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46th Meeting of the British Society for Paediatric Endocrinology and Diabetes

Birmingham, UK
07 Nov 2018 - 09 Nov 2018

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Birmingham, UK - 7-9 November 2018

Oral Communications

Oral Communications 7

ea0058oc7.1 | Oral Communications 7 | BSPED2018

DeAPP (Diabetes Education APP): using flipped learning to deliver structured education in newly diagnosed type 1 diabetes patients

Greening James , Lee Sarah Lickwood , Atkins Marie , Terris David

Background: At diagnosis of diabetes is a critical time in the life course of diabetes. This a critical time for patient take on knowledge and using it (ref). Utilisation of this information is suboptimal due to logistical factors such as ward environment, time constraints of staff, psychological impact of the diagnosis. Current models of education are mainly didactic with limited impact in some patients.Aims: In collaboration with demontfort design unit...

ea0058oc7.2 | Oral Communications 7 | BSPED2018

Provision of psychology services for children and young people with diabetes: a national survey

Agwu Juliana Chizo , Reynolds Ashleigh

Children &Young people (CYP) with Diabetes Mellitus (DM) have increased rates of depression, anxiety, psychological distress and eating disorders than their healthy peers. Psychological factors and the patientÂ’s health beliefs are important determinants of self-care behaviour. Randomised control trials have confirmed that Psychological interventions can significantly lead to improvement in measures of psychological well-being. Routine psychological support is advocate...

ea0058oc7.3 | Oral Communications 7 | BSPED2018

The determinants of skeletal morbidity and fractures in children with type 1 diabetes

Chen Suet Ching , Shepherd Sheila , McMillan Martin , McNeilly Jane , McComb Christie , Foster John , Wong Sze Choong , Robertson Kenneth J , Ahmed S Faisal

Objective: The pathophysiology of the increased fracture risk in Type 1 Diabetes (T1D) remains unclear. Given that childhood and adolescence are important physiological periods for optimal bone development, we performed a multimodality assessment to determine the effects of T1D on bone health.Methods: Thirty two affected children at a median (range) age of 13.7 years (10.4, 16.7), were recruited for detailed assessment of bone health. Serum bone alkaline...

ea0058oc7.4 | Oral Communications 7 | BSPED2018

Parental language proficiency and glycaemic control in children with type 1 diabetes

Jackson Charlotte , Rutherford Fiona , Shakesheff Megan , Pinchin Fiona , Bain Murray , Wei Christina

Introduction: Effective communication between care providers and parents/carers is fundamental for the management of children with Type 1 diabetes. National guidelines highlight the importance of communicating effectively with parents of limited understanding of English. This study evaluates whether parental language proficiency is related to glycaemic control in a paediatric diabetes clinic serving an inner city multi-ethnic population.Method: Routine d...

ea0058oc7.5 | Oral Communications 7 | BSPED2018

Diabetes control is worse in children and young people with type 1 diabetes requiring interpreter support

Idkowiak Jan , Elhag Sabba , Saraff Vrinda , Dias Renuka , Barrett Timothy , Kershaw Melanie , Krone Ruth

Introduction: Language barriers can pose a significant barrier to successful education of children and young people (CYP) with type 1 diabetes (T1DM) and their families, potentially influencing their glycaemic control.Methods: Retrospective analysis from diagnosis to 18 months post diagnosis of glycaemic control in 41 CYP with T1DM requiring interpreter support (INT) under care of our diabetes centre based within a multi-ethnic community. Median HbA1c at...

ea0058oc7.6 | Oral Communications 7 | BSPED2018

Type A Insulin Resistance Syndrome due to an INSR mutation Presenting with diabetes mellitus evolving to hyperandrogenism and PCOS

Aghababaie Arameh , Ford-Adams Martha , Buchanan Charles R , Arya Ved , Hattersley Andrew , Colclough Kevin , Kapoor Ritika R

Background: Mutations in the insulin receptor (INSR) gene are rare and cause a spectrum of severe insulin resistance syndromes including Donohue syndrome, Rabson Mendenhall syndrome, and Type A Insulin Resistance Syndrome (IRS). We describe a young female with a heterozygous INSR mutation, who presented with antibody positive diabetes mellitus (DM) and subsequently developed features of Type A IRS.Case Report: A 12 year old Jamaican gir...

ea0058oc7.7 | Oral Communications 7 | BSPED2018

Knowledge and confidence of paediatric middle grade doctors in managing out of hours diabetes advice calls

Ferguson Elspeth , Elder Charlotte , Denial Mark , Soni Astha

Background: Paediatric diabetes is predominantly an outpatient based specialty, limiting the training opportunities available to paediatric trainees. At our centre, out of hours diabetes advice calls are managed by paediatric specialty trainees working on the middle grade rota, with 24 hour support from an oncall paediatric diabetes consultant. Feedback locally from families has highlighted the quality of out of hours advice as an area of concern. We aimed to assess the knowle...

ea0058oc7.8 | Oral Communications 7 | BSPED2018

Continuous glucose monitoring with regular clinical review of glycaemic control in children with type 1 diabetes experiencing frequent unpredictable hypoglycaemia

Parmar Meera , Davis Nikki

Introduction: Optimal glycaemic control can be extremely challenging to achieve in children and adolescents with Type 1 Diabetes (T1D) who have labile glycaemic control with frequent hypoglycaemia despite intensive blood glucose monitoring (BGM). Effectiveness of continuous glucose monitoring (CGM) in children/adolescents at high risk of hypoglycaemia has been poorly studied. Frequent patient follow-up and review is recommended to support successful CGM management. This pilot ...