known as the edmonton protocol, dr. shapiro’s method initially made 17 changes to the original islet transplantation procedure, including introducing a cocktail of immunosuppressants and a significant increase in the volume of implanted islet cells. the first seven patients with type 1 diabetes who received pancreatic islet implants between 1999 and 2000 using the edmonton protocol became non-dependent on insulin as a result of the procedure, and maintained a steady glucose count without the need for insulin for at least a year after.
that was a significant improvement from past procedures using other methods, which led to insulin independence in only eight per cent of patients. dr. shapiro received a standing ovation when he presented the results to about 5,000 clinicians and scientists at an american society of transplantation conference in chicago.
“twenty-one years later we’ve done this procedure about 710 times in type 1 diabetes patients and most are able to come off insulin for a period of time, with three-quarters of patients able to retain the protection afforded by these implanted cells,” says dr. shapiro. “we continue to refine the protocol to extend the anti-rejection time and make the treatment more sustaining.”
vanita pais: changing young lives through better food literacy
for vanita pais, the leonard award adds another layer of goodness to food skills programs and workshops that deliver great benefits to children with type 1 diabetes.
pais, a toronto-based diabetes educator and registered dietitian, created an eight-week program that helps young people truly understand food – where it comes from, how the food system works, food marketing, how to make balanced meals and healthy snacks, and why it’s important to reduce food waste.
“in general, food literacy skills are lower in children,” she says. “that’s not good and, when you have diabetes, that lack of knowledge can have serious consequences on your health and your ability to manage your diabetes.”