ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Endocrine Abstracts (2018) 58 P081 | DOI: 10.1530/endoabs.58.P081

Introduction of carbohydrate counting from diagnosis is associated with significant reduction in HbA1c in children with type 1 diabetes

Shyam S M Saranga, David Henderson, Vicky Thomas, Sian Copley & Neil W Hopper

Sunderland Children and Young People’s Diabetes Service, City Hospitals Sunderland NHSFT, Sunderland, UK.

Introduction: NICE NG18 recommends level 3 carbohydrate counting from diagnosis for CYP diagnosed with Type 1 Diabetes. Our unit introduced in-patient level 3 carb counting from day 1 in 2015 in response to an audit demonstrating sub-optimal control in the first year of treatment.

Methods: We carried out a longitudinal study of HbA1c in paediatric patients during the first year of diagnosis in two time periods, before and after the introduction of carb counting from day 1; December 2012 – October 2014 (n=39) and August 2015 – August 2017 (n=42).

Results: The mean HbA1c achieved 12 m post diagnosis reduced from 62.9 mmol/mol in the first group to 54.3 mmol/mol in the second group (P=0.0015).

Conclusions: Introduction of immediate level 3 carbohydrate counting from diagnosis was associated with a clinically and statistically significant reduction in mean HbA1c 12 months after diagnosis.

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