Endocrine Abstracts

Introduction: The Birmingham Children’s Hospital (BCH) Diabetes Team developed an award-winning Virtual Schools Training Package (VSTP) in response to COVID-19. By 2021, the VSTP facilitated a significant increase in school staff training while drastically reducing training required from healthcare professionals (HCPs). Subsequently, the time saved enabled us to expand support for children and young people (CYP) with type 1 diabetes, notably enhancing their access to cont...

The NPDA and NICE Hybrid Closed Loop (HCL) Technology Appraisal (TA) show improved health outcomes and quality of life with the use of diabetes technologies, however, the NPDA also shows persistent inequalities in access by those living in deprivation and from ethnic minority groups, this is reflected in the CORE20PLUS5 for CYP. High levels of deprivation in the North East and North Cumbria (NENC) are a barrier to accessing diabetes technology due to the high specification of ...

Aim: Transition to adult diabetes services is associated with deterioration in service experience and outcomes. We describe the early outcomes of the innovative Transition (NHSE) pilot TraSS, to improve services for 16-24 year old young adults (YA).Method: A failsafe-officer, transition outreach specialist nurse, youth worker, dietician, psychologist, and project manager were recruited. Integrated pathways were created (between paediatric, three adult se...

Introduction: Managing a child’s diabetes is challenging. In some families, overwhelming life complications compromise their ability to realise the recommended management levels for diabetes in childhood. Reliance on the child protection system to provide additional support creates a need to prove maltreatment, specifically within the context of families neglecting medical care. This is the first study exploring how professionals experience identifying and navigating safe...

Objectives: To identify contributing factors for insulin pump cessation in paediatric patients with Type 1 Diabetes Mellitus, together with investigating the role of socio-economic status.Design: A retrospective population-based paediatric cohort study.Setting: Royal Hospital for Children, Glasgow. Diabetes Cohort Study.Patients: 72 patients (out of 323) stopped insulin pump therapy. 1 patient was excluded wh...

Background: The impact of HbA1c on the long-term complications of type 1 diabetes (T1DM) is well documented. A strategy to support these patients is an elective admission for diabetes education and stabilisation. However, this strategy has implications for school attendance, is disruptive for families, and requires valuable medical beds. We therefore sought to evaluate the effectiveness of an elective “admission for stabilisation” on HbA1c levels.<p class="abstex...

Inequalities due to poverty influences access to advanced technology and outcomes. The 2021-22 results of NPDA for our service, demonstrated that only 15% from most deprived families are using insulin pumps compared to 50% of Children and Young People (CYP) from least deprived areas. This improvement work was funded by the HNY ICB and the Children North East team provided the team training, conducted staff and user interviews and produced a comprehensive report which formed th...

Introduction: People living with Type 1 Diabetes (T1D) have a lifetime risk of disordered eating behaviours (DEB) and increased psychological distress, morbidity and mortality. Associated complications of DEB are often associated with undernutrition, however obesity is a significant co-morbidity of DEB. Expert opinion and pre-hypothesised understanding informs much of our understanding of the development and maintenance of and DEB in T1D with little input from those with lived...

Background: Type 2 Diabetes Mellitus (T2DM) is increasing in prevalence in children and young people (CYP) in the United Kingdom. There is a paucity of evidence about CYP opinions of T2DM care and how it should be tailored to meet their needs. We have analysed the Parent and Patient Reported Experience Measures (PREM) survey responses specifically from patients with T2DM and their families to inform care.Methods: The National Paediatric Diabetes Audit (N...