Dina Panagiotopoulos

MD, FRCPC

Investigator, Canucks for Kids Fund Childhood Diabetes Laboratories, BC Children's Hospital
Pediatric Endocrinologist, BC Children's Hospital

My research spans both type 1 and type 2 childhood diabetes.

The first aspect of my research relates to the prevention of type 2 diabetes (T2D) and its associated co-morbidities in youth with mental health conditions treated with atypical antipsychotic (AAP) medications. Since 2006, we have performed foundational research on AAPs and their metabolic sequelae in children / youth, established key partnerships and a platform for ongoing research, and created and implemented Canada’s first (and so far only) pediatric Provincial Mental Health Meta-bolic Program.

At the request of remote First Nations communities in BC, I have conducted diabetes screening and found high prevalence of pre-diabetes in youth residing in the region. This led to the program development of a modified, culturally appropriate Actions Schools! BC and Healthy Buddies program for implementation at three Tsimshian communities.

Further, in collaboration with Drs. Jean-Pierre Chanoine and Louise Masse, I led the evaluation of the Shapedown program at BC Children's Hospital. Shapdown is a multi-disciplinary, well-defined weight treatment/management program for children and adolescents with a family-focused intervention. I led the evaluation of this program’s effect on BMI, insulin resistance, metabolic syndrome, and examined its effect on changes in psychological outcomes, nutrition, and physical activity.

In the realm of type 1 diabetes (T1D), I am the Clinical Core Leader within the CIHR New Emerging Team in Childhood Autoimmunity. Immune white cells, such as cytotoxic T lymphocytes (CTL) and natural killer (NK) cells protect us from infections by killing infected cells. Conversely, defects in their function or regulation lead to autoimmune diseases such as T1D. I collaborate with Dr. Rusung Tan in trying to understand the defects in these cells in order to develop new therapies and prevention strategies for this disease. In addition I am the regional site lead and Vancouver Affiliate PI for TrialNET, an international, multi-centre network dedicated to the study, prevention and treatment of T1D.

Academic Affiliations

  • Clinical Professor, Division of Endocrinology, Department of Pediatrics, Faculty of Medicine, University of British Columbia
  • Research Theme: Childhood Diseases
  • Research Group(s): Diabetes; Origins of Child Health and Disease

Contact Information

Location

950 West 28th Ave, Vancouver, BC, Canada, V5Z 4H4

Associations between serum per- and polyfluoroalkyl substance concentrations and -cell function and insulin resistance in adult females

The Journal of Clinical Endocrinology & Metabolism

Jana Palaniyandi and Jennifer E Bruin and Mandy Fisher and Michael M Borghese and Myriam P Hoyeck and Constadina Panagiotopoulos and Mireille Guay and Jillian Ashley-Martin

DOI: 10.1210/clinem/dgag015

01 / 2026

Prenatal Concentrations of Perfluoroalkyl Substances and Maternal Beta Cell Function at 7 to 9 Years of Follow-Up

The Journal of Clinical Endocrinology & Metabolism

Jana Palaniyandi and Jennifer E Bruin and Mandy Fisher and Michael M Borghese and Myriam P Hoyeck and Constadina Panagiotopoulos and Jillian Ashley-Martin

DOI: 10.1210/clinem/dgaf143

11 / 2025

Early life fluoride exposure and sleep in children

Annals of Epidemiology

Zhilin Wang and Christine Till and Meaghan Hall and Jana El Sabbagh and Gina Muckle and Jean Sguin and Linda Booij and Khrista Boylan and Constadina Panagiotopoulos and Katherine Morrison and Maryse Bouchard and Bruce Lanphear and Ashley J. Malin

DOI: 10.1016/j.annepidem.2025.08.002

09 / 2025

Understanding vascular complications in children from type 1 diabetes diagnosis: protocol for a prospective cohort study in Vancouver, Canada.

BMJ open

Wiedeman AM and Panagiotopoulos C and Devlin AM

DOI: 10.1136/bmjopen-2024-093842 PubMed: 40940049

09 / 2025

Diet quality in relation to serum perfluoroalkyl substance concentrations in Canadian preadolescents

Environmental Research

Ashlyn Simpson and Mandy Fisher and Stphanie Harrison and Anne-Sophie Morisset and Michael M. Borghese and Joseph M. Braun and Maryse F. Bouchard and Trisha Saha and Constadina Panagiotopoulos and Linda Booij and Katherine Morrison and Jillian Ashley-Martin

DOI: 10.1016/j.envres.2025.121790

08 / 2025

Prevalence and Risk Factors for Bladder and Bowel Dysfunction in Children With Type 1 Diabetes

Pediatric Diabetes

Kristen Favel and Maryellen S. Kelly and Shing Tat Theodore Lam and Jeffrey N. Bone and Kathryn E. Morgan and Heidi A. Stephany and Sruthi Thomas and Kourosh Afshar and Constadina Panagiotopoulos and Andrea Scaramuzza

DOI: 10.1155/pedi/5294835

01 / 2025

Longitudinal Estimated Glomerular Filtration Rate Trajectories in Children with Type 1 Diabetes

Pediatric Diabetes

Kristen Favel and Cherry Mammen and Constadina Panagiotopoulos

DOI: 10.1155/2023/6648920

06 / 2023

Vascular Complications in Children with Type 1 Diabetes: Protocol of a Scoping Review

OSF Registries

DOI: 10.17605/osf.io/kcxp2

Glomerular Filtration Rate Abnormalities in Children With Type 1 Diabetes

Canadian Journal of Diabetes

Kristen Favel and Mike Irvine and Rebecca Ronsley and Constadina Panagiotopoulos and Cherry Mammen

DOI: 10.1016/j.jcjd.2022.01.007

07 / 2022

Type 1 Diabetes Mellitus Virtual Patient Network as a Peer Support Community: Protocol for Social Network Analysis and Content Analysis

JMIR Research Protocols

Nancy Wu and Anne-Sophie Brazeau and Meranda Nakhla and Deborah Chan and Deborah Da Costa and Geetha Mukerji and Sonia Butalia and Daniele Pacaud and Mlanie Henderson and Constadina Panagiotopoulos and Elham Rahme and Kaberi Dasgupta

DOI: 10.2196/18714

08 / 2020

High prevalence of plasma lipid abnormalities in human and canine Duchenne and Becker muscular dystrophies depicts a new type of primary genetic dyslipidemia

Journal of Clinical Lipidology

Zoe White and Chady H. Hakim and Marine Theret and N. Nora Yang and Fabio Rossi and Dan Cox and Gordon A. Francis and Volker Straub and Kathryn Selby and Constadina Panagiotopoulos and Dongsheng Duan and Pascal Bernatchez

DOI: 10.1016/j.jacl.2020.05.098

07 / 2020

Type 1 Diabetes Mellitus Virtual Patient Network as a Peer Support Community: Protocol for Social Network Analysis and Content Analysis (Preprint)

Nancy Wu and Anne-Sophie Brazeau and Meranda Nakhla and Deborah Chan and Deborah Da Costa and Geetha Mukerji and Sonia Butalia and Daniele Pacaud and Mlanie Henderson and Constadina Panagiotopoulos and Elham Rahme and Kaberi Dasgupta

DOI: 10.2196/preprints.18714

03 / 2020

Ambulatory blood pressure and carotid intima media thickness in children with type 1 diabetes

Pediatric Diabetes

Sinead Glackin and Nazrul Islam and Amanda M. Henderson and Janis M. Dionne and Kevin C. Harris and Constadina Panagiotopoulos and Angela M. Devlin

DOI: 10.1111/pedi.12960

03 / 2020

Stigma and Its Association With Glycemic Control and Hypoglycemia in Adolescents and Young Adults With Type 1 Diabetes: Cross-Sectional Study

Journal of Medical Internet Research

Anne-Sophie Brazeau and Meranda Nakhla and Michael Wright and Mlanie Henderson and Constadina Panagiotopoulos and Daniele Pacaud and Patricia Kearns and Elham Rahme and Deborah Da Costa and Kaberi Dasgupta

DOI: 10.2196/jmir.9432

04 / 2018

Diet and cardiometabolic side effects in children treated with second-generation antipsychotics

Clinical Nutrition ESPEN

Mikaela K. Barker and Carly M. Sable and Sarah E. Montgomery and Lorrie Chow and Timothy J. Green and Constadina Panagiotopoulos and Angela M. Devlin

DOI: 10.1016/j.clnesp.2017.09.013

02 / 2018

Stigma and Its Association With Glycemic Control and Hypoglycemia in Adolescents and Young Adults With Type 1 Diabetes: Cross-Sectional Study (Preprint)

Anne-Sophie Brazeau and Meranda Nakhla and Michael Wright and Mlanie Henderson and Constadina Panagiotopoulos and Daniele Pacaud and Patricia Kearns and Elham Rahme and Deborah Da Costa and Kaberi Dasgupta

DOI: 10.2196/preprints.9432

11 / 2017

Adherence to a pediatric diabetic ketoacidosis protocol in children presenting to a tertiary care hospital

Pediatric Diabetes

Rebecca Ronsley and Nazrul Islam and Claire Ronsley and Daniel L Metzger and Constadina Panagiotopoulos

DOI: 10.1111/pedi.12556

06 / 2017

Acute Kidney Injury in Children With Type 1 Diabetes Hospitalized for Diabetic Ketoacidosis

JAMA Pediatrics

Brenden E. Hursh and Rebecca Ronsley and Nazrul Islam and Cherry Mammen and Constadina Panagiotopoulos

DOI: 10.1001/jamapediatrics.2017.0020

05 / 2017

Does parental and adolescent participation in an e-health lifestyle modification intervention improves weight outcomes?

BioMed Central

DOI: 10.14288/1.0347221

Stigma and Its Impact on Glucose Control Among Youth With Diabetes: Protocol for a Canada-Wide Study

JMIR Research Protocols

Anne-Sophie Brazeau and Meranda Nakhla and Michael Wright and Constadina Panagiotopoulos and Daniele Pacaud and Mlanie Henderson and Elham Rahme and Deborah Da Costa and Kaberi Dasgupta

DOI: 10.2196/resprot.6629

12 / 2016

Persistent Albuminuria in Children with Type 2 Diabetes: A Canadian Paediatric Surveillance Program Study.

Sellers EA and Hadjiyannakis S and Amed S and Dart AB and Dyck RF and Hamilton J and Langlois V and Panagiotopoulos C and Dean HJ

DOI: 10.1016/j.jpeds.2015.09.042 PubMed: 26470688

10 / 2015

Interaction between the Val158Met catechol-O-methyltransferase gene variant and second-generation antipsychotic treatment on blood pressure in children

Pharmacogenomics Journal

Cote, A.T. and Panagiotopoulos, C. and Devlin, A.M.

DOI: 10.1038/tpj.2014.35

Increased risk of obesity and metabolic dysregulation following 12 months of second-generation antipsychotic treatment in children: A prospective cohort study

Canadian Journal of Psychiatry

Ronsley, R. and Nguyen, D. and Davidson, J. and Panagiotopoulos, C.

Obesity and Arterial Stiffness in Children: Systematic Review and Meta-Analysis

Arteriosclerosis, Thrombosis, and Vascular Biology

Cote, A.T. and Phillips, A.A. and Harris, K.C. and Sandor, G.G.S. and Panagiotopoulos, C. and Devlin, A.M.

DOI: 10.1161/ATVBAHA.114.305062

Adrenal suppression in children treated with oral viscous budesonide for eosinophilic esophagitis

Journal of Pediatric Gastroenterology and Nutrition

Harel, S. and Hursh, B.E. and Chan, E.S. and Avinashi, V. and Panagiotopoulos, C.

DOI: 10.1097/MPG.0000000000000848

Individual and Household Predictors of Adolescents Adherence to a Web-Based Intervention

Annals of Behavioral Medicine

Msse, L.C. and Watts, A.W. and Barr, S.I. and Tu, A.W. and Panagiotopoulos, C. and Geller, J. and Chanoine, J.-P.

DOI: 10.1007/s12160-014-9658-z

Effectiveness of an educational handbook in improving psychiatry resident knowledge of second-generation antipsychotics

Academic Psychiatry

Gibson, J. and Nguyen, D. and Davidson, J. and Panagiotopoulos, C.

DOI: 10.1007/s40596-014-0177-9

Metabolic side effects and pharmacogenetics of second-generation antipsychotics in children

Pharmacogenomics

Devlin, A.M. and Panagiotopoulos, C.

DOI: 10.2217/pgs.15.55

Canadian Paediatric Society 92nd Annual Conference: Abstracts.

Ensuring the Safety of Children Treated with Second-Generation Antipsychotics

The Science and Ethics of Antipsychotic Use in Children

Rebecca Ronsley and Lorrie Chow and Kristine Kuss and Jana Davidson and Constadina Panagiotopoulos

DOI: 10.1016/b978-0-12-800016-8.00004-0

Rising antipsychotic prescriptions for children and youth: cross-sectoral solutions for a multimodal problem.

Di Pietro N and Illes J and Canadian Working Group on Antipsychotic Medications and Children

DOI: 10.1503/cmaj.131604 PubMed: 24664655

06 / 2014

Cardiovascular risk factors and health behaviours in elementary school-age Inuvialuit and Gwich'in children

Paediatrics & Child Health

Constadina Panagiotopoulos and Duc Nguyen and Jane Smith

DOI: 10.1093/pch/19.5.256

05 / 2014

Cardiovascular risk factors and health behaviours in elementary school-age Inuvialuit and Gwich'in children.

Panagiotopoulos C and Nguyen D and Smith J

PubMed: 24855429

05 / 2014

Case 2: Generalized swelling in a child with newly diagnosed diabetes mellitus

Paediatrics & Child Health

Brenden E Hursh and Alysha Dedhar and Constadina Panagiotopoulos

DOI: 10.1093/pch/19.5.233-b

05 / 2014

Case 2: Generalized swelling in a child with newly diagnosed diabetes mellitus.

Hursh BE and Dedhar A and Panagiotopoulos C

PubMed: 24855422

05 / 2014

Quetiapine treatment in youth is associated with decreased insulin secretion

Journal of Clinical Psychopharmacology

Ngai, Y.F. and Sabatini, P. and Nguyen, D. and Davidson, J. and Chanoine, J.-P. and Devlin, A.M. and Lynn, F.C. and Panagiotopoulos, C.

DOI: 10.1097/JCP.0000000000000118

Initial screening of children treated with second-generation antipsychotics points to an association between physical activity and insulin resistance

Pediatric Exercise Science

Cote, A.T. and Devlin, A.M. and Panagiotopoulos, C.

DOI: 10.1123/pes.2014-0076

A population-based study of antipsychotic prescription trends in children and adolescents in British Columbia, from 1996 to 2011.

Ronsley R and Scott D and Warburton WP and Hamdi RD and Louie DC and Davidson J and Panagiotopoulos C

PubMed: 23768264

06 / 2013

Healthy buddies reduces body mass index z-score and waist circumference in aboriginal children living in remote coastal communities

Journal of School Health

Ronsley, R. and Lee, A.S. and Kuzeljevic, B. and Panagiotopoulos, C.

DOI: 10.1111/josh.12072

Le diabte de type 2 chez les enfants et les adolescents

Canadian Journal of Diabetes

Panagiotopoulos, C. and Riddell, M.C. and Sellers, E.A.C.

DOI: 10.1016/j.jcjd.2013.07.039

A population-based study of antipsychotic prescription trends in children and adolescents in British Columbia, from 1996 to 2011

Canadian Journal of Psychiatry

Ronsley, R. and Scott, D. and Warburton, W.P. and Hamdi, R.D. and Louie, D.C. and Davidson, J. and Panagiotopoulos, C.

Childhood obesity and cardiovascular dysfunction

Journal of the American College of Cardiology

Cote, A.T. and Harris, K.C. and Panagiotopoulos, C. and Sandor, G.G.S. and Devlin, A.M.

DOI: 10.1016/j.jacc.2013.07.042

Health Information Preference among Youth and Caregivers related to Second-Generation Antipsychotic Treatment.

Xu Y and Nguyen D and Davidson J and Panagiotopoulos C

PubMed: 23133465

11 / 2012

[Not Available].

Ho J and Panagiotopoulos C and McCrindle B and Grisaru S and Pringsheim T

PubMed: 24082815

10 / 2012

Metabolic monitoring training program implementation in the community setting was associated with improved monitoring in second-generation antipsychotic-treated children.

Ronsley R and Rayter M and Smith D and Davidson J and Panagiotopoulos C

PubMed: 22546061

05 / 2012

Waist circumference is a sensitive screening tool for assessment of metabolic syndrome risk in children treated with second-generation antipsychotics.

Panagiotopoulos C and Ronsley R and Kuzeljevic B and Davidson J

PubMed: 22296966

01 / 2012

Metabolic monitoring training program implementation in the community setting was associated with improved monitoring in second-generation antipsychotic-treated children

Canadian Journal of Psychiatry

Ronsley, R. and Rayter, M. and Smith, D. and Davidson, J. and Panagiotopoulos, C.

Health information preference among youth and caregivers related to second-generation antipsychotic treatment

Journal of the Canadian Academy of Child and Adolescent Psychiatry

Xu, Y. and Nguyen, D. and Davidson, J. and Panagiotopoulos, C.

Differing clinical features in Aboriginal vs. non-Aboriginal children presenting with type 2 diabetes

Pediatric Diabetes

Amed, S. and Hamilton, J.K. and Sellers, E.A. and Panagiotopoulos, C. and Hadjiyannakis, S. and Shah, B.R. and Booth, G.L. and Laubscher, T.A. and Dannenbaum, D. and Dean, H.

DOI: 10.1111/j.1399-5448.2012.00859.x

Cardiometabolic risk and the MTHFR C677T variant in children treated with second-generation antipsychotics

Translational Psychiatry

Devlin, A.M. and Ngai, Y.F. and Ronsley, R. and Panagiotopoulos, C.

DOI: 10.1038/tp.2011.68

The impact of Action Schools! BC on the health of Aboriginal children and youth living in rural and remote communities in British Columbia.

International journal of circumpolar health

Tomlin, D. and Naylor, P.J. and McKay, H. and Zorzi, A. and Mitchell, M. and Panagiotopoulos, C.

The impact of Action Schools! BC on the health of aboriginal children and youth living in rural and remote communities in British Columbia

International Journal of Circumpolar Health

Tomlin, D. and Naylor, P.J. and Mckay, H. and Zorzi, A. and Mitchell, M. and Panagiotopoulos, C.

DOI: 10.3402/ijch.v71i0.17999

Prescribing second-generation antipsychotic medications: Practice guidelines for general practitioners

British Columbia Medical Journal

Horn, M. and Procyshyn, R.M. and Warburton, W.P. and Tregillus, V. and Cavers, W. and Davidson, J. and Panagiotopoulos, C.

Waist circumference is a sensitive screening tool for assessment of metabolic syndrome risk in children treated with second-generation antipsychotics

Canadian Journal of Psychiatry

Panagiotopoulos, C. and Ronsley, R. and Kuzeljevic, B. and Davidson, J.

Severe amiodarone-induced hypothyroidism in an infant

Pediatric Critical Care Medicine

Karen Trudel and Shubhayan Sanatani and Constadina Panagiotopoulos

DOI: 10.1097/pcc.0b013e3181e2a388

01 / 2011

Natural killer cells from children with type 1 diabetes have defects in NKG2D-dependent function and signaling

Diabetes

Qin, H. and Lee, I.-F. and Panagiotopoulos, C. and Wang, X. and Chu, A.D. and Utz, P.J. and Priatel, J.J. and Tan, R.

DOI: 10.2337/db09-1706

Management recommendations for metabolic complications associated with second generation antipsychotic use in children and youth

Journal of the Canadian Academy of Child and Adolescent Psychiatry

Ho, J. and Panagiotopoulos, C. and Mccrindle, B. and Grisaru, S. and Pringsheim, T.

Evidence-based recommendations for monitoring safety of second generation antipsychotics in children and youth

Journal of the Canadian Academy of Child and Adolescent Psychiatry

Pringsheim, T. and Panagiotopoulos, C. and Davidson, J. and Ho, J.

Erratum: Impaired proinsulin processing is a characteristic of transplanted islets (American Journal of Transplantation (2009) 9 (2119-2125) (doi: 10.1111/j.1600-6143.2009.02740.x))

American Journal of Transplantation

Klimek, A.M. and Soukhatcheva, G. and Thompson, D.M. and Warnock, G.L. and Salehi, M. and Rilo, H. and DAlessio, D. and Meneilly, G.S. and Panagiotopoulos, C. and Verchere, C.B.

DOI: 10.1111/j.1600-6143.2010.03435.x

Barriers and facilitators to implementation of a metabolic monitoring protocol in hospital and community settings for second-generation antipsychotic-treated youth

Journal of the Canadian Academy of Child and Adolescent Psychiatry

Ronsley, R. and Raghuram, K. and Davidson, J. and Panagiotopoulos, C.

Treatment recommendations for extrapyramidal side effects associated with second-generation antipsychotic use in children and youth

Paediatrics and Child Health

Pringsheim, T. and Doja, A. and Belanger, S. and Patten, S. and Casselman, L. and Davidson, J. and Grisaru, S. and Ho, J. and Jabbal, R. and MacKean, G. and McCrindle, B. and McLennan, J. and Palda, V. and Panagiotopoulos, C. and Pearce, M. and Ponesse, J. and Thomas, R. and Waheed, W. and Wilkes, C.

Evidence-based recommendations for monitoring safety of second-generation antipsychotics in children and youth

Paediatrics and Child Health

Pringsheim, T. and Panagiotopoulos, C. and Davidson, J. and Ho, J. and Belanger, S. and Casselman, L. and Doja, A. and Grisaru, S. and Jabbal, R. and MacKean, G. and McCrindle, B. and McLennan, J. and Palda, V. and Patten, S. and Pearce, M. and Ponesse, J. and Thomas, R. and Waheed, W. and Wilkes, C.

Risk factors for medication-induced diabetes and type 2 diabetes

Journal of Pediatrics

Amed, S. and Dean, H. and Sellers, E.A.C. and Panagiotopoulos, C. and Shah, B.R. and Booth, G.L. and Laubscher, T.A. and Dannenbaum, D. and Hadjiyannakis, S. and Hamilton, J.K.

DOI: 10.1016/j.jpeds.2011.01.017

Management recommendations for metabolic complications associated with second-generation antipsychotic use in children and youth

Paediatrics and Child Health

Ho, J. and Panagiotopoulos, C. and McCrindle, B. and Grisaru, S. and Pringsheim, T. and Belanger, S. and Casselman, L. and Davidson, J. and Doja, A. and Jabbal, R. and MacKean, G. and McLennan, J. and Palda, V. and Patten, S. and Pearce, M. and Ponesse, J. and Thomas, R. and Waheed, W. and Wilkes, C.

The Centre for Healthy Weights-Shapedown BC: A family-centered, multidisciplinary program that reduces weight gain in obese children over the short-term

International Journal of Environmental Research and Public Health

Panagiotopoulos, C. and Ronsley, R. and Al-Dubayee, M. and Brant, R. and Kuzeljevic, B. and Rurak, E. and Cristall, A. and Marks, G. and Sneddon, P. and Hinchliffe, M. and Chanoine, J.-P. and Msse, L.C.

DOI: 10.3390/ijerph8124662

First do no harm: Promoting an evidence-based approach to atypical antipsychotic use in children and adolescents

Journal of the Canadian Academy of Child and Adolescent Psychiatry

Panagiotopoulos, C. and Ronsley, R. and Elbe, D. and Davidson, J. and Smith, D.H.

Engaging families in research to determine health literacy needs related to the use of second-generation antipsychotics in children and adolescents

Journal of the Canadian Academy of Child and Adolescent Psychiatry

Chovil, N. and Panagiotopoulos, C.

Type 2 diabetes, medication-induced diabetes, and monogenic diabetes in Canadian children: A prospective national surveillance study

Diabetes Care

Amed, S. and Dean, H.J. and Panagiotopoulos, C. and Sellers, E.A.C. and Hadjiyannakis, S. and Laubscher, T.A. and Dannenbaum, D. and Shah, B.R. and Booth, G.L. and Hamilton, J.K.

DOI: 10.2337/dc09-1013

Cutting edge: Increased IL-17-secreting T cells in children with new-onset type 1 diabetes

Journal of Immunology

Marwaha, A.K. and Crome, S.Q. and Panagiotopoulos, C. and Berg, K.B. and Qin, H. and Ouyang, Q. and Xu, L. and Priatel, J.J. and Levings, M.K. and Tan, R.

DOI: 10.4049/jimmunol.1001860

Primary pulmonary arterial hypertension and autoimmune polyendocrine syndrome in a pediatric patient

Pediatric Cardiology

Alghamdi, M.H. and Steinraths, M. and Panagiotopoulos, C. and Potts, J.E. and Sandor, G.G.S.

DOI: 10.1007/s00246-010-9704-y

Implementing a whole school physical activity and healthy eating model in rural and remote first nations schools: a process evaluation of action schools! BC.

Rural and remote health

Naylor, P.J. and Scott, J. and Drummond, J. and Bridgewater, L. and McKay, H.A. and Panagiotopoulos, C.

Habitual moderate-to-vigorous physical activity is inversely associated with insulin resistance in canadian first nations youth

Pediatric Exercise Science

Mitchell, M.S. and Gaul, C.A. and Naylor, P.-J. and Panagiotopoulos, C.

Impaired proinsulin processing is a characteristic of transplanted islets

American Journal of Transplantation

Klimek, A.M. and Soukhatcheva, G. and Thompson, D.M. and Warnock, G.L. and Salehi, M. and Rilo, H. and D'Alessio, D. and Meneilly, G.S. and Panagiotopoulos, C. and Verchere, C.B.

DOI: 10.1111/j.1600-6143.2009.02740.x

A naturalistic study of predictors and risks of atypical antipsychotic use in an attention-deficit/hyperactivity disorder clinic

Journal of Child and Adolescent Psychopharmacology

Weiss, M. and Panagiotopoulos, C. and Giles, L. and Gibbins, C. and Kuzeljevic, B. and Davidson, J. and Harrison, R.

DOI: 10.1089/cap.2009.0050

Increased prevalence of obesity and glucose intolerance in youth treated with second-generation antipsychotic medications

Canadian Journal of Psychiatry

Panagiotopoulos, C. and Ronsley, R. and Davidson, J.

Prevalence of type 2 diabetes, obesity and the metabolic syndrome among Canadian First Nations children in a remote Pacific coast community

Paediatrics and Child Health

Wahi, G. and Zorzi, A. and Macnab, A. and Panagiotopoulos, C.

Prevalence of impaired glucose tolerance and the components of metabolic syndrome in Canadian Tsimshian Nation youth.

Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la mdecine rurale : le journal officiel de la Socit de mdecine rurale du Canada

Zorzi, A. and Wahi, G. and Macnab, A.J. and Panagiotopoulos, C.

Aircraft Loading and Freezer Enhancements: Lessons for Medical Research in Remote Communities

Air Medical Journal

Gagnon, R. and Gagnon, F. and Panagiotopoulos, C.

DOI: 10.1016/j.amj.2008.04.001

Cooking for your life! A family-centered community-based nutrition education program for youth with type 2 diabetes or impaired glucose tolerance

Canadian Journal of Diabetes

Nichol, H. and Retallack, J. and Panagiotopoulos, C.

Is School-based Screening for Type 2 Diabetes in Youth Warranted in Canada?

Canadian Journal of Diabetes

Constadina Panagiotopoulos

DOI: 10.1016/s1499-2671(07)12005-0

01 / 2007

Diabetes screening of children in a remote First Nations community on the west coast of Canada: challenges and solutions.

Rural and remote health

Panagiotopoulos, C. and Rozmus, J. and Gagnon, R.E. and Macnab, A.J.

Skewed X-chromosome inactivation is associated with primary but not secondary ovarian failure

American Journal of Medical Genetics, Part A

Bretherick, K.L. and Metzger, D.L. and Chanoine, J.-P. and Panagiotopoulos, C. and Watson, S.K. and Lam, W.L. and Fluker, M.R. and Brown, C.J. and Robinson, W.P.

DOI: 10.1002/ajmg.a.31679

Recognition of HLA class I-restricted -cell epitopes in type 1 diabetes

Diabetes

Ouyang, Q. and Standifer, N.E. and Qin, H. and Gottlieb, P. and Verchere, C.B. and Nepom, G.T. and Tan, R. and Panagiotopoulos, C.

DOI: 10.2337/db06-0065

Identification of novel HLA-A*0201-restricted epitopes in recent-onset type 1 diabetic subjects and antibody-positive relatives

Diabetes

Standifer, N.E. and Ouyang, Q. and Panagiotopoulos, C. and Verchere, C.B. and Tan, R. and Greenbaum, C.J. and Pihoker, C. and Nepom, G.T.

DOI: 10.2337/db06-0066

Current approaches for the prediction and identification of CD8 T-cell epitopes in type 1 diabetes

Current Opinion in Endocrinology and Diabetes

Standifer, N.E. and Panagiotopoulos, C. and Tan, R.

Detection and enumeration of beta cell-specific cytotoxic T lymphocytes in type 1 diabetes: Is disease prediction possible?

Canadian Journal of Diabetes

Trudeau, J.D. and Panagiotopoulos, C. and Verchere, C.B. and Tan, R.

T-cell epitopes in type 1 diabetes

Current Diabetes Reports

Constadina Panagiotopoulos and Jacqueline D. Trudeau and Rusung Tan

DOI: 10.1007/s11892-004-0062-0

04 / 2004

Type 2 diabetes in children and adolescents

British Columbia Medical Journal

Panagiotopoulos, C.

Identification of a -Cell-Specific HLA Class I Restricted Epitope in Type 1 Diabetes

Diabetes

Panagiotopoulos, C. and Qin, H. and Tan, R. and Verchere, C.B.

DOI: 10.2337/diabetes.52.11.2647

Weekly Telephone Contact by a Diabetes Educator in Adolescents with Type 1 Diabetes

Canadian Journal of Diabetes

Panagiotopoulos, C. and Preston, J.M. and Stewart, L.L. and Metzger, D.L. and Chanoine, J.-P.

Electrocardiographic findings in adolescents with eating disorders

Pediatrics

Panagiotopoulos, C. and McCrindle, B.W. and Hick, K. and Katzman, D.K.

ELECTROCARDIOGRAPHIC CORRELATES OF CLINICAL STATUS IN ADOLESCENTS WITH EATING DISORDERS--A CASE-CONTROL STUDY. 29

Pediatric Research

Constadina Panagiotopoulos and Brian W. McCrindle and Katherine Hick and Debra K. Katzman

DOI: 10.1203/00006450-199704001-00050

04 / 1997

Validity of newborm oscillometric blood pressure

Clinical and Investigative Medicine

Low, J.A. and Panagiotopoulos, C. and Smith, J.T. and Tang, W. and Derrick, E.J.

Newborn complications after intrapartum asphyxia with metabolic acidosis in the preterm fetus

American Journal of Obstetrics and Gynecology

Low, J.A. and Panagiotopoulos, C. and Derrick, E.J.

DOI: 10.1016/0002-9378(95)90003-9

Newborn complications after intrapartum asphyxia with metabolic acidosis in the term fetus

American Journal of Obstetrics and Gynecology

James A. Low and Constadina Panagiotopoulos and E.Jane Derrick

DOI: 10.1016/s0002-9378(94)70101-6

04 / 1994

Autoimmunity in Type 1 Diabetes

Type 1 diabetes mellitus arises from an autoimmune process directed against pancreatic beta cells in both humans and non-obese diabetic (NOD) mice. The destruction of beta cells is understood to be mediated by CD8+ cytotoxic T lymphocytes (CTL), though many other cell types are beginning to emerge as additional candidates in the disease progression. In collaboration with Dr. Rusung Tan, we are examining NK cells and subsets of proinflammatory T cells implicated in T1D. With Dr. Bruce Verchere, we are studying the mechanisms of beta cell failure in islet transplantation.

Type 2 Diabetes Screening and Prevention in Remote First Nations Communities

Through longstanding relationships with three Tsimshian communities in BC and at their request, we have conducted diabetes screening and determined a high prevalence of impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) among youth residing in the region. This was the impetus behind the modification, implementation and evaluation of Action Schools! BC and Healthy Buddies programs for the communities’ specific settings. We are currently expanding this modified program to a community in Nunavut at their request.

Metabolic Effects of Atypical Antipsychotics in Pediatric Population

In BC, mental illness occurs in 15% of children and adolescents, many of whom are treated with atypical antipsychotics (AAPs). To evaluate the metabolic sequelae of AAP use in youth, we have since 2006 conducted a retrospective chart review at BC Children’s Hospital (BCCH), developed a draft Metabolic Assessment and Monitoring Tool, and undertaken various knowledge translation initiatives at BCCH, Vancouver Coastal Health and beyond. These include the development of Healthy Living Toolkit, implementation of Metabolic Monitoring Tool in community mental health teams and the first Pediatric Provincial Mental Health Metabolic Program. We seek to have an immediate impact to improve the health of AAP-treated youth by enhancing the knowledge base of healthcare providers and families. This work is funded by multiple stakeholders, including the Lawson Foundation and the BC Provincial Health Services Authority.

Honours & Awards

Abbott Nutrition Young Investigator Award in Research, Western Society for Pediatric Research – 2013

Leading Practice Award, Accreditation Canada – 2013

Speaking of Food and Healthy Living Award, Dietitians of Canada – 2012

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