Endocrine Abstracts

Introduction: Type 1 diabetes mellitus is the third commonest chronic condition of childhood and unfortunately UK has one of the lowest percentages of children attaining good diabetes control in Europe. Department of Health has outlined recommendations to improve management of diabetes in schools and provide children with the necessary support required to achieve their maximum potential.Objective: To evaluate the provisions available in Shropshire and Po...

Introduction: Resistance to thyroid hormone (RTH) is a rare inherited syndrome characterised by refractoriness of target tissue to thyroid hormone. Over 80% of cases are due to mutations in the thyroid hormone receptor beta (THR β) gene with over 100 mutations identified to date. The clinical manifestations vary from common feature as goitre to less common sinus tachycardia, learning disabilities, growth and developmental delay. Aim: We rep...

Introduction: Hybrid closed-loop system (HCS) in Type 1 diabetes (T1D) management uses an automated algorithm to adjust basal insulin and administer correction doses to maintain glucose homeostasis. We have more children with HbA1c <58 mmol/mol. We aim to investigate if HCS contributed to this improvement.Methods: We identified TID children who started on HCS in our hospital from the year 2019–2023. Our HCS are ...

Introduction: Prader–Willi syndrome (PWS) is characterised by hypotonia, obesity, short stature, and hypogonadism probably due to hypothalamic dysfunction (hypogonadotropic hypogonadism (HH)). Exaggerated adrenarche is however commonly noted in these patients. Early puberty is rarely described: we report two girls with PWS diagnosed with premature sexual maturation.Case reports: Case 1: this 8-year-old girl was neonatally diagnosed with PWS (materna...

Objectives: The Department of Health introduced a Best Practice Tariff (BPT) to finance Paediatric Diabetes Services in England, in response to variation in service provision and outcome. The tariff became mandatory in April 2013 and depends on achievement of 13 quality standards (QS). The West Midlands (WM) Region covers an area of 5020 square miles, where 2700 Children with Diabetes receive care from 15 Hospital Trusts who are members of the Regional Paediatric Diabetes Netw...