Endocrine Abstracts

Background: Advances in technology have led to new approaches in diabetes management. CGM has been associated with improvements in HbA1c, however, the evidence is limited and there are substantial cost considerations. The main aim of this audit was to assess the impact of CGM and FGS on HbA1c levels.Method: A retrospective analysis of the use of CGM and FGS in paediatric patients under the care of the children’s diabetes team at James Cook Hospital,...

Introduction: Lifestyle, exercise and diet vary hugely between summer and winter months population-wide. We compared diabetes control in children with type 1 diabetes (T1D), during summer and winter months.Methods: All children under 18 years with T1D attending our diabetes clinics were eligible. Those diagnosed within one year, changed insulin regimen between seasons or with incomplete data were excluded. Summer or winter months were defined by British ...

Introduction: We were one of ten paediatric diabetes teams taking part in the pilot RCPCH QI project initiated in Autumn 2017 and the sole representative from the North East of England. The project we chose was to enable and empower children, young people and their families to improve overall diabetes management, long term health and wellbeing through education and knowledge in adjusting insulin to improve blood glucose control.Method: We created a bespo...

Introduction: Current NICE guidelines recommend that children and young people with Type 1 Diabetes Mellitus (T1DM) should aim for a target HbA1c ≤48 mmol/mol (6.5%) to reduce the risk of long-term complications. The National Paediatric Diabetes Audit (NPDA) shows that the number of young people under the paediatric diabetes service with HbA1c >75 mmol/mol at this District General Hospital has been consistently and significantly above both the North West and national ave...

Introduction: Diabetic Ketoacidosis (DKA) is a common complication of Type 1 Diabetes (T1DM), accounting for around 21% of all diabetes related admissions. It is a major source of morbidity and mortality amongst children with T1DM. Delayed diagnosis, shock, renal failure, cerebral oedema and sepsis remain problematic. The aim of this project was to compare local management to best practice as per the British Society for Paediatric Endocrinology and Diabetes (BSPED), and provid...

Our diabetes service was successful in the application to participate in the RCPCH Quality improvement initiative (2018–2019).Our aims were: To identify strategies to enable teams to work collaboratively across multiple trust sites, 30 miles apart, covering a 50 mile radius. To undertake and complete projects in a timely and efficient manner to provide an equitable service across sites. To help maintain consistent improvement in HbA1c outcomes. To i...

13 year old lad diagnosed to have type 1 diabetes at the age of 18 months, moved to our area when he was about 5 years of age coming from a family with complex social background. His diabetes control has always been challenging with HBA1c generally above 70 mmol/mol and only occasionally going below 70. He was tried on multiple daily insulin (MDI), then insulin pump and then back to MDI –currently he is on Insulin degludec. He had recurrent admissions to the paediatric wa...