Searchable abstracts of presentations at key conferences in endocrinology
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43rd Meeting of the British Society for Paediatric Endocrinology and Diabetes



ea0039ep22 | Diabetes | BSPED2015

Higher glycaemic response after British breakfast cereals in comparison to European breakfasts

Keeler Elizabeth , Sweetingham Janine , Robinson Mark

Introduction: We hypothesised that children with type 1 diabetes would have more hyperglycaemia following a British as compared to a European breakfast.Methods: Children were asked to take a continental breakfast and a typical British breakfast cereal on separate days. Pre breakfast glucometer readings were documented and then regular readings until lunchtime. The meals were prescribed by a dietitian; they were approximately carbohydrate matched but of d...

ea0039ep23 | Diabetes | BSPED2015

Methods used in glycaemic monitoring in children and young people with diabetes in England and Wales

Henry Chiamah , Freire Maisa , Boa Francis , Bain Murray , Warner Justin , Wei Christina

Background: HbA1c remains the most powerful outcome measure for children and young people with diabetes. It is collected at every clinic visit and is used for individualised discussions around diabetes control and for national benchmarking. However, despite DCCT and IFCC standardisation, there is still no overall consensus as to the most appropriate methodology, particularly when assessing patients with haemoglobinopathies that may affect HbA1c measurement.<p class="abstex...

ea0039ep24 | Diabetes | BSPED2015

A National survey of annual screening in diabetes clinics in the UK

Komaravolu Pragnatha , Jayaraman Rajesh Kumar

Screening for complications and associated conditions in children with type 1 diabetes is routinely performed in Diabetes Clinics. Though there are NICE recommendations screening tests, interpretation and management is varied as there is no strong evidence base in paediatrics. We conducted a survey across diabetes units to establish the prevailing practice.Method: Survey monkey questionnaire was sent out to clinicians who care for children with diabetes ...

ea0039ep25 | Diabetes | BSPED2015

Using co-production and graphic facilitation to improve patient experience in type 1 diabetes mellitus

Blackstock Sarah , Hopkins Julia , Ria Matteo , Kumar Priya

Introduction: Co-production refers to working in partnership with service-users to improve provision of services. Increasing evidence highlights that co-production can improve health care and result in financial savings. Service-users are involved in defining the problem or need, creating the solution, delivering it, and evaluating it. This approach demands longer-term engagement by service-providers but leads to sustainable change. Graphic facilitation is the use of large-sca...

ea0039ep26 | Diabetes | BSPED2015

Ethnic variation in the correlation between waist-to-height ratio and total daily insulin requirement in children with type 1 diabetes: a cross-sectional study

Uday Suma , Gorman Shaun , Feltbower Richard , Mathai Mathew

Introduction: Total daily insulin required to achieve glycaemic control in type 1 diabetes (T1D) depends on numerous factors. Correlation of insulin requirement to BMI and waist circumference has been variably reported in the literature, whilst that of WHtR has not been studied.Aims: To study the correlation between daily insulin requirement (TDD) and WHtR in a multi-ethnic population.Methods: A cross-sectional study of children (5...

ea0039ep27 | Diabetes | BSPED2015

Junior KICk-OFF – teaching and health care profession working in partnership to develop diabetes education

Hudson Terry , Knowles Julie , Price Kath , Tomlinson Jane , Ainsworth Kerry

Background: Structured education should be appropriate to the learning styles of participants. Health professionals and experts in education worked together to develop KICk-OFF for 11–16 year olds and similar experience has now been used in the development of Junior KICk-OFF for Key Stage (KS) 1 (4–7 years) and KS2 (7–11 years).Method: The KICk-OFF team developed the curricula with input from teachers and an academic educationalist. Sectio...

ea0039ep28 | Diabetes | BSPED2015

Is the glycaemic control in type 1 diabetes mellitus affected by Vitamin D status?

Pintus Donatella , Giri Dinesh , Phanse Supriya , Mehta Fulya , Ghatak Atrayee , Paul Princy , Senniappan Senthil

Background: Animal studies have demonstrated relationships between Vitamin D and glucose homeostasis. There is paucity of evidence examining the relationship between the glycemic control in children with Type 1 Diabetes Mellitus (T1DM) and vitamin D status.Objective: To determine the effects of vitamin D status on the glycemic control in children and adolescents with T1DM.Methods: Retrospective data were collected on 348 children a...

ea0039ep29 | Diabetes | BSPED2015

Factors influencing type 1 diabetes control in children – a detailed local analysis of an NPDA dataset

Fang Clarissa , Trewella Emily , Aminu Kingi , Spowart Karen , Bridges Nicola , Alexander Saji

Background: National paediatric diabetes audit (NPDA) provides comparative data for local paediatric diabetes units (PDUs) on key care processes and overall HbA1c. More detailed analysis on other variables affecting HbA1c is undertaken at a national level, but not at an individual PDU level.Objective: To determine the factors influencing glycaemic control (HbA1c levels) in young children and adolescents with Type 1 Diabetes Mellitus (T1DM).<p class="...

ea0039ep30 | Diabetes | BSPED2015

Establishing a ‘Pump School’ in a large children’s hospital

Drummond Lesley , Krone Ruth , Kershaw Melanie

Background: In 2013 the Diabetes Team at a large children’s hospital commenced ‘Pump School’ for all children and young people (CYP) transitioning from multiple daily injections to insulin pump therapy (CSII) using Medtronic, Accu-chek, Animas and Omnipod pumps.Aim: To provide CYP and their parents/carers with structured education to improve their outcomes including glycaemic control, hypoglycaemic episodes and quality of life (QOL).<p...

ea0039ep31 | Diabetes | BSPED2015

Comparison of current trends in obesity in patients with type 1 diabetes in Nottingham with a historical cohort and 2013–2014 national child measurement programme data in the UK

Mohamed Zainaba , Law James , Denvir Louise , Chee Carolyn , Drew Josaphine , Sachdev Pooja , Randell Tabitha

Aim: To compare the BMI z-score of children with type 1 diabetes (T1DM) in Nottingham with that of national and local background populations and to identify factors associated with increased BMI.Methods: A retrospective observational cohort study of patients with T1DM aged 2–15 years under the care of the paediatric diabetes team at Nottingham Children’s Hospital, between April 2013 and March 2014. Mean BMI-z-score for the year was com...

ea0039ep32 | Diabetes | BSPED2015

Diabetes distress in transitional age evaluated by ‘problem areas in diabetes’ in type 1 diabetic patients from Marrakech.

Ennazk Laila , Mghari Ghizlane El , Ansari Nawal El

Introduction: Type 1 diabetes (T1D) represents 5.3% of all types on diabetes. Its incidence is increasing around the world as it is in the Middle East and North Africa Region, where the incidence is at 1/100 000. T1D touches young subjects and is then established in a growing body. Transitional period is a crucial phase with physical and emotional distress. In Moroccan context, psychosocial difficulties are an additional challenge for these young patients.<p class="abstext...

ea0039ep33 | Diabetes | BSPED2015

Is the glycaemic control in type i diabetes mellitus affected by Vitamin D status?

Pintus Donatella , Giri Dinesh , Phanse Supriya , Mehta Fulya , Ghatak Atrayee , Paul Princy , Senniappan Senthil

Background: Animal studies have demonstrated relationship between Vitamin D and glucose homeostasis. There is paucity of evidence examining the relationship between the glycemic control in children with type 1 diabetes mellitus (T1DM) and vitamin D status.Objective: To determine the effects of vitamin D status on the glycemic control in children and adolescents with T1DM.Methods: Retrospective data were collected on 348 children an...

ea0039ep34 | Diabetes | BSPED2015

Heterozygous glucokinase splicing mutation – identical genotype with variable phenotype in a single family

Ponmani Caroline , Banerjee Kausik , Keane Morgan

Background: Heterozygous loss of function glucokinase mutations causes MODY with fasting hyperglycaemia (>5.5 mmol/l). We report a 2 year girl with a glucokinase mutation who presented unusually with stress induced hyperglycaemia and normal fasting blood glucose levels.Case report: She presented with wheeze and was started on Salbutamol. Her blood glucose rose to 16 mmol/l with ketonuria. The hyperglycaemia was disproportionate to the severity of the...

ea0039ep35 | Diabetes | BSPED2015

Retrospective baseline services audit regarding the nature of emergency department attendances by registered diabetic children

Kim Ji Soo , Bridges Nicola , Alexander Saji

Objectives: Many paediatric diabetes units in the UK have introduced 24 h telephone support to encourage self-management to reduce Emergency Department (ED) attendances and admissions. The UK national audit collects information on acute paediatric diabetic admissions; but there is no data available on ED attendances in this group. We undertook a retrospective audit of ED attendances as part of a baseline service evaluation of our newly introduced 24 h support service.<p cl...

ea0039ep36 | Diabetes | BSPED2015

Quantity of patient contact with a paediatric diabetes service – is there correlation with HbA1c?

Nicholson Julia , Buston Gemma

Objectives: Best practice tariff guidelines recommend that paediatric patients with diabetes should have a minimum of four MDT clinic appointments, and an additional eight contacts with the diabetes service per year. This audit compares performance in a DGH against these recommendations. It seeks to determine whether there is a correlation between amount of contact with the service and average HbA1c level.Methods: Analysis of a database recording contact...

ea0039ep37 | Diabetes | BSPED2015

Service evaluation of the ‘Ready Steady Go’ transition programme in type 1 diabetes in Southampton

Cable Lillie

Background: Transition can be a difficult time for adolescents with chronic diseases leading to poor attendance in adult clinics and poor long-term health outcomes. The implementation of transition programmes like ‘ReadySteadyGo’ at University Hospital Southampton (UHS) aim to improve transitional care and outcomes for patients.Aims: To assess the effect of a structured transition programme, ‘Go’ from ‘ReadySteadyGo’, at UHS...

ea0039ep38 | Diabetes | BSPED2015

Continuous glucose monitoring: effects on metabolic control, fear and frequency of hypoglycaemic episodes

Moore Helen , Soni Astha , Clemente Marissa , Ng Sze May

Self-monitoring of blood glucose (SMBG) is an important part of diabetes management. Continuous glucose monitoring (CGM) provides real-time measurement of users’ glucose levels. The advantage of CGM is the availability of constant information about glucose levels which helps to predict hyper and hypoglycaemia and to adjust the insulin doses accordingly. NICE guidelines recommend that children and young people with type 1 diabetes and persistent problems with hypoglycaemia...

ea0039ep39 | Diabetes | BSPED2015

Young people with type 1 diabetes of non-white ethnicity and lower socioeconomic status have poorer glycaemic control in England and Wales – a national population-based study

Khanolkar Amal R , Amin Rakesh , Taylor-Robinson David , Viner Russell M , Warner Justin T , Stepenhson Terence

Introduction: The impact of ethnicity and socioeconomic status (SES) on glycaemic control in children with type 1 diabetes (T1D) is poorly understood in England and Wales.Methods: We studied 18 478 children and young people with T1D aged <19 years attending diabetes clinics in England and Wales and included in the 2012–2013 National Paediatric Diabetes Audit (NPDA). Self-identified ethnicity was categorized as white, Asian, black, mixed, other a...

ea0039ep40 | Diabetes | BSPED2015

Pancreatitis, adrenal insufficiency and autoimmune diabetes mellitus in a girl with probable sarcoidosis

Frerichs Carley , Ramakrishnan Renuka , Alsaffar Hussain , Das Urmi , Dharmaraj Poonam , Baildam Eileen , Cleary Gavin , McCann Liza , Nayak Suneela , Senniappan Senthil

Case report: A 9-year-old girl of mixed ethnic origin presented with symptomatic hypercalcaemia with a 3-month history of weight loss and lethargy. Autoimmune hypothyroidism had been diagnosed 10 months previously. Serum vitamin D concentration (11 nmol/l) was low and cholecalciferol 20 000 units daily for 7 days followed by 800 units daily was commenced. One month later, her symptoms worsened and she had developed anaemia and renal impairment. Hypercalcaemia was noted (Corr C...

ea0039ep41 | Diabetes | BSPED2015

Variation in 24-h basal insulin requirements with age in children and young people with type 1 diabetes mellitus

Peters Catherine , Hindmarsh Peter

Introduction: Insulin requirements change with age, in part related to changes in Growth Hormone secretion. Little is known of the impact of age on the circadian variation in insulin secretion. We have studied changes in insulin basal rates as a proxy for insulin sensitivity in CYP with well controlled T1DM.Methods: Insulin pump settings for total daily dose (TDD) and sensitivity ratio were obtained from 22 CYP with T1DM. Basal insulin requirements were ...

ea0039ep42 | Diabetes | BSPED2015

Challenges in diabetic care – the effect of implementing a New Patient Education Programme

Avann Charlotte , Krone Ruth , Kershaw Melanie , Drummond Lesley

Introduction: Poor HbA1c in the first year following diagnosis of type 1 diabetes is a predictor of poor metabolic control and early development of complications. Achieving good glycaemic control requires compliant, well-educated patients. In October 2013, we introduced a revised and extended ‘Newly Diagnosed Patient Education Programme’ in which a total of 20 sessions are delivered by the multidisciplinary team.Aim: To assess the effect of the...

ea0039ep43 | Diabetes | BSPED2015

The effects of CSII on glycaemic control, hypoglycaemia, DKA and BMI in paediatric T1D patients.

Aldiss Peter , Santhanam Priyha , Kumar Kiran , Wolverson Marianne , Randell Tabitha , Denvir Louise , Sachdev Pooja

Background: Current NICE guidance states that insulin pump therapy (CSII) can be considered in Type 1 diabetes (T1DM) patients who suffer disabling hypoglycaemia in an attempt to reach glycaemic control or whose HbA1C remains high (>69 mmol/l) despite careful management on multiple daily injections (MDI).Aims: Our aims were to determine impact of CSII therapy on glycaemic control, BMI, incidence of severe hypoglycaemia and episodes of diabetic ketoac...

ea0039ep44 | Diabetes | BSPED2015

Increased insulin requirement may contribute to higher BMI in children and young people with type 1 diabetes mellitus

Upadrasta Swathi , Finnigan Lynne , Connellan Linda , Ng Sze May

Background: Previous studies have reported that increased BMI and increase in insulin requirement are associated with more rapid disease progression following diagnosis in type 1 diabetes mellitus (T1DM). The recent UK National Paediatric Diabetes Audit (NPDA) 2013/14 reported that 37% of 0–11 year old children and 44% of 12 years and older children are currently overweight or obese.Objective: Our objective was to evaluate factors associated with in...

ea0039ep45 | Diabetes | BSPED2015

Decorticate posturing in newly diagnosed case of diabetes ketoacidosis

Ijaz Ghauri Rooha , Losa Ignatius , Chandrasekaran Surendran

Diabetic ketoacidosis (DKA) is a common medical emergency in children. Altered consciousness in the form of mild disorientation or confusion can occur but frank coma is uncommon.1 We present a case of a newly diagnosed Type 1 diabetes mellitus who presented in DKA and with glasgow coma scale (GCS) of seven. She developed decorticate posturing soon after she was commenced on resuscitation fluids.Case: A previously well 15-year-old girl was rush...

ea0039ep46 | Diabetes | BSPED2015

Evaluation of a novel tool to adjust insulin boluses based on continuous glucose monitoring trend arrows and insulin sensitivity (trend arrow adjustment tool) in children and adolescents with type 1 diabetes using insulin pump therapy

Heffernan Emmeline , Lawson Margaret , Bradley Brenda , Courtney Jennilea , Richardson Christine

Background: Continuous glucose monitoring (CGM) measures interstitial glucose and display trends arrows, showing the direction and rate of change in glucose. Trend arrows allow the child/youth to take action to prevent hypo- and hyperglycaemia. Effective strategies for adjusting insulin boluses for trend arrows are lacking. The JDRF CGM Study Group recommended a 10/20% increase/decrease in the insulin dose. However this formula requires a mathematical calculation with each tre...

ea0039ep47 | Diabetes | BSPED2015

Characteristics of newly diagnosed children with type 1 diabetes – DKA vs Non- DKA presentation

El Munshid Sarrah , Alexander Saji , Spowart Karen , Logan Karen , Aminu Kingi , Bridges Nicola

Background: Diabetic ketoacidosis (DKA) is a common presentation of newly diagnosed type 1 diabetes (T1DM) in children but increases the disease burden at diagnosis. In UK, average frequency of DKA presentation is reported as 25% with an international variation of 16 to 67%. Data on frequency variations within the UK is limited.Aim: To compare the demographic and clinical characteristics of DKA vs non-DKA presentations in children <16 years at diagno...

ea0039ep48 | Diabetes | BSPED2015

Use of U200 insulin degludec (Tresiba) and metformin in an adolescent with Type-1 diabetes-mellitus

Bhushan Arya Ved , Newland-Jones Philip , Trevelyan Nicola

Background: Insulin dose requirements are higher during puberty and in overweight/obese individuals with type 1 diabetes mellitus (T1DM) due to insulin resistance. Through meta-analysis metformin has been shown to be beneficial as adjunctive therapy in T1DM adults independent of BMI. The large volumes of insulin required to administer higher insulin doses in insulin-resistant individuals have adverse effects on insulin absorption. Insulin degludec (Tresiba) U200 preparation al...

ea0039ep49 | Diabetes | BSPED2015

HbA1c: is it a reliable measure of glycaemic control in all patients with type 1 diabetes mellitus?

Vasista Pooja , Tziaferi Vaya , Greening James , Sundaram Prem

Introduction: HbA1c levels are used as objective long-term measure of glycaemic control in patients with type 1 diabetes mellitus (T1DM). Regular HbA1c measurement helps us to formulate the management and education to the patients and carers. But, in rare cases, it might not prove reliable, as in our case report.Case report: A 4 years old girl with known T1DM and autoimmune hyperthyroidism, had mitral valve repair for mitral valve regurgitation. She was ...

ea0039ep50 | Diabetes | BSPED2015

Monitoring HbA1C in patients on continuous subcutaneous insulin infusion for the treatment of type 1 diabetes

Kayello Giedre , De Silva Prasadi , Oso Olumuyiwa

AbstractContinuous subcutaneous insulin infusion (insulin pump therapy) is recommended as a treatment option for patients with type 1 diabetes where multiple-dose insulin therapy has failed. These patients are looked after by a specialist multi-disciplinary team and those receiving this treatment should have the commitment and competence to use the pump effectively.We carried out a retrospective study on 33 paediat...

ea0039ep51 | Diabetes | BSPED2015

High ferritin and glucose metabolism in diabetes – a case report.

Kumar Kiran , Yeo Mildrid

Iron is a transition metal that acts as an oxidant. There is evidence that systemic iron overload could contribute to abnormal glucose metabolism. Further research has showed that iron overload can result in an increased in type 2 diabetes irrespective of the cause of gene involved. Although the exact mechanism of iron-induced diabetes is uncertain, it is likely mediated by these three mechanisms: i) insulin deficiency, ii) insulin resistance, and iii) hepatic dysfunction....

ea0039ep52 | Diabetes | BSPED2015

Multi factorial challenges in managing a patient with neonatal diabetes

Akula Aparna , Karthikeyan Ambika , Stirling Heather

Neonatal diabetes mellitus (NDM) is a rare form of monogenic diabetes affecting 1 in 100 000 to 500 000 live births.We report the case of a term baby born to a diet controlled gestational diabetic mother with a birth weight of 2.8 kg. Baby was persistently hyperglycaemic from day 1 of life, leading to a diagnosis of neonatal diabetes being considered. She was breast-fed on demand and although insulin pump therapy was discussed, it was felt not to be suit...

ea0039ep53 | Diabetes | BSPED2015

Too sweet for too long?

Ali Salma , Khetan Renu , Sachdev Pooja , Bhatt Jayesh

Background: Cystic fibrosis related diabetes (CFRD) is associated with deterioration in clinical status. Lung function and nutritional status deteriorate up to 2–4 years before a diagnosis of CFRD based on the oral glucose tolerance test (OGTT). Timely detection and treatment is crucial.Aims: To evaluate: i) adherence to CFRD screening guidelines and ii) whether identifying stages of progressive cystic fibrosis insulin deficiency (CFID) using the ex...

ea0039ep54 | Diabetes | BSPED2015

A case of a retained needle from insulin pump therapy

Candler Toby , Toussaint Francine , Matthai Susan , Vellore AbithaKujambal , Dembenski Kate

Background: Continuous subcutaneous insulin infusion (CSII) therapy is increasingly used for managing children with type 1 diabetes mellitus. Devices vary in design by manufacturer; however in general terms insulin is administered from the pump via a subcutaneous plastic catheter or needle. If the pump or the circuit malfunction and interrupt the insulin infusion, it can put the patient at risk of hyperglycaemia.Case: A 5-year-old boy with type 1 diabete...

ea0039ep55 | Diabetes | BSPED2015

Acute kidney injury as a severe complication of diabetic ketoacidosis

Jeyaraman Alagusutha , Mathew Verghese , Finlay Eric , Gupta Sanjay

Background: Diabetic ketoacidosis (DKA) in children and young adults carries significant morbidity and mortality relating to complications such as cerebral oedema. Acute kidney injury (AKI) is a rare but potentially fatal complication of DKA. We present three cases of DKA complicated by AKI.Case 1: A 9-year-old girl presented with severe DKA at diagnosis. She was treated with intravenous fluids and insulin as per protocol. She had oliguria and haematuria...

ea0039ep56 | Diabetes | BSPED2015

Delayed referral of children with new onset type 1 diabetes

Iyer Dhaara , Agwu Chizo J

Background: Type 1 diabetes (T1D) is characterised by autoimmune destruction of pancreatic beta cells leading to insulin deficiency. Prompt referral and treatment is important to prevent diabetic ketoacidosis (DKA) which remains the commonest cause of death in this condition. NICE guidance 2004, advises same day referral to specialist paediatric Diabetes team when childhood diabetes is suspected.Aim: The aim was to audit the timeliness of referrals of ch...

ea0039ep57 | Diabetes | BSPED2015

Impact of best practice tariff (BPT) for accessing psychological service by diabetic children and young people

Alsaffar Hussain , Satish Hulikere

Introduction: 25 314 children and young people <18 years with diabetes in England and Wales have been looked after in 178 paediatric diabetic units (PDUs) across the country. In 2012–2013, BPT has been introduced with 13 mandatory requested criteria, one of them is; each patient should have an annual assessment as to whether input to their care by a clinical psychology input is needed, and access to psychological support as appropriate. Therefore we aimed to study the...

ea0039ep58 | Diabetes | BSPED2015

Acute hyperglycaemia in cystic fibrosis related diabetes: the role of insulin pumps

Drew Samantha , Margetts Rebecca , Gordon Hannah , Peters Catherine

Cystic fibrosis related diabetes (CFRD) is the commonest co-morbidity in CF leading to increased mortality rates. The pathophysiology includes pancreatic fibrosis, reduction in α and ß-cell mass, delayed insulin secretion and variable insulin insensitivity. Insulin production can fluctuate with progression over time to an insulinopenic state. We report two cases of young people with CFRD with high insulin requirements, poor glycaemic control and improvement with the ...

ea0039ep59 | Diabetes | BSPED2015

Clinical examination of lipohypertrophy: best practice recommendations

Gelder Carole

Forum for injection technique (FIT) recommendations for lipohypertrophy (LH) detection influenced clinical examination technique with the aim of improving practice and health outcomes for children and young people (CYP). Interactive LH workshops were developed to influence a change in care provision and facilitate swift integration into clinical practice.The event was delivered to MDT representatives from the CYP diabetes network. A structured clinical e...

ea0039ep60 | Diabetes | BSPED2015

To pump or not to pump; paediatric insulin pump efficacy

Rahm Mariam , Mezher Sermed

Background: Insulin pumps are used in the management of type 1 diabetes in children at Macclesfield District General Hospital (MDGH). There has been no study previously conducted at MDGH to check the efficacy of the insulin pumps against non-pump methods such as multiple daily injections.Methods: Review on the number of admissions, type of admissions and insulin administration method were collected from the years 2012–2015. The types of admissions w...

ea0039ep61 | Diabetes | BSPED2015

CYPWMDN diabetes awareness education for schools – regional study day

Atkins Marie , Drummond Lesley , Azam Waseema , Collins Louise , Howard Victoria , McCausland Deborah , McEwan Raphaella , Orzechowska Andy , Peasgood Alison , Rumney Chris , Sparkes Paitra , Woods Becky

With the increase in incidence of type 1 diabetes in children and young people (CYP) and the use of intensive insulin therapies, paediatric diabetes teams are under increasing pressure to support school staff with the day to day management of their pupils with diabetes. The CYPWMDN have developed a study day to provide basic diabetes awareness education to all school staff in the West Midlands (WM) region. This work also meets the training and support responsibilities of diabe...

ea0039ep62 | Diabetes | BSPED2015

Frequency of Hypoglycaemia in Children and Young People’s Diabetes Clinic

Kyriacos Elizabeth , Matei Cristina

Background: Hypoglycaemia is a common complication of diabetes which causes great anxiety in patients and their families. Asymptomatic hypoglycaemia can be debilitating, especially in young children. All patients who attend Children and Young People (CYP) Diabetes Clinic have their blood glucose tested. If hypoglycaemia is identified (Blood Glucose less than 4 mmol/l), the local hypoglycaemia hospital policy should be followed by staff to provide safe and effective treatment.<...

ea0039ep63 | Diabetes | BSPED2015

Paediatric type 1 diabetes mellitus in The Gambia, West Africa – presentation and outcome

Moore Helen , Lareef-Jah Sharmila

In 2010 non-communicable diseases were shown to be the most important cause of mortality worldwide on the WHO global status report, with diabetes the 4th most common disease causing death. Type 1 diabetes Mellitus (T1DM) is the most common form of diabetes in children and young people. There is a paucity of data regarding T1DM in children in West Africa, in particular in The Gambia.Aim: To explore the clinical presentation and outcome of children with T1...

ea0039ep64 | Diabetes | BSPED2015

Audit of DKA admission rates in children and young adults 2010–2015

Chee Carolyn , Chhugani Karuna , Denvir Louise

Introduction: The National Paediatric Diabetes Audit (NPDA) in 2012 reported a twofold increase in the incidence of diabetes ketoacidosis (DKA) admissions from 2005/6 to 2010/11 in children and young people with type 1 diabetes mellitus (T1DM). The paediatric diabetes best practice tariff (BPT) was introduced in 2012 to incentivise provision of high quality care to those under the age of 19.Aims: We examined DKA admission rates in children and young adul...

ea0039ep65 | Diabetes | BSPED2015

CASE REPORT-chromosome 9p trisomy with insulin dependent diabetes

Sudarsanan Sunanda , Chandrasekaran Surendran

Introduction: Chromosome 9p trisomy is a rare chromosomal syndrome in which a portion of the 9th chromosome appears three times rather than twice in cells of the body. Most often these children present with developmental delay, craniofacial malformation and growth deficiency. We present a case of insulin dependent diabetes in a 5-year-old boy known to have a diagnosis of Chromosome 9p trisomy.Case: Born at 38+3, by normal vaginal delivery with birth weig...

ea0039ep66 | Diabetes | BSPED2015

Just a little prick; the effect blood glucose monitoring on diabetic control

Mezher Sermed , Rahm Mariam

Brief overview: The control of diabetes is a somewhat constant chase, with optimal control being the goal. Indeed, there are many methods marketed claiming to improve control. This is with neglect to the most basic of techniques, blood glucose monitoring. This is highly dependent on individual and parent motivation levels.Objective: The objective of this study is to answer the question, ‘Does the frequency of blood glucose monitoring affect the cont...

ea0039ep67 | Diabetes | BSPED2015

Severity of presentation with diabetic ketoacidosis at diagnosis of diabetes; India versus the UK

Dyer Emma , Amin Rakesh

Background: Diabetic ketoacidosis (DKA) is associated with significant morbidity and mortality. Comparison of healthcare systems often helps highlight areas of concern.Design: In a short survey, we evaluated severity of DKA at presentation with diabetes by comparing clinical and biochemical data from clinic cohorts from paediatric diabetes units in Delhi, India and Manchester, UK.Results: In the Delhi vs UK groups; there were no si...

ea0039ep68 | Diabetes | BSPED2015

Non-adherence to treatment in teenagers with diabetes: how can we help?

Ramphul Priyanka

Introduction: Non-adherence to treatment is common in teenagers with type 1 diabetes (DM1). We aim to report on our experience, in a University teaching hospital, on factors leading to non-adherence, and describe strategies which improve compliance.Discussion: There are numerous factors which account for why teenagers fail to adhere to treatment.i) Lack of knowledge about the condition.ii) Teenagers may not u...