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47th Meeting of the British Society for Paediatric Endocrinology and Diabetes

Cardiff, UK
27 Nov 2019 - 29 Nov 2019

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BSPED 2019, 27 - 29 November 2019; Cardiff, UK


Oral Communications 7

ea0066oc7.1 | Oral Communications 7 | BSPED2019

Increased and younger alcohol-related hospital admissions in young people with childhood-onset type-1 diabetes: a record-linked longitudinal population study in Wales

Gartner Andrea , Daniel Rhian , Farewell Daniel , Paranjothy Shantini , Townson Julia , Gregory John

Background: Children and young people with type-1 diabetes (T1D) have excess all-cause hospital admissions, particularly younger children with lower socioeconomic status. Education on managing alcohol is provided to teenagers with T1D in paediatric clinics, but its effectiveness is unknown. We compared the risk of alcohol-related hospital admissions (ARHA) in young people with childhood-onset T1D with the general population for the same birth years.Metho...

ea0066oc7.2 | Oral Communications 7 | BSPED2019

Impact of continuous glucose monitoring on sleep quality in children with type 1 diabetes and their parents: a pilot study

Parmar Meera , Davis Nikki , Hill Catherine

Introduction: Many children with Type 1 Diabetes (T1D) and their parents/carers anecdotally report poor sleep quality. This is particularly problematic in patients experiencing frequent hypoglycaemia despite intensive blood glucose monitoring (BGM). Continuous glucose monitoring (CGM) overcomes some of the burdens of BGM and can reduce overnight hypoglycaemia.Objectives: This pilot study explored the impact of CGM on sleep quality in children and adolesc...

ea0066oc7.3 | Oral Communications 7 | BSPED2019

Improving HbA1c outcomes in young people of transition age with type 1 diabetes using quality improvement methodology

Dymond Emma , Cropper Julie , Trentham Sarah , Kelleher Aoife , Boal Rachel , Bishop Faye , Campbell Fiona

Introduction: Effective transition care is vital to empower young people (YP) to optimally self-manage their diabetes. National data highlights the concern regarding poorer care outcomes due to lower completion of annual care processes and higher rates of DKA whilst transitioning to adult care. The Children and Young People’s Diabetes Team provides care for 170 YP aged 16–19 years. In April 2017, 19% of this age group had a HbA1c <58 mmol/mol, significantly lower...

ea0066oc7.4 | Oral Communications 7 | BSPED2019

Monitoring lipid profiles in children and young people with type 1 diabetes mellitus: what should we do with these results?

Park Julie , Bowker Tabitha , Ghatak Atrayee , Mehta Fulya , Deakin Mark , Paul Princy

Introduction: Evidence is currently limited regarding the management of abnormal lipid profiles in children and young people (CYP) with Type 1 Diabetes Mellitus (T1DM). ISPAD recommend monitoring every five years and statin use to maintain LDL cholesterol <3.4 mmol/L1. Guidance is specific to LDL. NICE guidelines do no recommend routine screening for CYP with T1DM.Methodology: We reviewed all lipid profiles (including cholesterol, triglyce...

ea0066oc7.5 | Oral Communications 7 | BSPED2019

Medication adherence during adjunct therapy with statins and ACE inhibitors in adolescents with type 1 diabetes

Marcovecchio M Loredana

Background: Suboptimal adherence to insulin treatment is a main issue in adolescents with type 1 diabetes (T1D). However, to date, there are no available data on adherence to adjunct non-insulin medications in this population. The aims of this study were to assess adherence to ACE inhibitors and statins and explore potential determinants in adolescents with T1D in the context of a clinical trial.Methods: 443 adolescents (aged 10–16 years) were recru...

ea0066oc7.6 | Oral Communications 7 | BSPED2019

Improving referral pathways from primary to secondary care in newly diagnosed type 1 diabetes

Shetty Ambika , Bucknall Catrin , Dyban Maria , Warner Justin , Mathias Jon

Introduction: Most children & young people (CYP) with symptoms of type 1 diabetes (T1D) tend to present to primary care. Delayed diagnosis is common and is associated with a risk of developing diabetic ketoacidosis (DKA). The prevalence of DKA at diagnosis over the last 20 years remains unchanged despite current NICE guidance and Diabetes Delivery Plans which promote prompt diagnosis of T1D. The aim of this QI initiative was to develop effective pathways to facilitate earl...

ea0066oc7.7 | Oral Communications 7 | BSPED2019

Paediatric Type 2 diabetes in a single centre in East London in the period 2009–2018

Giuffrida Anna , Gevers Evelien

Background: The incidence of Paediatric type 2 diabetes is increasing, especially in areas of deprivation.Aim: To describe the cohort of CYP with T2D in Royal London Hospital over the period 2009–2018.Methods: Retrospective analysis of patient cohort.Results: Number of new patients doubled from 2.6/year in 2009–2013 to 5.3/year in 2014–2018. Prevalence in our cohort is 7.5% (national average of...

ea0066oc7.8 | Oral Communications 7 | BSPED2019

Children with type 1 diabetes on intensive insulin, in deprived areas and younger onset are at risk of being overweight

Urquhart Alexandra , Warner Justin T

Introduction: Children with type 1 diabetes mellitus (T1DM) are at increased risk of being overweight. Being overweight could be related to insulin requirements, female gender, and duration of diabetes. The aim of this study is to examine the Body Mass Index (BMI) of children and young people with T1DM at the Children’s Hospital for Wales and explore co-factors that may contribute to risk.Methods: A retrospective review of all patients with T1DM att...

ea0066oc7.9 | Oral Communications 7 | BSPED2019

Does having a first degree relative with type1 diabetes impact on a child and family’s engagement and glycaemic control?

Kiu Evelyne , Darby Alison , Denial Mark , Elder Charlotte

Introduction: Although not directly inherited, genetics play a significant role in the chances of developing Type1 Diabetes (T1DM), yielding a risk of 2–40% depending on the first degree relative (FDR) affected. T1DM is a self-managed condition in which education and patient/carer engagement are key. We had noted cases of poor engagement and glycaemic control in our patients with a FDR with T1DM but found a paucity of literature examining this relationship.<p class="a...