Endocrine Abstracts

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...

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 patient’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...

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...

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...

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...

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...

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...

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 ...