Endocrine Abstracts

Background: Non-type 1 diabetes mellitus (T1DM) and T2DM accounts for up to 4% of cases of paediatric diabetes. The most common form is maturity-onset diabetes of the young, however rarer forms exist.This case highlights a number of important points to be considered when investigating patients with ketoacidosis that is not typical of T1DM. An understanding of the ketogenic pathway and knowledge of differential diagnoses for ketoacidosis and their appropr...

We report a 9-year-old Caucasian boy with type 1 diabetes mellitus and elevated blood glucose measurements, which did not correlate with apparent normal range HbA1c values. Safeguarding concerns due to raised blood glucose levels were raised at school, but were not pursued due to normal range HbA1c. Haemoglobinopathy screen showed hereditary persistence of foetal haemoglobin (HPFH) giving the falsely reassuring HbA1c levels. Subsequent fructosamine measurement confirmed the tr...