Searchable abstracts of presentations at key conferences in endocrinology
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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

ea0066p24 | Diabetes 2 | BSPED2019

Characterizing putative mutant variants of monogenic diabetes

Brezovjakova Helena , Mueller Laura , Spagnoli Francesca

Diabetes mellitus is a disease with one of the greatest burdens to both the economy and the individual. Monogenic diabetes mellitus, responsible for neonatal diabetes mellitus and maturity-onset diabetes of the young (MODY), results from one mutation in a single gene. Many of these genes play a role in pancreatic development and their variants can increase risk of type 2 diabetes mellitus (T2DM). Therefore, while the monogenic form of diabetes contributes the least to the over...

ea0066p25 | Diabetes 2 | BSPED2019

Modifiable dietary factors and a case for tracking dietetic outcomes in the National Paediatric Diabetes Audit

de la Escalera Lucia Martinez

Children and young people (CYP) with Type 1 Diabetes who maintain a healthy BMI, diet and accurate carbohydrate-counting have lower risk of cardiovascular disease and diabetes complications. The tracking of key Diabetes health checks and outcomes via the National Paediatric Diabetes Audit (NPDA) has been successful in ensuring year-on-year improvement of national average HbA1c. Aside from BMI however, Dietetic-specific outcomes are not currently included in the NPDA. Therefore...

ea0066p26 | Diabetes 2 | BSPED2019

Two cases of bilateral cataracts in early type 1 diabetes

Lelliott Alice , Basu Supriyo , Besser Rachel

Introduction: Cataract development as a complication of diabetes is usually associated with increased age and longer duration of diabetes. However, rapidly progressive cataracts have also been described at, or soon after, diagnosis of type 1 diabetes (T1DM). We report two cases of adolescents with T1DM and bilateral cataracts, including one case in which visual loss was the presenting symptom.Cases: A 16-year old non-obese, caucasian boy presented to his...

ea0066p27 | Diabetes 2 | BSPED2019

Observational Study looking at the Impact of changing from novorapid to insulin aspart on glycaemic control in the clinic setting

Datta Vipan , Alanoor Ravi , Stubbs Faye , Webb Emma

Introduction: The first multi-center randomised trial looking at the efficacy and safety of Insulin Aspart, a faster acting insulin which aims to mimic endogenous prandial insulin action, was published in May 2019. We report our experience of using Insulin Aspart in the Norfolk and Norwich University Hospital children’s diabetes clinic.Methods: Children and young people with type 1 diabetes seen the Norfolk and Norwich paediatric diabetes service (t...

ea0066p28 | Diabetes 2 | BSPED2019

Using quality improvement (QI) to improve the care pathway and outcomes for children newly diagnosed with type I diabetes mellitus

Coxson Edward , Edmonds Clare , Diskin Lynn , Purcell Gillian , Kyprios Hannah , Carter Hayley , Fong Rey , Gupta Vineeta , Bradshaw Karen , Vass Clare , Bird Laura , Zatchij Anna , Edwards Helen

Background: Early glycaemic control improves long-term outcomes in children with Type I diabetes. The NICE target for children with T1DM is HbA1c ≤ 48 mmol/mol. 2018 data from our newly diagnosed patients (pre-QI) demonstrated mean HbA1c 50 mmol/mol at 3 months and 62 mmol/mol at 12 months.Aims and methods: Our aim is to improve average blood glucose levels at day 28 post diagnosis and achieve a median HbA1c of <48 mmol/mol at 3 and 12 months p...

ea0066p29 | Diabetes 2 | BSPED2019

Bridging the gap: a young person-centred diabetes transition service

Hawton Katherine , Sargant Nwanneka N , Semple Claire , Gardiner Tara , Rinn Sophie , Reynolds Sara , Cole Megan , Crowne Elizabeth

Introduction: Within the Bristol diabetes service, we recognised that we were failing to meet the needs of young people (YP), who reported feeling unprepared for transition and intimidated by the unknown entity of the adult service and changes in their diabetes management.Methods: We set up a multi-disciplinary steering group, including the paediatric and adult diabetes teams and a youth involvement worker, to develop an effective, multi-faceted transiti...

ea0066p30 | Diabetes 2 | BSPED2019

Perceptions of multi-disciplinary team members and their roles: a survey of 82 carers and patients

Low Allison , Whinfrey Lisa , Natarajan Anuja

Background: Patients and carers encounter a range of diabetes multi-disciplinary team (MDT) members. Patients in focus groups have indicated that nurses are more approachable than doctors1, and the presence of specialist nurses in the MDT improves glycaemic control2. Nurses are perceived to be the core providers of diabetes care but this has not been quantified, nor have the perceived roles of other members of the MDT been explored....

ea0066p31 | Diabetes 2 | BSPED2019

Continuous glucose monitoring improves A1c, time in hypoglycaemia and time spent in target range within the paediatric population

Reeves Tara , El-Kholy Suzanne

Objective: We aim to examine the effects of continuous glucose monitoring (CGM) within our local population by means of pre- and post-CGM introduction A1C, time spent in hypoglycaemia and time spent within personalised target.Methods: Retrospective study of the County Durham and Darlington Foundation Trust (CDDFT) patient group who use CGM was undertaken via the platform ‘twinkle’ and ‘diasend’. Results were graphed prior to statistic...