BSPED2016 Oral Communications Oral Communications 7- Diabetes (5 abstracts)
1Oxford Childrens Hospital, Oxfordshire, UK; 2Oxford Centre for Diabetes, Endocrinology and Metabolism (OCDEM), Oxfordshire, UK.
Background: There is growing recognition of the importance of sports/exercise in children and young people (CYP) with type 1 diabetes (T1DM) [NICE guidance 1.2.471.2.53]. In 2014 our Paediatric Diabetes service set up a Diabetes Sports clinic run by a paediatric diabetologist and dietician and an adult diabetologist. Appointments were offered to families of CYP with T1DM who are elite sportspersonsperforming at competitive levels, or regional/national levels. We have held 4 clinics and seen 18 families. Clinic aims include: reducing the number and severity of hypos in children doing a lot of sport, giving advice on dietary intake during/after sport, and generally improving confidence about being active with sport.
Method: A service-user audit was performed to assess patient/user satisfaction. Eighteen questionnaires were sent out, 14 were returned (=78% response rate). We also audited the number of hypos in the 3 months before the Diabetes Sports Clinic appointment and in the 3 months following the clinic.
Results: About 86% of families were very satisfied or satisfied with the pre-clinic information they received (including details of information that would be useful for them to collect prior to coming to the appointment).
About 100% of families were very satisfied or satisfied with the length of the clinic appointment (40minutes), the knowledge of the MDT team, and found the discussion in clinic useful.
About 93% of families strongly agreed or agreed that they were able to make improvements to their childs care using information provided in the Diabetes Sports Clinic (7% neither agreed nor disagreed).
About 100% of families were very likely or likely to recommend the clinic to family or friends with T1DM and 93% of families believe they would benefit from a follow-up appointment.
There was a reduction in hypo episodes in 73% of patients who attended the clinic (no change in 9%).
Conclusion: We are very encouraged by thse results and we plan to expand the service to cover the region. We also held a Family Sports Education morning in May which was very well received, and we have written etailed family information leaflets on T1DM and exercise.