Endocrine Abstracts

Background: Insulin pumps are used in the management of type 1 diabetes in children at Macclesfield District General Hospital (MDGH). There has been no study previously conducted at MDGH to check the efficacy of the insulin pumps against non-pump methods such as multiple daily injections.

Methods: Review on the number of admissions, type of admissions and insulin administration method were collected from the years 2012–2015. The types of admissions were grouped into preventable and non-preventable. Non-insulin pump methods were grouped as non-pump. Average HbA1C levels were collected using Accucheck. 85 patients between ages of 4 and 18 were identified, 50 of which were on a pump. The number of preventable admissions and average HbA1c levels of the pump group were then compared to the results of the non-pump group.

Results: Three patients were excluded when comparing HbA1c levels as no data on HbA1c could be found in the notes. The pump group had lower HbA1c levels, 82.01±5.609 mmol/mol, compared to non-pump, 99.70±11.299 mmol/mol. P value for average HbA1C was <0.167. Total preventable admissions were on average lower in the pump group than non-pump group, 36 and 51% respectively. P value for total P admissions was <0.463.

Conclusion: No significant difference in average HbA1c levels or total P admissions when comparing pump to non-pump was found. To reduce admissions and improve glycaemic control, comprehensive education, with the help of a multidisciplinary team is needed. Prospective studies testing insulin pump efficacy are warranted.