and hunting license at no cost from the Nevada Department of Wildlife.

The license is good for one year and normally sells for $15.

Bobby Jones, outdoor connection coordinator for the Nevada Department of Wildlife, said the free licenses are funded by donations to the Nevada Youth License Fund.

"This is actually the third year that the program's been active," Jones explained. "We keep it open as much as possible. We're just limited by the amount of donations that we have. Right now, we have almost 2,000 available and they go fast."

Youth can get a free license on the Nevada Department of Wildlife website or wherever the licenses are sold. Children under age 12 do not need a fishing license. The state said almost two-thirds of the kids who have taken advantage of the program in the past have never had a hunting or fishing license before.

Jones emphasized the program is designed to tempt kids to leave the digital world behind for a short time and enjoy some time outdoors. It could lead them to even consider a nature-based career like wildlife biology, forest management or outdoor education.

"Essentially what we're up against is a lot of kids are engaged in their phones and social media, TV," Jones pointed out. "They're constantly bombarded with things. We're trying to make it a little bit easier for them to enjoy the outdoors."

Some of the most popular fishing spots include Lahontan in the Fallon area, Wild Horse and South Fork in Eastern Nevada, and Lake Mead down south.


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The University of Nebraska is addressing a shortage of lawyers who represent the state's most vulnerable children, especially in rural areas.

The attorneys are being equipped to work with kids who have suffered through physical, emotional, or financial trauma - and are often living in poverty.

Of Nebraska's 5,500 licensed attorneys, only 7% of them practice in rural areas.

Michelle Paxton, director of the Nebraska Children's Justice and Legal Advocacy Center, said two thirds of child neglect and abuse cases originate outside the Lincoln and Omaha metro areas, in what she calls "rural legal deserts."

"We have twelve counties in Nebraska with zero attorneys living in those counties," said Paxton. "We have 22 with less than three."

Paxton said that there are too few qualified rural child justice attorneys, which means lawyers may drive hundreds of miles for juvenile cases, creating delays and court backlogs.

The University of Nebraska program will add lawyers trained to handle issues unique to children in low-income families.

Attorneys who work on juvenile court cases are getting the tailored knowledge they need, but Paxton added that the program is also creating an opportunity for those attorneys to network and get support from other lawyers in the field - who are often isolated.

"And so they don't often have another attorney doing this type of work that they can rely on for support and mentorship," said Paxton, "and our program provides that support and mentorship so that they are not only willing to continue working in juvenile court, increase their hours in juvenile court and increase their commitment. "

The advocacy center will also develop a case-tracking tool, enabling people to find an attorney online.

Support for this reporting was provided by Lumina Foundation.



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Statistics show one in five children in Texas struggles with hunger.

Approximately 10,000 students a day are getting a nutritious meal through the Summer Food Service Program offered by the Houston Food Bank. The meals are distributed across the food bank's 18-county region.

Jourdan Stansberry, senior manager of education programs for Houston Food Bank, said they partner with summer camps, churches and other nonprofit organizations to serve the students. She added anyone who is not near a meal site can take advantage of their non-congregate option.

"Sites that are considered rural by the Texas Department of Agriculture," Stansberry explained. "It's a grab-and-go model where families can pick up the meals, It's like a five-day bundle of frozen meals, breakfast and snacks, so 10 meals all together. They're able to pick it up and take it home."

Locations of the meal sites in the Houston area and across Texas are available at the Department of Agriculture's Summer Meal Site Map. The meals are available to anyone 18 years old or younger or students with a disability, up to 21 years old.

The meals are distributed at more than 250 sites around the Houston area. Students do not have to register to take advantage of the meals. Stansbury emphasized it is a great way to ensure kids have access to fresh fruits and vegetables during the summer. She added the menus consist of more than just a sandwich and chips.

"One thing that I know has been pretty popular is our orange chicken with rice, and we also have broccoli, vegetable-medley side that goes along with that. We saw also chicken tikka masala," Stansbury outlined. "We try to expose them to different meals, not only healthwise but also culturally."

The Houston Food Bank expects to distribute around 800,000 meals this summer. The meal program runs through Aug. 8.


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