My interest in pediatric medicine began with the idea that diseases can be prevented and managed in childhood to avoid complications as adults. My career and research now focus on the complications of chronic diseases that begin in childhood. Type 2 diabetes, cholesterol issues and blood pressure problems, once thought to be adult diseases, are also seen more and more often in young people.
Currently, my research focuses on prevention of diabetes and if diabetes develops, its long-term health consequences. With my work, I try to determine how diabetes may impact the heart, brain and blood vessels. I hope to understand how to prevent diabetes in adolescents and reduce health problems in the future.
I serve as the director of the Adolescent Type 2 Diabetes Program at Cincinnati Children’s Hospital Medical Center. In this setting, my colleagues and I work as a team to discover the best medical and surgical treatments for youth with Type 2 diabetes. We have a comprehensive clinical team that includes gastroenterologists to assess for fatty liver disease, psychologists, nutritionists, certified diabetes educators and social workers. We also work with the bariatric surgery team to understand how bariatric surgery effects youth-onset Type 2 diabetes and its complications.
I have received several awards and honors, including:
BA: Biology, The University of Texas at Austin, Austin, TX, 2000.
MD: St. George’s University Medical School, Grenada, West Indies, 2004.
Pediatric Residency: Loyola University Medical Center, Maywood, IL, 2007.
Endocrine Fellowship: Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2010.
Research Fellowship: Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2011.
MS: Clinical Research, The University of Cincinnati, Cincinnati, OH, 2011.
Certifications: The American Board of Pediatrics, Subspeciality Board in Pediatric Endocrinology, Clinical Lipidology.
Type 2 diabetes; obesity; primary and secondary lipid disorders; hypertension; general endocrinology
Type 2 diabetes; type 1 diabetes; cardiovascular risk factors; lipids and lipoproteins
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Real-world effectiveness of sodium glucose transporter 2 inhibitors among youth with type 2 diabetes. Journal of Pediatric Endocrinology and Metabolism. 2025; 38:1161-1168.
Apolipoprotein A5 reduces clearance of VLDL by altering apolipoprotein E content. Journal of Lipid Research. 2025; 66:100917.
Early Versus Late Diagnosis of Youth-Onset Type 2 Diabetes. Endocrinology, Diabetes and Metabolism. 2025; 8:e70116.
Obstructive sleep apnea, glycemic control, and cardiovascular risk in young adults with youth-onset type 2 diabetes: results from the TODAY study. The Journal of Clinical Sleep Medicine. 2025; 21:1925-1933.
Exploring Organ-Specific Extracellular Vesicles in Metabolic Improvements Following Bariatric Surgery in Youth With Obesity. Obesity. 2025; 33:2181-2194.
Shaping the future of youth-onset type 2 diabetes: a call to action. Trends in Endocrinology and Metabolism. 2025; 36:882-888.
Response to letter to the editor regarding "High rate of complications in a real-world cohort of youth with T2D: A multicenter analysis ". Journal of Diabetes and Its Complications. 2025; 39:109138.
Metabolic syndrome in youth - A fresh look at an old problem. Journal of Clinical Lipidology. 2025; 19:4-14.
Exchangeable APOA1 on HDL inhibits LDL binding to proteoglycans. Journal of Lipid Research. 2025; 66:100885.
Non-autoimmune, insulin-deficient diabetes in children and young adults in Africa: evidence from the Young-Onset Diabetes in sub-Saharan Africa (YODA) cross-sectional study. The Lancet Diabetes and Endocrinology. 2025; 13:745-753.
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