Endocrine Abstracts

Introduction: Across the North West England, following a survey across all Children and Young People’s Diabetes Units, a large number of paediatric diabetes specialist nurses (PDSNs) adjust insulin doses of children and young people with diabetes without a non-medical prescribing qualification (NMP). The majority have no Standard Operating Procedure (SOP) in place, which is essential for their indemnity. In the meantime, PDSNs who were waiting to commence the NMP (v300) c...

Introduction: The prevalence of diabetes continues to rise worldwide placing an increasing burden on the national health service. In 2012 a national Best Practice Tariff (BPT) was introduced in the UK and a National Peer Review Quality Assurance Programme was developed to drive improvements in diabetes care for children and young people. Our national audit from 2010 to 2018 aims to explore trends in paediatric diabetic care within the North West Diabetes Network and assess the...

Currently in the UK children and young people with diabetes receive variable provision of care and support in educational settings. There are concerns that this impacts on the young person’s glycaemic control, their quality of life, and their educational performance and outcome. Whilst most paediatric diabetes teams provide training for school staff, it may take several days, even weeks, after diagnosis before a diabetes educator is able to attend the school to provide ed...

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 ...