Gregory P Forlenza

Publications (2)4.47 Total impact

• Article: The epidemic of type 1 diabetes: what is it telling us?

  Gregory P Forlenza, Marian Rewers
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  ABSTRACT: Type 1 diabetes (T1D) is an autoimmune disorder which affects millions around the world. The incidence of T1D in children is increasing worldwide at a rate that cannot be explained by genetics alone. This review explores the recent research regarding possible causes of this epidemic. Investigation into T1D epidemiology has recently focused on several hypotheses. These theories include the role of infections, early childhood diet, vitamin D exposure, environmental pollutants, increased height velocity, obesity, and insulin resistance in the risk for T1D. Over the past year, the evidence has strengthened for early childhood infections, dietary proteins, and insulin resistance as risk factors for T1D, but not for vitamin D exposure or environmental pollutants. Investigation into the source of the current epidemic of T1D has shed light on several possible causes, but has not provided definitive answers, yet.
  Current opinion in endocrinology, diabetes, and obesity 08/2011; 18(4):248-51.
• Article: Ankyloglossia, exclusive breastfeeding, and failure to thrive.

  Gregory P Forlenza, Nicole M Paradise Black, Elayne G McNamara, Sandra E Sullivan
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  ABSTRACT: A 6-month-old term boy was hospitalized to evaluate the cause of his failure to thrive, mandated as part of an investigation by the Department of Children and Families after an allegation of medical neglect was made. On admission the patient was below birth weight, and a medical workup for failure to thrive was pursued; however, he was noted to have severe ankyloglossia and was an exclusively breastfed infant. The only interventions during his hospitalization were frenotomy and assistance to the mother to increase her milk supply. The infant immediately experienced weight gain and has continued to show slow, but steady, weight gain as an outpatient. We illustrate here many of the controversies concerning ankyloglossia.
  PEDIATRICS 06/2010; 125(6):e1500-4. · 4.47 Impact Factor