Endocrine Abstracts

Background: The National Institute for Health and Care Excellence (NICE) guidelines on childhood type 1 diabetes (T1D) do not recommend cholesterol screening. However, the National Paediatric Diabetes Audit (NPDA) has an annual cholesterol measure (>12 years) as a key outcome indicator. This is confusing for professionals managing children with T1D.Methods: An online survey was sent to 280 members of the Association of Children’s Diabetes Clinic...

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...

Background: Education in diabetes is a fundamental component of self-management. Health care systems that have structured education from diagnosis have demonstrated improving trends in HbA1c. Within Wales, education for Children and Young People (CYP) was delivered informally and this deficiency was highlighted in the National Paediatric Diabetes Audit. While structured education is being delivered in some parts of the UK, there is no overarching programme covering the entire ...

Background: FreeStyle Libre flash glucose monitoring system (FSL) has recently gained popularity as it can potentially reduce the number of finger prick capillary blood glucose tests (CBG). Initial short-term studies in adults have demonstrated accuracy although there is no paediatric data available to date. We aimed to assess the accuracy of FSL in children and young people and evaluated the user experience in routine clinical practice.Methods: About 31...

Background: There is growing recognition of the importance of sports/exercise in children and young people (CYP) with type 1 diabetes (T1DM) [NICE guidance 1.2.47–1.2.53]. In 2014 our Paediatric Diabetes service set up a Diabetes Sports clinic run by a paediatric diabetologist and dietician and an adult diabetologist. Appointments were offered to families of CYP with T1DM who are ‘elite sportspersons’–performing at competitive levels, or regional/national l...