Endocrine Abstracts

Background: Cystic fibrosis related diabetes (CFRD), a common complication of CF, contributes to increased morbidity and mortality and is a poor prognostic indicator. Whilst liver transplant is a well-established treatment for end stage liver disease (ESLD) in CF, there are few reports of simultaneous pancreatic transplant in the paediatric population. We report the nutritional and endocrine outcomes of two adolescent CF patients who underwent combined liver and pancreas trans...

Introduction: We present the use of WhatsApp messaging to improve engagement of young adolescents with type 1 diabetes mellitus at Ealing Hospital. This virtual community allows patients to share information and expertise in self-management to improve motivation, self-care and knowledge, and also bridging gaps between appointments. Patients find the diagnosis of diabetes socially isolating, and are 2–3 times more likely to suffer psychological issues. Social media is a hu...

Background: National Paediatric Diabetes Audit report 2012–2013 showed an increase in the number of patients with HbA1C >80 mmol/l at our paediatric diabetes unit.Aim: Two methods of intensive support for patients with high HbA1C were trialled- monthly clinics and weekly telephone contact.Method: From January to June 2014 we offered monthly ‘Target’ clinic appointments to a cohort of ten patients with high HbA1C....

Introduction: Paediatric obesity is a growing concern for the health service. There is currently no consensus for routine screening of metabolic profiles and medical treatment in obese paediatric patients.Aims/methods: We aimed to determine medium-term outcomes of Metformin treatment on BMI, glucose and insulin levels in obese paediatric patients. In a retrospective review, data were collected from obese paediatric patients on Metformin for insulin resis...

Introduction: There is concern that lowering the HbA1c target for children and young people with T1DM would increase the amount and severity of hypoglycaemia.Aims: To examine the relationship between HbA1c and blood glucose (BG) levels, particularly hypoglycaemia, in children with T1DM treated to current target.Methods: BG meter downloads (Diasend) were examined for the 3 months before the latest HbA1c level in children with HbA1c ...