Endocrine Abstracts

Introduction: This is an audit on the outcome of children and young people (CYP) with Type 1 Diabetes with high HbA1c who were offered extra appointments with a paediatric diabetes specialist nurse (PDSN) over a three-year period at Harrogate District Hospital.

Patient population: 26 CYP with Type 1 Diabetes with HbA1C more than 75mmol/mol, were offered extra diabetes clinic appointments with a PDSN.

Audit Methodology: A retrospective audit was carried out between January 2013 and December 2016. 26 CYPs were identified. Their extra clinic appointments ranged from 1 to 10 with an average of 3.6.

Outcome: Any causation is hard to establish, but 15 patients showed an improvement in HbA1C readings. Their average HbA1c at the beginning was 91.8mmol/mol and after the appointments it had come down to 65 mmol/mol. Interestingly 11 patients showed deterioration in HbA1C readings. Their average HbA1c at the beginning was 85 mmol/mmol and after the appointments it had gone up to 107 mmol/mol. This reminds us that education and training can only produce results if it is put into action. Ways of engaging patients to actually implement training, should be the focus of our intervention to achieve our goals. The most important finding was high numbers of clinics appointments don’t seem to have an extra effect on improving diabetes control.