Endocrine Abstracts

Introduction: The National Paediatric Diabetes Audit (NPDA) provides a benchmark of performance for paediatric diabetic services across the UK. Whether intentional or not, a league table is created comparing units based on their mean HbA1c. Although the coordinators suggest submitting the patients’ most recent HbA1c, this may not necessarily be a universally adopted phenomenon. We examined the effect of selecting patient’s best, yearly average, and latest HbA1c on ou...

Introduction: Diabetic Ketoacidosis (DKA) is a life threatening complication of type 1 diabetes mellitus (T1DM) in children. An integrated care pathway (ICP) for management of DKA based on guidelines published by the British Society for Paediatric Endocrinology and Diabetes has been established in Wales with the 2nd edition published in May 2010.Aims: To audit the management of DKA in a teaching hospital following the introduction of the second edition o...

Objective: To determine the impact on quality of life and metabolic control of insulin pump therapy in a cohort of young people in south London.Methods: Seventeen children and young people with type 1 diabetes aged 5–17 undergoing assessment for pump therapy were routinely seen by a clinical psychologist as part of their assessment. The majority were aged 13–17. Measures quantifying quality of life (PEDS-QL generic and diabetes specific modules...

Introduction: Currently despite NICE (2004) recommending continuous glucose monitoring (CGM) in the presence of hypoglycaemic unawareness or glucose excursions successful funding applications remain low with only children under 5 years of age being consistently successful within our service. Variability has also been noted as to whether children young people (CYP) and their families use sensors continuously or intermittently. This audit aimed to highlight effectiveness of cont...

Introduction: National and International Guidelines on the education of children and families when diagnosed with type I diabetes are largely based on clinicians’ opinion but not patients’ or parents’ views on this important issue. We conducted a literature search using EMBASE, MEDLINE and CINAHL databases from 1980 to present which found no articles relating to patient opinion.Methods: We developed a questionnaire from a list of 34 educat...