BSPED2023 Poster Presentations Diabetes 2 (11 abstracts)
A new educational tool for prevention of DKA at diagnosis of type 1 diabetes
Michael McGuigan 1 , Philippa Bowen 2 , Carol Metcalfe 3 , Nicky Moor 4 , Marlon Morais 5,6 , Charlotte Rowland 7,8 , Ambika Shetty 9 , Tamsyn Nicole 10 , Jonathan Maiden 11 , Emma Savage 12 & Margot Carson 11
1Countess of Chester Hospitals NHS Foundation Trust, Chester, UK; 2Bristol Royal Hospital for Children, Bristol, UK; 3Royal Manchester Children’s Hospital, Manchester, UK; 4Barts Health NHS Trust, London, UK; 5Ashton Medical Group, Ashton-Under-Lyne, UK; 6NHS Greater Manchester ICB, Manchester, UK; 7Handbridge Medical Centre, Chester, UK; 8Cheshire and Merseyside ICB, Cheshire and Merseyside, UK; 9Children’s Hospital for Wales, Cardiff, UK; 10Yeovil District Hospital, Yeovil, UK; 11Children and Young People’s North West Diabetes Network, Leeds, UK; 12Children and Young People’s Yorkshire and Humber Diabetes Network, Leeds, UK
Late diagnosis of type 1 diabetes, leading to diabetic ketoacidosis (DKA) is a significant concern in the UK. The National Paediatric Diabetes Audit 2021/22 showed that 25.6% of children and young people diagnosed with type 1 diabetes in England and Wales presented in DKA, with a rising trend over recent years. Reduction in DKA at diagnosis is part of Aim 1 of the National Children & Young People’s Diabetes Network (NCYPDN) Delivery Plan 2020–25. A working group was created including diabetes healthcare professionals, GPs and representation from Diabetes UK. The group intends to support regional diabetes networks in understanding their own DKA data, and putting local strategies into place to achieve DKA reduction. As part of this work the group are creating educational resources that can be used to promote best practice in recognition of type 1 diabetes in children by healthcare professionals. One project is creating a slide set that can be used by an educator to deliver a 20 minute talk at a local primary care education event. However, there was also felt to be a need for a shorter tool that could be used for self-directed e-learning by GPs and nurse practitioners. A short educational tool was therefore developed that can be shared with primary care health professionals electronically. The consists of a short slideshow that is designed to be opened and read by the user on their own computer, and takes around 5 minutes to complete. The tool gives a short background on the importance of reducing DKA at diagnosis, explains the correct pathway for responding to symptoms, discusses human factors that may affect diagnosis, and gives some case examples to support the learning points. Feedback on the tool was gathered from diabetes and primary care healthcare professionals in the North West. A final version is planned to be launched on the NCYPDN website in September 2023: www.cypdiabetesnetwork.nhs.uk/national-network/dka-prevention-at-diagnosis/
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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