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Carolina Kids Blog

Posts for tag: CoVID

By Carolina Kids Pediatrics
October 05, 2021
Category: Children's Health
Tags: CoVID   Diabetes  

According to two recent studies, the onset of type 2 diabetes in children and adolescents has roughly doubled since the onset of the COVID pandemic.

In 2019, the pediatric hospitalization rate for new-onset type 2 diabetes in one study was 0.27% compared to 0.62% in 2020. Kids admitted to the hospital in 2020 were also sicker and had a higher risk of requiring intensive care admission. Pediatricians in Raleigh, NC, and throughout the nation believe it is quite possible that decreased opportunities for exercise and physical activity, as well as economic factors making it harder for many families to put healthy food on the table, may be part of the reason.

The pediatricians at Carolina Kids Pediatrics in Raleigh, NC, believe that re-engaging in daily physical activity is crucial for not only diabetes prevention, but also physical and mental health for kids. The American Academy of Pediatrics recommends that children engage in at least 1 hour of moderate to vigorous physical activity daily.

If your kids are not into organized team sports, there are other ways to get them active. Use apps to help your kids track their physical activity, and even engage in friendly competition with their peers or family members. I personally love the app Strava, which allows kids and adults alike to track their physical activity as well as set goals over time – they can even follow their friends on the app, comment and provide encouragement to their friends on their activities, and maybe engage in a bit of friendly online competition. (I do request that if your kids look up their pediatrician on Strava that they refrain from making fun of the old man’s running pace…)

To decrease your child’s risk of diabetes through your meal planning:

  • Serve at least 5 servings of fruits and vegetables each day (true, your kids may not always eat them, but provide frequent opportunities!)
  • Include high-fiber, whole-grain foods such as whole-grain pasta, brown rice, peas, bread, and cereals at meals. Avoid excessive carbohydrates between meals (a piece of fresh fruit makes a better snack than just about anything that comes in a package)
  • Choose lower-fat or fat-free toppings like grated low-fat parmesan cheese, salsa, herbed cottage cheese, nonfat/low-fat gravy, low-fat sour cream, low-fat salad dressing, or low-fat yogurt. 
  • Offer about 2 to 3 cups of low-fat milk daily.
  • Avoid excessive juice, and limit juice to 4 oz or less per day in toddlers and preschoolers.
  • Select lean meats such as skinless chicken and turkey, fish, lean beef cuts (round, sirloin, chuck, loin, lean ground beef—no more than 15% fat content), and lean pork cuts (tenderloin, chops, ham). Trim off all visible fat. Remove skin from cooked poultry before eating.
  • Include healthy oils such as canola or olive oil in your diet. Choose margarine and vegetable oils without trans fats made from canola, corn, sunflower, soybean, or olive oils.
  • Use nonstick vegetable sprays when cooking.
  • Use fat-free cooking methods such as baking, broiling, grilling, poaching, or steaming when cooking meat, poultry, or fish.
  • Serve vegetable and broth-based soups or use nonfat (skim) or low-fat (1%) milk or evaporated skim milk when making cream soups. 
  • Use the nutrition facts label on food packages to find foods with less saturated fat per serving. Pay attention to the serving size as you make choices. Remember that the percent daily values on food labels are based on portion sizes and calorie levels for adults (a portion size for a young child is usually less than 1/3 of an adult’s portion size – visualize the amount of food that would fit in the palm of your child’s hand as a typical portion size)

For more tips on curbing your child’s sweet tooth, check out:


Contact your pediatricians at Carolina Kids Pediatrics in Raleigh, NC at (919) 881-9009 – or send us an e-mail through the patient portal - if you need to schedule a checkup to discuss your child’s nutrition.

By Carolina Kids Pediatrics
December 23, 2020
Category: Children's Health
Tags: CoVID  

The first CoVID-19 vaccine has received emergency use authorization, and a second vaccine may follow later this week. However, it is likely that children and adolescents will not receive immunizations against CoVID-19 in the near future.

Neither Pfizer nor Moderna have completed Phase 3 clinical trials in children. Pfizer began studying CoVID children’s immunizations in October when it first enrolled participants aged 12-16, and Moderna announced last week that it will begin administering children’s immunizations to older kids and teens (also aged 12-17) soon. Neither company has vaccinated kids under 12 in its research trials yet.

I suspect that CoVID-19 vaccine trials in adolescents might be complete by mid to late spring. If they are confirmed both safe and effective, adolescents might be immunized beginning in the summer or fall. Vaccines for younger children might become available after this time.

I would not expect that Carolina Kids Pediatrics or other Raleigh, NC, pediatricians would administer CoVID vaccines to children and adolescents until rigorous Phase 3 trials in each age group have been completed, had been reviewed and endorsed by the FDA, by the CDC’s Advisory Committee on Immunization Practices, and the American Academy of Pediatrics.

So, how do CoVID vaccines work? 

The first two vaccines to come to the U.S. market are mRNA vaccines. These vaccines use a small piece of genetic material from the virus which will then create the CoVID spike proteins in the body – this is the protein that must be neutralized by antibodies in order to develop immunity to CoVID-19. These vaccines do not contain a living virus and therefore cannot cause infection in the person who is getting immunized. They also do not alter the genetic code of the person getting the vaccine. 

According to Pfizer and Moderna, each vaccine is about 95% effective in preventing symptomatic CoVID infection, although it’s unclear how long this protection will last. A booster dose is necessary several weeks after a person is initially vaccinated.

The first CoVID vaccines in Raleigh, NC, and elsewhere in the country, will go to high-risk health care workers and the elderly – residents of nursing homes and chronic care facilities will likely be among the first to be vaccinated. So, your children may be later in the line for CoVID vaccines, but your children’s doctors and nurses may be immunized by spring – although we believe that health care workers who work in ICUs and hospital CoVID units will and should be immunized first. 

Am I confident rolling up my own sleeve to be vaccinated? Absolutely. I am satisfied that these vaccines are receiving an appropriate level of evaluation and scrutiny, and I look forward to the day when widespread CoVID immunizations will begin to interrupt the cycle of transmission which has paralyzed so much of the country and the world. 

I believe that the vaccine which was authorized this week is safe and highly effective in preventing CoVID-19 in adults. As a pediatrician, I do have one additional comment about the authorization of the Pfizer vaccine. The vaccine was authorized for individuals age 16 and higher – but the number of patients in Pfizer’s Phase 3 clinical trial between 16 and 18 years old was much smaller than the tens of thousands of adults over 18 who were enrolled. Although the vaccine appeared to be safe and effective in the 16-18-year-olds in the trial, I would be interested in seeing a Pfizer trial with larger numbers of adolescents, which is in progress. Regardless, the priority in these early days is not – and should not be – the vaccination of healthy teenagers. 

For all the kids out there, I am also pleased to announce that the CDC has declared Santa an essential worker, and he is now fully immunized against CoVID-19 – so don’t worry about him coming to your house in a couple of weeks. The reindeer appear to have natural immunity. 

If you have other questions about children’s immunizations, please reach out to our Raleigh, NC, team of pediatricians at (919) 881-9009.

Dr. Nechyba

Carolina Kids Pediatrics

Raleigh, NC