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43rd Meeting of the British Society for Paediatric Endocrinology and Diabetes

ORAL COMMUNICATIONS

Oral Communications 8

ea0039oc8.1 | Oral Communications 8 | BSPED2015

4 year outcome of combined ‘en bloc’ liver-pancreas transplant in two adolescents with cystic fibrosis

Cheung Moira , Bartlett Fiona , Wyatt Hilary , Buchanan Charles , Kapoor Ritika

Background: Cystic fibrosis related diabetes (CFRD), a common complication of CF, contributes to increased morbidity and mortality and is a poor prognostic indicator. Whilst liver transplant is a well-established treatment for end stage liver disease (ESLD) in CF, there are few reports of simultaneous pancreatic transplant in the paediatric population. We report the nutritional and endocrine outcomes of two adolescent CF patients who underwent combined liver and pancreas trans...

ea0039oc8.2 | Oral Communications 8 | BSPED2015

Using WhatsApp messaging to improve engagement of young adolescents with type 1 diabetes mellitus

Blackstock Sarah , Solomon Shirley , Kumar Priya

Introduction: We present the use of WhatsApp messaging to improve engagement of young adolescents with type 1 diabetes mellitus at Ealing Hospital. This virtual community allows patients to share information and expertise in self-management to improve motivation, self-care and knowledge, and also bridging gaps between appointments. Patients find the diagnosis of diabetes socially isolating, and are 2–3 times more likely to suffer psychological issues. Social media is a hu...

ea0039oc8.3 | Oral Communications 8 | BSPED2015

Frequent patient contact to improve HbA1C- face-to-face or ‘Virtual’?

Karthikeyan Ambika , Stirling Heather , Paediatric Diabetes Team

Background: National Paediatric Diabetes Audit report 2012–2013 showed an increase in the number of patients with HbA1C >80 mmol/l at our paediatric diabetes unit.Aim: Two methods of intensive support for patients with high HbA1C were trialled- monthly clinics and weekly telephone contact.Method: From January to June 2014 we offered monthly ‘Target’ clinic appointments to a cohort of ten patients with high HbA1C....

ea0039oc8.4 | Oral Communications 8 | BSPED2015

Predictors of insulin resistance and the effect of Metformin treatment in obese paediatric patients

Gallen Hannah , Banerjee Indraneel , Clayton Peter E , Ehtisham Sarah , Padidela Raja , Patel Leena , Salsbury Louise , Skae Mars

Introduction: Paediatric obesity is a growing concern for the health service. There is currently no consensus for routine screening of metabolic profiles and medical treatment in obese paediatric patients.Aims/methods: We aimed to determine medium-term outcomes of Metformin treatment on BMI, glucose and insulin levels in obese paediatric patients. In a retrospective review, data were collected from obese paediatric patients on Metformin for insulin resis...

ea0039oc8.5 | Oral Communications 8 | BSPED2015

In children with T1DM already achieving target HbA1c levels, those with HbA1c <48 mmol/mol have no increase in hypoglycaemia.

Rozario Kavitha , Edge Julie

Introduction: There is concern that lowering the HbA1c target for children and young people with T1DM would increase the amount and severity of hypoglycaemia.Aims: To examine the relationship between HbA1c and blood glucose (BG) levels, particularly hypoglycaemia, in children with T1DM treated to current target.Methods: BG meter downloads (Diasend) were examined for the 3 months before the latest HbA1c level in children with HbA1c ...