Endocrine Abstracts

Introduction: Following a child death in Nottingham city, concerns emerged around unmet medical needs. As a result joint work took place with health colleagues to establish a shared understanding of medical neglect and impact on the child. This highlighted the need to strengthen the process for identifying and managing such cases.The Methods: Social care developed a local protocol for managing cases where medical neglect heightened child protection conce...

The Best Practice Tariff standards for paediatric diabetes state that each patient must have an annual assessment of their emotional health related to their diabetes. The assessment determines whether input to their care by a clinical psychologist is required and if so, they should have timely access to this or, as appropriate, children and young people’s mental health services. Locally a Systemic Psychotherapist (Family Therapist) rather than a clinical psychologist unde...

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Introduction: Lipohypertrophy (LH) is common in children and young people (CYP) with diabetes on both insulin injection and infusion therapy. Suboptimal injection and rotation, the presence of LH as well as increased use of insulin have all been associated with glycaemic variability, hypoglycaemia and raised HbA1c. Evidence based and data driven recommendations led to the Forum for Injection Technique 4th edition UK consensus document (FIT 2016). The latest edition also includ...