Endocrine Abstracts (2018) 58 CME4.1 | DOI: 10.1530/endoabs.58.CME4.1

Structured pathway for management of High HbA1c

Tabitha Randell


Nottingham Children’s Hospital, Nottingham, UK.


Maintaining good diabetes control is essential to avoid long-term complications. NPDA data show that the percentage of children and young people achieving good control has increased year on year since 2011 and the percentage with very poor control (HbA1c >80 mmol/mol) has nearly halved in that time (28.7% in 2010-11, 16.4% in 2016-17). In Nottingham, we have managed to reduce the percentage of children and young people with very poor control from nearly 40% when we first submitted data to the NPDA to 4.6% in 2016-17. In addition, the adjusted percentage of children and young people with and HbA1C <58 mmol/mol was 56.5% for the same year. I will discuss our pathway for managing young people with poor control but hope to convince you that the answer to this problem is to prevent poor control in the first place.

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