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Purpose: The purpose of this study was to understand impacts of the coronavirus (COVID-19) pandemic on pediatric type 1 diabetes management.Methods: In-depth qualitative interviews were conducted with 15 parents of children (age 6-12 years) with type 1 diabetes. Parents responded to 8 open-ended questions about their experiences managing their children’s type 1 diabetes during the COVID-19 pandemic. All interviews were transcribed, coded, and analyzed using qualitative thematic methods.Results: Parents reported both positive and negative aspects of managing their children’s type 1 diabetes during the COVID-19 pandemic. Facilitators of diabetes management included spending more time together at home and enhanced convenience of telehealth appointments and online supply ordering. Parents also described difficulties managing their children’s type 1 diabetes during the COVID-19 pandemic, including a lack of structure in their child’s daily routine, which led to increases in sedentary behavior. Furthermore, they reported psychosocial challenges of type 1 diabetes management, which were exacerbated by the pandemic.Conclusion: While the COVID-19 pandemic was described as having overall positive impacts on pediatric type 1 diabetes management, efforts to support parents in increasing children’s physical activity and reducing screen time are needed, along with readily accessible mental health resources for both parents and their children with type 1 diabetes.

Purpose: The purpose of this study was to examine the influence of COVID-19 on teens’ diabetes management and mood and their association with family conflict.Methods: One hundred and nineteen teens ages 13 to 17 (M = 15.5 ± 1.3 years, 61.3% female, 57.1% non-Hispanic White) and 119 parents (83.2% female, 75.6% married, 63.9% non-Hispanic White) enrolled in an ongoing two-site randomized behavioral clinical trial. At baseline, dyads completed the Revised Diabetes Family Conflict scale and a survey measuring the impact of COVID-19 on teens’ mood and diabetes management.Results: Parent- and teen-reported impacts of COVID-19 on diabetes management and teen mood were positively correlated. Higher levels of both parent- and teen-reported family conflict were associated with greater parent-reported impact of COVID-19 on diabetes management and teen mood. In addition, teen-reported impact of COVID-19 on their mood varied by geographical location but not population density.Conclusions: COVID-19 influenced teen diabetes management and mood, and the impact of COVID-19 was related to diabetes-related family conflict and differed by geographic location. Findings lend support for mental health interventions targeting teens with T1DM affected by COVID-19 and monitoring the long-term effects of the pandemic.

A chart is presented that lists power-endurance ascensionists who have sucessfully climbed the Southern Smoke route in Red River Gorge of Kentucky such as Joe Kinder, Ben Spannuth and Brooke Raboutou.

The article offers information on how to customize the rotating climbing wall workouts. Topics mention including using the Aerobic Restoration and Capillarity (ARC) training in conditioning the aerobic energy system, increasing resistance and speed and using the wall for the ultra-high-intensity training twice a week for best result.

An interview with Younghee Lowry, a crisis worker in Tahoe, California, is presented. Topics discussed include using climbing as treatment for mental health disorders; treating Schizophrenic patients; role of exercise and sunshine in adddressing the problems related to mood disorders; and need for research within psychotic spectrum.

The article offers information on maintaining optimal hydration during climbing. Topics discussed include disadvantages over hydrations such as nausea, throbbing headache and brain swelling; importance of pre-calculating amount of fluids needed during expedition; role of electrolytes in regulating muscle contraction and their impact on hypernatremia, hyponatremia and rehydration; and calculated amount of fluid required by male or female climber to prevent dehydration or over hydration.