Making a Difference

Researching about Endocrinologist and diabetes was not just for this project, but to expand my knowledge on this disease and the ways people handle it. Without having this project I would not have known nearly as much information as I do now.The majority of this project was easy, but some was difficult. For example, the finding paragraphs was the hardest portion of this project and I did not like it. I did have some complications with completeing each post due to not being able to access certain sites at school and not being able to access certain sites at home. Although I had some complications with this project I enjoyed creating my animoto, because I was fascinated on how I could just enter a few things and the device would create the video for me; I loved this. If I had to do this project again I would not do anything different, because I feel that I provided a lot of logical, interesting information that will make a difference in everyone lives.

Save a Life, become an Endocrinologist!

I have bolded diabetes, Endocrinologist, life, and death because those are the four words that basically sum up my project. When being diagnosed with diabetes, type 1 or type 2, your life will change forever. Well at this time an Endocrinologist can help you get through this disease and you can live a healthy life. When not taking care of yourself properly with this disease it can result to death. No one wants diabetes, but many people have it. Help save a life by becoming an Endocrinologist.

Resources Beyond the Knowledge

Caushi, Richard. "Economic Costs of Diabetes in the United States." National
     Conference of State Legislatures. NCSL, n.d. Web. 4 Apr. 2011.
     <http://www.ncsl.org/default.aspx?tabid=14504>.
"Charleston/ Spartanburg Fact Sheet ." The Diabetes Ten City Challenge . gsk,
 n.d. Web. 4 Apr. 2011. <http://www.diabetestencitychallenge.com/
 index.php?/factsheets/charleston>.

Stewart, Andrew F. "The United States Endocrinology Workforce: A Supply-Demand 

"Death among People with Diabetes, United States, 2007." National Diabetes 
     Statistics, 2011. NIDDK, n.d. Web. 4 Apr. 2011.
     <http://diabetes.niddk.nih.gov/dm/pubs/statistics/>.

"Diabetes Education." Medline Plus. A.D.A.M quality , n.d. Web. 29 Mar. 2011.
     <http://www.nlm.nih.gov/medlineplus/ency/article/003996.htm>.

Diabetic Monitor . N.d. WWW.onewellnessplace.com . N.p., n.d. Web. 10 Mar. 2011.  <http://www.onewellnessplace.com/wp-content/uploads/Diabetic monitor.jpg>.

Lenwai, Noah Alexander. "I am Noah and I Need Diabetic Alert Dog." Dog for Noah.  David Allen, 21 Mar. 2011. Web. 21 Mar. 2011.
                            <http://www.dogfornoah.com/>.

     Mismatch." Special Feature Commentary . N.p., n.d. Web. 4 Apr. 2011.
     <http://www.endo-society.org/advocacy/legislative/upload/
     A-Stewart-US-Endo-Workforce-A-Supply-Demand-Mismatch.pdf>.

Network, VeriMed Healthcare. Pub Med Health. March 2011 <http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001350/>.

 "New cases of Diagnosed Diabetes among People Younger than 20 Years of Age, United States, 2002-2005." NDIC. NIDDK, n.d. Web. 4 Apr. 2011.       <http://diabetes.niddk.nih.gov/dm/pubs/statistics/#Racial>.

Potential years of Life lost Because of Diabetes per 100,000 population. N.d.

 Just Thinking... Ralph , n.d. Web. 21 Mar. 2011. <http://www.just thinking.com/2010_04_01_archive.html>

Rate of new cases of type 1 and type 2 diabetes among youth ages younger than 20 years, by race/ethnicity, 2002-2005 . N.d. National Diabetes information 

   clearinghouse. NIDDK, n.d. Web. 28 Mar. 2011.  <http://diabetes.niddk.nih.gov/dm/pubs/statistics/>.

"The cost of Diabetes ." American Diabetes Association. Stop Diabetes , n.d.   Web. 4 Apr. 2011. <http://www.diabetes.org/advocate/resources/cost-of-diabetes.html>.

Wordle. N.p., n.d. Web. 14 Mar. 2011. <http://www.diabetes.org/diabetes-basics/type-1/ ?utm_source=Homepage&utm_medium=ContentPage&utm_ content=type1&utm_campaign=TDT>.

sources, sources, and more sources..

Finding sources was difficult, but I managed to get everything I needed. When researching prices I got many different answers, but they all were for some different necessity. The prices I saw were in the thousands, some millions, and even billions just for one year! The source that was most successful for me was    http://diabetes.niddk.nih.gov/dm/pubs/statistics/index.htm because it had almost everything I needed to get good statistics. This source was also very trustworthy. The source that seemed to present the most obvious bias to me was <http://www.endo-society.org/advocacy/legislative/upload/A-Stewart-US-Endo-Workforce-A-Supply-Demand-Mismatch.pdf>. I feel this because he was explaining a lot of facts about diabetes, which is good, but they were upsetting. He also kept on restating things so it made me feel like he wanted to get that point across to his readers. My research got really hard when it came to the finding paragraphs; those are definitely not my favorite thing to do.  

The astonishing findings of a diabetic

This project has helped me so much in learning about Endocrinologist and diabetes. If we were never assigned this I would probably not want to become an Endocrinologist as much as I do. I find it surprising that 99% of the United States has lives lost due to diabetes, but people are not taking an interest in this. An important fact I learned was insurance companies are attempting to not cover some of the necessities diabetics need. Think about how much more diabetes will cost if they do this; the price is already at $174 billion as of 2007. I still wonder if scientists have successfully created an artificial pancreas, because within my research I found that their success is undetermined. I hope that more people take an interest in diabetes and everything that connects to it, so we as a whole can be more knowledgeable about this disease.

Which type of Diabetes is more common within children?

Type 1 and type 2 diabetes are both an unwanted disease, but type 1 is worse than type 2. Children under 10 years old are more likely to get type 1 diabetes rather than type 2. Children 10-19 years old are likely to get type 2 diabetes instead of type 1 (NIDDK). Why are so many children getting diabetes and why is type 1 so popular?

Since diabetes is common in the United States and more common for different ethnics I have found information on some ethnics. After adjusting for population age differences, 2007–2009 national survey data for people ages 20 years or older indicate that 7.1 percent of non-Hispanic whites, 8.4 percent of Asian Americans, 11.8 percent of Hispanics/ Latinos, and 12.6 percent of non-Hispanic blacks had diagnosed diabetes. Among Hispanics/Latinos, rates were 7.6 percent for both Cuban Americans and for Central and South Americans, 13.3 percent for Mexican Americans, and 13.8 percent for Puerto Ricans (NIDDK).

During 2002–2005, 15,600 youth were newly diagnosed with type 1 diabetes annually, and 3,600 youth were newly diagnosed with type 2 diabetes annually. Among youth ages younger than 10 years, the rate of new cases was 19.7 per 100,000 each year for type 1 diabetes and 0.4 per 100,000 for type 2 diabetes. Among youth ages 10 years or older, the rate of new cases was 18.6 per 100,000 each year for type 1 diabetes and 8.5 per 100,000 for type 2 diabetes. Non-Hispanic white youth had the highest rate of new cases of type 1 diabetes—24.8 per 100,000 per year among those younger than 10 years and 22.6 per 100,000 per year among those ages 10–19 years. Type 2 diabetes was extremely rare among youth ages younger than 10 years. While still infrequent, rates were greater among youth ages 10–19 years than in younger children, with higher rates among U.S. minority populations than in non-Hispanic whites. Among non-Hispanic white youth ages 10–19 years, the rate of new cases was higher for type 1 than for type 2 diabetes. For Asian/Pacific Islander Americans and American Indian youth ages 10–19 years, the opposite was true—the rate of new cases was greater for type 2 than for type 1 diabetes. Among non-Hispanic black and Hispanic/Latino youth ages 10–19 years, the rates of new cases of type 1 and type 2 diabetes were similar (NIDDK). Within just 3 years 15,600 people were diagnosed with type 1 diabetes.

Rate of new cases of type 1 and type 2 diabetes among youth ages younger than 20 

    years, by race/ethnicity, 2002-2005 . N.d. National Diabetes information 

   clearinghouse. NIDDK, n.d. Web. 28 Mar. 2011. 

   <http://diabetes.niddk.nih.gov/dm/pubs/statistics/>.

 "New cases of Diagnosed Diabetes among People Younger than 20 Years of Age, 

     United States, 2002-2005." NDIC. NIDDK, n.d. Web. 4 Apr. 2011.       <http://diabetes.niddk.nih.gov/dm/pubs/statistics/#Racial>.

Why does diabetes cost so much?

The estimated cost of diabetes in 2007 was $174 billion dollars. This includes: $116 billion in excess medical expenditures and $58 billion in reduced national productivity, $27 billion for care to directly treat diabetes, $58 billion to treat the portion of diabetes-related chronic complications that are attributed to diabetes, $31 billion in excess general medical cost (Richard Cauchi) and (NUVO). The national cost of diabetes in the U.S. in 2007 exceeds $174 billion. This estimate includes $116 billion in excess medical expenditures attributed to diabetes, as well as $58 billion in reduced national productivity. People with diagnosed diabetes, on average, have medical expenditures that are approximately 2.3 times higher than the expenditures would be in the absence of diabetes. Approximately $1 in $10 health care dollars is attributed to diabetes. Indirect costs include increased factors such as absenteeism, reduced productivity, and lost productive capacity due to early mortality (ADA).

Diabetes is extremely expensive and yes cost may vary, but how could insurance companies think about not covering some materials which would make the prices go up even more?

Caushi, Richard. "Economic Costs of Diabetes in the United States." National
     Conference of State Legislatures. NCSL, n.d. Web. 4 Apr. 2011.
     <http://www.ncsl.org/default.aspx?tabid=14504>.

"The cost of Diabetes ." American Diabetes Association. Stop Diabetes , n.d.
     Web. 4 Apr. 2011. <http://www.diabetes.org/advocate/resources/       cost-of-diabetes.html>.

Many people die from diabetes, but how can this change if more people would take an interest in this job?

Diabetes: an extreme illness that causes many people to get tremendously sick or even die. Multiple people within the United States lose their lives− to be exact 99% of every 100,000 people. New Zealand, second in line, has 64% lives lost (Ralph). As you can see the United States bar is much higher than the other countries, how can we bring this number down?

Diabetes was the seventh leading cause of death based on U.S. death certificates in 2007. This ranking is based on the 71,382 death certificates in 2007 in which diabetes was the underlying cause of death. Diabetes was a contributing cause of death in an additional 160,022 death certificates for a total of 231,404 certificates in 2007 in which diabetes appeared as any listed cause of death. Diabetes is likely to be under reported as a cause of death. Studies have found that about 35 to 40 percent of decedents with diabetes had it listed anywhere on the death certificate and about 10 to 15 percent had it listed as the underlying cause of death. Overall, the risk for death among people with diabetes is about twice that of people of similar age, but without diabetes (NDDK). Diabetes is a tremendous cause of death− the fact that doctors are not noticing this is scary.

23.6 million people, that is 7.8% of the U.S. population, have diabetes. Of those people 17.9 million have been diagnosed and 5.7 million have not. In 2007, 1.6 million new cases of diabetes were diagnosed in people aged 20 years or older (Caren Evans).

7,000-10,000 positions are available for clinically trained M.D. Endocrinologist in the United States (Andrew Stewart). If everyone is so concerned about diabetes then why are there over 7,000 positions open for specialist to help diabetics?  These numbers are outrages; we could use as many specialists as possible to help diabetics.

Potential years of Life lost Because of Diabetes per 100,000 population. N.d.

                      Just Thinking... Ralph , n.d. Web. 21 Mar. 2011. <http://www.just-thinking.com/2010_04_01_archive.html>

"Death among People with Diabetes, United States, 2007." National Diabetes 
     Statistics, 2011. NIDDK, n.d. Web. 4 Apr. 2011. 
     <http://diabetes.niddk.nih.gov/dm/pubs/statistics/>.

"Charleston/ Spartanburg Fact Sheet ." The Diabetes Ten City Challenge . gsk, 
     n.d. Web. 4 Apr. 2011. <http://www.diabetestencitychallenge.com/ 
     index.php?/factsheets/charleston>.

Stewart, Andrew F. "The United States Endocrinology Workforce: A Supply-Demand 
     Mismatch." Special Feature Commentary . N.p., n.d. Web. 4 Apr. 2011. 
     <http://www.endo-society.org/advocacy/legislative/upload/ 
     A-Stewart-US-Endo-Workforce-A-Supply-Demand-Mismatch.pdf>.

Endocrinologists are very important in a diabetic's life, but so are diabetes educators.

"Diabetes education is a crucial part of a treatment plan. Diabetes education focuses on ways to incorporate disease management principles into your daily life and minimize your dependence on a health care provider.

Diabetes educators have identified three levels of diabetes education:

-Basic disease management, including basic "survival skills"

-Home management

-Lifestyle improvement

Basic disease management includes the knowledge and skills that a person who is newly diagnosed with diabetes must master before leaving the hospital or health care provider's office."
"Diabetes Education." Medline Plus. A.D.A.M quality , n.d. Web. 29 Mar. 2011.
     <http://www.nlm.nih.gov/medlineplus/ency/article/003996.htm>.
This quote is saying what a diabetes educator does and on the article, beyond the quote is what each individual thing is and how it helps the patient. Diabetes educators help the patient just as much as an Endocrinologist does, if not more. According to the MUSC diabetes education book a diabetes educator trains patients on how to deal with their diabetes; they can answer questions, solve problems, and update you on the latest diabetes management information. In order to be a diabetes educator you have to be a registered nurse, RN, and have worked in the field for at least two years. Nutritionists, or dietitians, are also very important to a diabetic for they will educate the patient and their family on the meal plan that is to be followed. The more a diabetic knows about diabetes, the better.

Total costs—direct and indirect	$174 billion
Direct medical costs	$116 billion—after adjusting for population age and sex differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes
Indirect costs	$58 billion—disability, work loss, premature mortality

Centers for Disease Control and Prevention. National Diabetes Fact Sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.

This is supposed to be my quote; the author just put it in a chart form. I have recently learned that people with diabetes have to pay almost two times more medical expenses than those who do not have diabetes. Endocrinologists make a big difference in a diabetic’s life, but so do their materials and necessities. Insurance companies are no longer providing central glucose monitors, (CGM), and are attempting not to cover test strips, but it is required of them to do so as of right now. The problem is that they are not covering enough test trips. Test strips may sound like they are not important, but really a diabetic uses them all of the time. If insurance companies manage to get it to where they do not have to provide money for test strips then the costs parents have to pay even more then what they already are.

Type 1- Type 2

                           Rate of new cases of type 1 and type 2 diabetes among youth ages younger than 20 

                                   years, by race/ethnicity, 2002-2005 . N.d. National Diabetes information 

                                                      clearinghouse. NIDDK, n.d. Web. 28 Mar. 2011. 

                                                    <http://diabetes.niddk.nih.gov/dm/pubs/statistics/>.

This graph shows that type 1 diabetes occurs more with children 10 years and younger with little type 2 diabetes with all types of races. But with children 10-19 years old type 1 and type 2 diabetes varies within all types of races. Since younger children are more likely to get type 1 diabetes it is necessary that they know as much information as they can handle about this disease. Type 1 and Type 2 diabetes are both unwanted diseases, but type 1 is so much scarier and worse then type 2. Some parents may not know a lot of information about diabetes along with the kids, so it is important for them to have someone to talk to. Yeah many doctors know information on diabetes, but I would rather talk to someone who specializes in it if it were me. 

Diabetes... a tragedy!

"Diabetes is a disease that affects the whole family, especially when a child is diagnosed. Whether you're a parent, sibling or other family member, your support and understanding can make all the difference. Are you worried about medical care and costs, or how to manage diabetes at school?"
"For Parents& kids." WWW.diabetes.org. stopdiabetes.com, n.d. Web. 23 Mar. 2011.
  
This quote is from the American Diabetes Association and it may look like it is not saying
 much, but it is actually saying a lot. Being diagnosed with diabetes is a tragedy and at the
moment no one can do anything about it except to, follow the doctors orders and hope for 
a cure. When worried about medical care and costs or even how to manage the diabetes at 
home or school we need a specialist for help. To most people it may seem easier to just pick 
up the phone and call your Endocrinologist, but what if you do not understand something? 
Wouldn't you want someone to go to? If your answer is yes take an interest in this topic and
 help pray for a cure for diabetes.

Lifes Lost

                      Potential years of Life lost Because of Diabetes per 100,000 population. N.d.

                      Just Thinking... Ralph , n.d. Web. 21 Mar. 2011. <http://www.just-thinking.com/2010_04_01_archive.html>

This chart shows that  99% of the USA has had lives lost to diabetes. New Zealand is next in line and they only have 64%; that is a 35% difference, this is major. This shows that we need more Endocrinologist in the USA, more people to take an interest in this job field, more people to save lives. My family was not suffering from diabetes in our home, but now we are and even I am going to become an Endocrinologist.

Until theres a Cure..

  "Until there's a cure… there's a dog. My parents are working with Warren Retrievers to help me get a Diabetic alert dog. While doing some research we found that a DAD will detect when my blood sugar is low or high, day or night. This is something I am rarely able to do for myself. I have had my blood glucose go as low as 40 without me realizing it. That can be very dangerous, resulting in seizures or worse. In addition to alerting me on my sugar levels the DAD will be trained to go get help from another person, get my supplies, bring me juice out of the fridge, and even call 911 with a special device if I am unresponsive. The DAD will work as a service dog for me for 10 years, which will get me all the way through my college years."
              Lenwai, Noah Alexander. "I am Noah and I Need Diabetic Alert Dog." Dog for Noah.
                    David Allen, 21 Mar. 2011. Web. 21 Mar. 2011.
                            <http://www.dogfornoah.com/>.

This quote is by my brother, Noah and it is basically saying that since diabetes does not have a cure yet he will get a service dog. Even though we are able to get a service dog, along with Endocrinologists, it is also not located in our area. In fact the service dogs are located in Virginia. Service dogs and Endocrinologists are similar; they both help the patient and become their friend in this journey.

Help Wanted

                Help Wanted. N.d. Health Science Center. LSUHSC, n.d. Web. 21 Mar. 2011.
                           <http://www.lsuhsc.edu/no/administration/hrm/jobs/jobs.aspx>.
This is the department of medicine, section of Endocrinology seeking help for workers who specialize in Endocrinology. Those who are interested in the changes of diabetes, obesity, and the complications of this will have special consideration in getting the job. The article states that whomever gets excepted will also teach others in this field.

What is Diabetes all about?

"If you have diabetes, your risk of a heart attack is the same as someone who has already had a heart attack. Both women and men with diabetes are at risk. You may not even have the typical signs of a heart attack."
This quote means that if you have diabetes it is a serious issue and you must take care of yourself. When not taking care of yourself it can result to a heart attack even is you show no signs of one.

"Type 1 Diabetes" by VeriMed Healthcare Network is about causes, risks, and symptoms of diabetes. When you are type 1 diabetic you are insulin- dependent, because your pancreas had stopped working. Insulin is a very important part of being a diabetic, because it is what keeps you stable and controls your blood sugar levels. .Symptoms may be noticed when your blood sugar is high or low. Symptoms normally appear when your blood sugar falls below 70 mg/dL. There are tests such as; Fasting blood glucose level, Oral glucose tolerance, and Ketone testing. When testing your blood sugar it should be 100-180 mg/dL for kids under 6 yearls old, 90-180 mg/dL for kids 6-12 years old, and 90-130 mg/dL for kids 13-19 years old.

Network, VeriMed Healthcare. Pub Med Health. March 2011 <http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001350/>.

Dr. Bowlby

Bowlbley. Dr. Bowlby . N.d. Human Growth Foundation . Association Web
     Services.com , n.d. Web. 17 Mar. 2011.
This is a photograph of Dr. Bowlby, Noah's doctor. This picture relates to my blog because Dr. Bowlby was there to help Noah and keep him stable. If Dr. Bowlby or some other Endocrinologist were located in Myrtle Beach it would had saved everyone from worrying more then how most people do when an Endocrinologist is located in their area.
http://www.hgfound.org/images/management/Bowlby.jpg

Life or Death, you choose?

Wordle. N.p., n.d. Web. 14 Mar. 2011. <http://www.diabetes.org/
     diabetes-basics/type-1/
     ?utm_source=Homepage&utm_medium=ContentPage&utm_content=type1&utm_campaign=TDT>.

My Wordle is based on information about diabetes. The article stated a lot of information on how important it is for diabetes to be treated. The main points of the article are located within my wordle, they are; diabetes, cells, insulin, blood, eyesight, loosing energy, and all of the symptoms leading up to being diagnosed. This article was very informative and increased my knowledge on diabetes.

Four helpful Sites, yayyy!!!

http://www.bookofdoctors.com/tek9.asp?pg=search&category=11&location=70


This website proves my point exactly, it shows that Endocrinologist do not exist in Myrtle Beach. This site has multiple links to click on that tell you where, in my case Endocrinologist, are located; if whomever you are searching for is not located in that area it will say, "Sorry no doctors found." The author of this site is the Book of Doctors.


http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001350/


This website is full of information about symptoms of diabetes, what the risks of diabetes are, testing diabetes, treatment, and so much more. The site has multiple links that take you to more information. I learned a lot of information from this site and I am sure you will too. The author of this site is VeriMed Healthcare Network.


http://www.dogfornoah.com/


To the convenience of this project I got home to find that my dad had made a website about diabetic service dogs, which I have mentioned before. This website is not completely finished, but it has information about the alert dog, how to donate to Noah's cure for Diabetes walk, and outings to raise money. I find the information about the dogs is very interesting and will help those who have diabetes tremendously. The author of this site is David Allen.


http://www.diabetes.org/diabetes-basics/type-1/?utm_source=Homepage&utm_medium=ContentPage&utm_content=type1&utm_campaign=TDT


This website has a lot of information on type 1 and type 2 diabetes. If you click on any of the links, for example Diabetes Statistics, it will lead you to another page with even more information. The statistics on this site are astonishing and seem to be unbelievable, although they are true. This site was a big help to my project.

This is the story of a boy who got diabetes

Create your own video slideshow at animoto.com.

What Would I like to know?

I would like to know what cities Endocrinologist work in and how many of them work there. Is there enough of them to place them in the cities that do not have any currently working there? Since diabetes rates are going up faster, why do we not have Endocrinologist in our area? Does anyone, including doctors, know that some areas do not have certain types of doctors working there to protect the lives of others? Many people die from diabetes, but how can this change if more people would take an interest in this job? What if no one takes responsibility for this? Will scientist successfully create an artificial pancreas for those who have diabetes? If this is successfully established will the artificial pancreas actually help keep diabetic humans alive without all of the medication? All of these questions are being asked, but will they ever be answered?

My knowledge behind Endocrinologist

Diabetic Monitor . N.d. WWW.onewellnessplace.com . N.p., n.d. Web. 10 Mar. 2011.

     <http://www.onewellnessplace.com/wp-content/uploads/Diabetic-monitor.jpg>.
I do not know much about Endocrinologist, but i do know some things about their job. Endocrinologist deal with many different problems, one problem they deal with is diabetes. They teach patients how to take care of themselves, what medicine to use at certain times of the day, what they can and cannot eat and they assure them that they can still have a wonderful life. These doctors bond with their patients and help them through the tough times throughout their life. When a Endocrinologist is not available to someone who was just diagnosed with diabetes they can possibly go into a coma or die. If you eat the right foods and stay on top of your diagnoses then everything will be so much easier for you. Now when i say Endocrinologist i am referring to a type 1 Pediatric Endocrinologist. 

One life changed within minutes

Noah Lenwai at Hospital. Personal Photography by Sarah Lenwai. 16 January 2011.

A young boy named Noah had an amazing life until he got what everyone thought was the flu. He visited many doctors and no one realized what was truly wrong with him until a nurse pointed out the smell of his breath. She told Noah’s dad, Dave, that he may have a serious illness and sent him to the hospital down the street. At the hospital the doctors tested his blood sugar and found that it was 771 and that he could go into a coma or die at any minute. They immediately transported Noah to MUSC by helicopter and notified his parents that he had type 1 diabetes. Noah had to be transported to MUSC rather than being treated in Myrtle Beach, because there are no Endocrinologist working in this area. Noah stayed strong and kept fighting for his life with the help of his doctors and support of his family and friends. After a week of learning about all of the medicines and what was going to change in his life, Noah was able to go home. Every few weeks Noah gets checked on by his doctors and within a year he will have a diabetes dog that will go everywhere with him and can call 911 when needed. Everyone looks at Noah the same way and loves him just as much as they did before; he still has fun with his friends and participates in sports as he is happy with his life. This young boy is my brother and he almost died because there are no Endocrinologist working in Myrtle Beach.