Endocrine Abstracts

Background: Almost 25% of all paediatric patients present at diagnosis in DKA in the UK. DKA at presentation is associated with poorer glycaemic control in the longer-term with implications for morbidity and mortality in adulthood. It is reported that presentation in DKA is associated with younger age, socio-economic deprivation, ethnic minority background and no family history of T1D.Aim: To explore if deprivation, ethnicity or auto-antibody (AAB) statu...

Background: Diabetes Ketoacidosis (DKA) is a life-threatening emergency. National Paediatric Diabetes Audit 2022/23 showed that 23.3% of children and young people (CYP) with a new diagnosis of type 1 diabetes (T1DM) presented in DKA. Delayed presentations of DKA were common across emergency departments nationally during the COVID-19 pandemic. Similar observations were reported by diabetes professionals across the West Midlands (WM) region two years on.Ob...

Introduction: During the month of Ramadan, healthy Muslims are required to fast from dawn until sunset. Whilst the Quran states that those who are chronically unwell and children are exempt, many individuals with diabetes choose to fast. The duration of fasting may be over 12 hours increasing the risk of diabetes related complications such as hypoglycaemia. We present data of children and young people (CYP) with Type 1 Diabetes Mellitus (T1DM) who fasted during Ramadan at a si...

Background: There were marked increases in new onset diabetes in adults and children during the COVID-19 pandemic. Studies showed that some adults with COVID-19 and new diabetes went into remission, there are no follow up studies of children who developed diabetes in the pandemic.Aims and methods: We conducted a medical record review of children with laboratory confirmed SARS-CoV-2 infection and new onset diabetes (n = 13) and compared their out...

Introduction: At our centre, we adopted a hybrid virtual flipped learning model to onboard children with type 1 diabetes onto hybrid closed-loop (HCL) systems. This approach doubled staff capacity, facilitating a five-fold increase in onboarding. We achieved a 16% improvement in time in range (TIR, 3.9-10.0 mmol/l) and aimed to evaluate absolute glucose levels post-HCL across minioritised groups.Objectives: Evaluate absolute glycaemic control among diffe...