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Scientific Advisory Board: Richard S. Abrams, M.D. Associate Clinical Professor of Medicine, Children’s Diabetes Foundation at Denver Fall 1997 University of Colorado School of Medicine; Rose Medical Center, Denver Jules Amer, M.D. Clinical Professor of Pediatrics, University of Colorado School of Medicine; Partner, Children’s Medical Center, Denver M. Douglas Jones, Jr., M.D. Professor and Chairman, Department of Pediatrics, University of Colorado School of Medicine; Pediatrician in Chief, The Children’s Hospital, Denver Brian Kotzin, M.D. Professor of Immunology, University of Colorado School of Medicine; National Jewish Center for Immunology and Respiratory Medicine, Denver Ake Lernmark, M.D., Ph.D. Robert H. William Professor, Department of Medicine, University of Washington School of Medicine, Seattle Ali Naji, M.D., Ph.D. J. William White Professor of Surgery, Hospital of University of Pennsylvania, Philadelphia Gerald Nepom, M.D., Ph.D. Scientific Director and Director of Immunology and Diabetes Research Programs, Virginia Mason Research Center, Seattle Julio Santiago, M.D. Professor of Medicine and Pediatrics, Washington University, St. Louis, Missouri; St. Louis Children’s Hospital Advisory Board: Mrs. Alan Angelich Mr. and Mrs. Rand V. Araskog Mrs. John Aylsworth Mr. Michael Bolton Mrs. Joseph Broughton Mrs. Franklin L. Burns Mr. Michael Caine The Honorable Ben Nighthorse Campbell, U. S Senate, Colorado Ms. Natalie Cole Mr. Phil Collins Mr. Lodwrick M. Cook Mrs. John Cowee Mr. and Mrs. Robert A. Daly Mrs. Thomas P. D’Amico Mr. Tony Danza Mr. Neil Diamond Mr. Placido Domingo Miss Donna Douglas President and Mrs. Gerald R. Ford Mrs. Joseph Franzgrote Top: Dr. Jackson with patient. Right: Retinal picture Mr. David Foster Mr. Kenny G taken by the BDC digital-imaging machine. Mr. David Geffen Mr. Merv Griffin Mr. Bob Hope Ms. Whitney Houston Mrs. Walter Imhoff Mr. Michael Jackson DIGITAL IMAGING COMES TO Mr. and Mrs. John H. Johnson Mr. Quincy Jones Mrs. Michael Jultak Dr. Henry A. Kissinger THE B ARBARA DAVIS CENTER Mrs. Robert Knisely Mr. Howard W. Koch Kevin J. Lafferty, Ph.D. —William Jackson, M.D., BDC Director of Ophthalmology Services The Honorable and Mrs. Richard D. Lamm Ms. Sherry Lansing Mr. Jay Leno Mr. Paul Marciano wenty-first century, innovative, highly Mr. Walter Matthau Miss Dina Merrill Mr. Myron M. Miller complex digital eye cameras have Mr. Roger Moore T Evelyn and Mo Ostin Mr. Ronald O. Perelma n The Honorable Federico Peña arrived at the BDC. Through the Mr. Sidney Poitier Executive Board: President and Mrs. Ronald Reagan Mrs. Marvin Davis Mr. Lionel Richie Chairperson Mrs. Sheldon Roger Richard S. Abrams, M.D. generosity of Miss Amy Davis and the Mr. Kenny Rogers Jules Amer, M.D. The Honorable Roy Rome r Miss Amy Davis Governor, State of Colorado Steven Farber, Esq. Mrs. Roy Romer The Honorable Sherman G. Courtenay C. Davis Foundation and the Miss Diana Ross Finesilver Mr. Lewis Rudin Mr. Gerald S. Gray Mr. George Schlatter Charles Halgrimson, M.D. Ms. Maria Shriver and Associate Dean, University of Richard A. Perritt Charitable Foundation, Mr. Arnold Schwarzenegger Colorado School of Medicine Alan and Sandra Silvestri Mrs. A. Barry Hirschfeld Mr. Steven Spielberg and M. Douglas Jones, Jr., M.D. we are privileged to incorporate digital Ms. Kate Capshaw Mrs. Dana Davis Lipman Mrs. Robert J. Stewart Mrs. Nancy Davis Rickel Mrs. Robert Tucker Ex-officio Member: Mrs. Thomas N. Tucker George S. Eisenbarth, M.D., Ph.D. (electronic) technology at the Center. Miss Joan van Ark Executive Director, Barbara Davis Mrs. Peter Weingarten Center for Childhood Diabetes, The Honorable Wellington E. Webb University of Colorado Health Mayor, City of Denver Sciences Center; Professor of Mrs. Luanne Wells Pediatrics and Medicine, University Ms. Barbera Thornhill of Colorado School of Medicine What is a digital camera? What does it and Mr. Gary L. Wilson The Honorable Pete Wilson Foundation Directors: Governor, State of California Christine Lerner Mr. Henry Winkler Sue Palandri do? Why do we need it? Continued on page 2 Mr. Stevie Wonder Research Continued from cover page First, a thumbnail overview is in developing chemicals used. Center and health care providers order. Photography as an art have seen an evolution (but not and science is about 150 years I am very hopeful that digital the revolution we desire) in dia - old. Crude retinal pictures were imaging will be used for all of betes care. This care is first captured about 100 years our clinical needs. We at the designed to prevent complica - ago. The retina is the light- BDC have as our mission a com - tions such as eye disease and sensitive tissue in the back of mitment to the preservation of kidney disease. For example, the eye. It is the “film” in the vision. A team approach works ninety percent of blindness for - eye, or “camera.” Digital photos better—together we can made a merly associated with diabetes were first used over 70 years difference. The future is here now! can now be prevented. It can ago. Technology has accelerat - only be prevented if young ed greatly in the past few P.S. The physical plant of the adults with diabetes are properly decades. The happy “marriage” eye clinic will be enlarged this examined by an opthamologist of the camera with powerful and fall—very exciting! Pardon our once a year. (Many of you will flexible computers has brought dust! have seen the new eye digital- retinal imaging to the point that the electronic image challenges traditional film-based methods. Film is sharper at the present time. However, film may be at or near its limits. On the other hand, there appears to be great likelihood that digital images in the computer will improve sig - nificantly. This new photography has changed much of what we do in the eye department. The ability to obtain, store, and transmit retinal pictures via telephone line and satellite enhances patient understanding and com - pliance. The patients love this new technique, as they can BDC MISSIONS imaging equipment.) Another immediately see the picture. example of changing clinical George S. Eisenbarth, M.D., Ph.D., The center has resident doctors Executive Director care is the new rapidly acting for training in eye conditions insulin, Humalog ®, which was associated with diabetes. This Aristotle is quoted as saying, studied in detail at the Center. technology has greatly facilitat - “You are what you do.” The This insulin has become an ed teaching. Barbara Davis Center does important new addition to our many things and has several therapeutic choices. As many of you know, diabetes missions. Most participants at can affect the eyes and damage the Center, whether staff or Clinical education of families, the vision. It is vitally important patients, contribute to many of patients and health care for patients to have their eyes the functions. The Center is providers. Probably the most evaluated on a regular basis. devoted to: widespread education comes The exact timing of this varies through the manual, from patient to patient. Excellent clinical care to pre - Understanding Insulin- vent morbidity (particularly Dependent Diabetes, by Dr. H. Traditional techniques are long-term complications of Peter Chase, with over 25,000 demanding, time consuming and diabetes), the rare death from copies in print. The whole text expensive. The new technology diabetes, and to improve the of the book is on our web site: captures and stores an image quality of life for individuals http://www.uchsc.edu/misc/ immediately. There are no with diabetes. Patients at the diabetes/bdc.html 2 Barbara Davis Center Training of first-rate physician sition of this basic knowledge is Dr. Phillipe Walravens and scientists and basic a major task of Center Sherrie Harris, R.N., organize researchers. Young doctors researchers. and attend the clinics in from throughout the world come Durango and Casper. The to the Center. They are usually BARBARA DAVIS Casper clinic provides care for in Denver for one to three years patients throughout Wyoming, to receive mentor-based train - CENTER OUTREACH as well as education for the ing. They then return to their CLINICS providers in the state. Some 60 home countries or states to set patients attend the clinic, and — Robert H. Slover, M.D. up their own laboratories or some of them alternate these clinical programs. The training The Barbara Davis Center has visits with trips to the Center is very much like the apprentice - been involved in providing care ships of the past, where both and education to a large com - the mentor and the trainer work munity outside the Denver area as a team and the learning is by since it opened. As part of our “doing.” mission, we have continued to explore programs to bring up-to- Develop preventative therapy. date care and opportunities for In animal models, diabetes is a involvement in current research readily preventable disorder. It to as large a population as pos - is “only” a matter of time before sible. Over the years we have the same is true in man. Our opened outreach clinics in a goal is to shorten that time number of areas and have used period with an emphasis on the them as a forum for educating development of immunologic medical care providers, parents, vaccines for the prevention of and youngsters. We currently diabetes. have outreach clinics in Billings, Montana and in Casper, Cure type I diabetes. More Wyoming, as well as in Durango than 20 patients with special and Colorado Springs, Colorado. and severe diabetes-related itself. The Durango clinic problems have been cured by The oldest Barbara Davis Center serves about 40 patients in pancreas transplantation, either outreach clinic is held in southwest Colorado and the with a combined kidney and Billings, Montana.

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