Endocrine Abstracts

Aims: We aimed to assess the effectiveness of an insulin pump service for children, describe the demographics of the pump population and to review the change in glycaemic control following initiation of pump therapy. We also assessed patient and staff perceptions of the service.

Method: Patients commenced on CSII from July 2013 to July 2014.

Data collected included demographics, deprivation scores, HbA1c before and during pump therapy. Comparison was made with the patients on conventional insulin therapy.

Results: 32 pump patients were included. They were compared to 151 non-pump patients. There was a difference in deprivation scores between the pump and non-pump populations, but the difference was not statistically significant.

HbA1c significantly reduced after pump therapy, from a mean of 70 mmol/mol to a mean of 64 mmol/mol in 12 months.

BMI improved after pump start, from a mean of 18.14 kg/m² to a mean of 18.97 kg/m² in 12 months.

19 of 32 questionnaires sent to families were returned, and revealed that families felt well supported by the diabetes team. Their main reasons for choosing insulin pump therapy were a wish for better control and quality of life, and more freedom around food. The main problems experienced included kinking of cannulas, technical pump failure, and setting rates.

Conclusions: The study showed high levels of satisfaction for pump patients and families. Suggested improvements included: regular formal education sessions to cover topics such as uploads and advanced pump features.

There was significant improvement in glycaemic control in the pump population.

There were demographic differences in deprivation scores between pump and non pump patients. Owing to patient numbers it is difficult to make firm conclusions. This needs to be further explored to ensure there is equity of choice across the population.