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Endocrine Abstracts (2018) 58 P056 | DOI: 10.1530/endoabs.58.P056

Basildon and Thurrock University Hospital, Basildon, UK.


Aim: To empower our patients/parents to self-manage Type 1 diabetes (T1dm) by providing them with required knowledge and skills.

Method: We identified 10 motivated, mostly newly diagnosed T1dm patients and their families. We organised a master-class to educate them on how to use DIASEND to review blood sugars, identify patterns and adjust Insulin doses. We conducted weekly DIASEND clinics for 6 weeks and fortnightly for another 6 weeks (phone call/email). The whole diabetes team participated in this process including nurses, doctors and dieticians. An objective assessment was made on the degree of competence of patient/parents in identifying patterns in blood sugars and ability to make appropriate changes in Insulin doses at each DAISEND clinic using a standardised format. A qualitative questionnaire was completed by families at the beginning and end to feedback on the effectiveness of this project.

Results: 100% of families were competently identifying patterns in blood sugars at week 5 and 89% of families were competently making appropriate adjustments in Insulin doses by week 5. Subsequently patient/parent engagement declined suggesting that 5 contacts are sufficient and practical for families. HbA1c improved in 75% of the patients, mean HbA1c before initiating QI project was 52.8 mmol/mol and 50.2 mmol/mol at the end. Qualitative feedback at the end of the project showed that 100% of families felt that this project helped them to gain more knowledge and understanding about their/their child’s diabetes (60% reported ‘definitely’, 40% reported ‘partly’). 100% of the families reported that they felt more confident and empowered in making changes to Insulin doses at the end of the project (75% reported ‘definitely’ and 25% reported ‘partly’). 75% of the families reported that they would continue to review blood sugars at the end of the project and 45% of these reported that they would do so using DIASEND as opposed to 0% in the beginning of the project.

Conclusion: Frequent DIASEND download clinics with T1dm patients/parents is an effective way of educating and empowering T1dm them to competently self manage their diabetes by identifying patterns in blood sugars and adjusting Insulin doses.

Volume 58

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

Birmingham, UK
07 Nov 2018 - 09 Nov 2018

British Society for Paediatric Endocrinology and Diabetes 

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