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Below 70? The 15-15 rule

All forDiabetes

Shands at UF ranks 12th nationally in pediatric endocrinology programs

All for DiabetesPublished June 4, 20102 min read

Key points

  • The pediatric endocrinology program at Shands Children’s Hospital at the University of Florida has been ranked 12th nationally in U.S.
  • This is the first time Shands Children’s Hospital at UF has been included in the rankings.
  • The UF division of pediatric endocrinology includes eight board-certified faculty physicians, two pediatric psychologists, three nurse practitioners and three pediatricians getting specialized training in pediatric endocrinology.
  • Programs include clinics for type 1 and type 2 diabetes, diagnosis and treatment of growth disorders and congenital or acquired disorders of the endocrine system, obesity/lipid clinics for children and the national center for treatment of glycogen storage disease.

The pediatric endocrinology program at Shands Children’s Hospital at the University of Florida has been ranked 12th nationally in U.S. News & World Report’s annual look at the best children’s hospitals.

The rankings, released Thursday, list the top 30 hospitals in 10 pediatric subspecialities.

This is the first time Shands Children’s Hospital at UF has been included in the rankings. The pediatric endocrinology program earned the top listing among all Florida hospitals named in the report.

Shands Children’s Hospital has 155 beds, including fully equipped pediatric and neonatal intensive care units.

The UF division of pediatric endocrinology includes eight board-certified faculty physicians, two pediatric psychologists, three nurse practitioners and three pediatricians getting specialized training in pediatric endocrinology.

“It’s an honor for our expert UF faculty physicians and Shands staff to be acknowledged among the nation’s best,” said Dr. Janet Silverstein, division chief.

Programs include clinics for type 1 and type 2 diabetes, diagnosis and treatment of growth disorders and congenital or acquired disorders of the endocrine system, obesity/lipid clinics for children and the national center for treatment of glycogen storage disease.

Sixty-two hospitals were ranked in one or more of these pediatric specialties: cancer, diabetes and endocrinology, gastroenterology, heart and heart surgery, kidney, neonatology, neurology and neurosurgery, orthopedics, pulmonology and urology. As part of the ranking process, some 1,500 pediatric specialists were asked to name the best hospitals for children in their medical specialty.

A small number of hospitals – eight this year – ranked in all 10 specialties and make up the 2010-11 Best Children’s Hospitals honor roll. Those were Children’s Hospital Boston, Children’s Hospital Los Angeles, Children’s Hospital of Philadelphia, Children’s Hospital of Pittsburgh of UPMC, Cincinnati Children’s Hospital Medical Center, New York Presbyterian-Morgan Stanley-Komansky Children’s Hospital, St. Louis Children’s Hospital-Washington University and Texas Children’s Hospital, Houston.

The full rankings are posted online at http://www.usnews.com/childrenshospitals. They will appear in the August print edition of the news magazine.

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By Diane Chun

Staff writer

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.