Endocrine Abstracts

Paediatric obesity, metabolic syndrome, and type 2 diabetes are on the rise worldwide and in the UK, and specialist services to address these complex and difficult problems are still in development. The definitions of obesity, diabetes and prediabetes in childhood and adolescence are not globally agreed and are affected by cultural and racial differences. In addition effective screening depends on the local availability of resources and the local population. The natural histor...

Over the last 20 years, the phenomenon of type 2 diabetes in childhood has been increasingly recognised. National Audit data shows that in the UK there remains a relatively low prevalence of childhood type 2 diabetes, whilst the incidence has increased sharply in other parts of the world.This presentation aims to cover the pathogenesis of type 2 diabetes, its presentation, investigation, diagnosis and management, with a discussion of some of the newer tr...

Hypoglycaemia is the main factor limiting the use of intensive insulin regimens. The frequency is 0.1 – 0.3 episodes/person per day for symptomatic episodes and 1/year for severe ones. There is also an estimated mortality of 2–4% of people with type 1 diabetes mellitus (T1DM). Severe hypoglycaemia increases in frequency with duration of insulin treatment. The symptoms and signs of hypoglycaemia can be separated into those due to neuroglycopenia (cognitive impairment,...

Despite advances in therapies and healthcare, the prevalence of diabetes has reached epidemic proportions with increasing numbers of children and their families affected.The psychological and psychosocial challenges facing families in living with the burden of diabetes are immense and have a direct and detrimental impact on their ability to achieve optimal glycaemic control. A paradigm shift away from a purely medical model to a greater emphasis on psych...

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Fat and protein ‘counting’ is now being advocated as part of intensive diabetes management for patients on insulin pump therapy in addition to carbohydrate counting and insulin adjustment.This presentation will review the current evidence and practical strategies that may be used to improve post meal glycaemic excursions....

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