Endocrine Abstracts

Background: The NPDA has been providing annual audit reports to paediatric units in UK from 2003 and a compliance report for 7 care processes since 2016–2017. Over the years the focus on the type of data and implications of data has changed and become more focused especially after introduction of BPT and PEER review. The paediatric diabetes services at Basildon and Thurrock University Hospitals (BTUH) were identified as negative outliers in 2016–2017 NPDA report. A Q...

Introduction: Hospital schools can provide structure and learning for young people throughout a planned admission. With guidance, teachers can be a vital resource for assessing the numeracy and literacy skills essential in the management of diabetes. They can also provide a source of valuable pastoral and organisational expertise useful to the diabetes multidisciplinary team (MDT).Method: School teaching, pastoral and planning skills can be used to help ...

Introduction: In April 2019 a team of healthcare professionals took a group of young people with type 1 Diabetes to Botswana for a healthcare partnership project with Diabetes Botswana. The trip included a joint diabetes youth camp and the delivery of Botswana’s first ever Diabetes Educational Symposium.Objectives: The primary aim of the project was to provide a reciprocal learning experience for the management of type 1 diabetes for healthcare prof...

Our large tertiary hospital-based diabetes service high HbA1c policy selects Children and Young People (CYP) with HbA1c above 64 mmol/mol for additional support. Two-week average blood glucose (ABG) is utilised in the high HbA1c clinic as a proxy for HbA1c and CYP are encouraged to reduce their 2 week ABG as a primary goal.Aims: To determine the relationship between HbA1c, 2 week and 3 month ABG and standard deviation (S.D.) in CYP with Ty...

Background: We present a case of a 10 year old female with T1DM, referred to our tertiary centre for complex diabetes care due to her other severe chronic dermatological condition. We discuss the difficulties with optimizing diabetes control in such a chronic debilitating condition which has a pervasive effect on T1DM treatment.Case: To our knowledge this is only the second reported case of a child with T1DM and Epidermolysis Bullosa. Severe Recessive Dy...

Evidence suggests that empowering patients of chronic illness with self-management skills improves the outcomes. European countries with high emphasis on diabetes self-management education report significantly better clinical outcomes. In PREM survey, few service users expressed the desire to know the results of their annual review blood results. We used this as a trigger for a project to inform service users about their annual care processes completion status. We describe the...

Introduction: Youth-onset type 2 diabetes is an emerging public health crisis with a more aggressive phenotype than both adult-onset type 2 and child-onset type 1 diabetes. Family-focused, lifestyle intervention provided by a multidisciplinary team is central to effective management. Group clinics were introduced for all paediatric patients with type 2 diabetes. A service evaluation assessed the clinical impact and effectiveness of this innovative approach.<p class="abstex...

Introduction: The ultimate goal of a diabetes transition service is to provide coordinated, uninterrupted and developmentally appropriate healthcare, which promotes skills in decision-making, communication, autonomy, and self-care, with an essential component required to achieve this, being adequate resourcing.Methods: Data from Yorkshire and South West London CYP diabetes networks were collected via questionnaire. The primary focus was to ascertain whic...