Searchable abstracts of presentations at key conferences in endocrinology
Previous issue | Volume 66 | BSPED2019 | Next issue

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

Cardiff, UK
27 Nov 2019 - 29 Nov 2019

Card image cap
BSPED 2019, 27 - 29 November 2019; Cardiff, UK

ea0066p32 | Diabetes 3 | BSPED2019

Development of a live visual HbA1c dashboard to improve engagement and clinical outcomes – a type 1 diabetes QI project

Wu Qiong , Huang Cleo , Parau Bianca , Alexander Saji

Introduction: An HbA1c target level of 48 mmol/mol or lower in children with type 1 diabetes is recommended by the National Institute for Health and Care Excellence. Only 7.1% (national average 7.2%) of children in our unit achieved this target. In response, during a multidisciplinary diabetes away day, we explored innovative approaches to timely and efficient identification and intervention in patients with high HbA1c levels. The National Paediatric Diabetes Audit web portal,...

ea0066p33 | Diabetes 3 | BSPED2019

C-peptide and antibody testing to aid diabetes diagnosis in children and young people

Cox Kathryn , Bath Louise

Introduction: Recent experience of C-peptide testing in adults with longstanding diabetes has revealed misdiagnosis of monogenic diabetes as either type 1 or type 2 with important implications for quality of life and healthcare costs. Correct diagnosis earlier in life may be possible with the use of routine antibody testing at diagnosis and c-peptide measurement 3 years after initial diagnosis. Negative or low titres for all 3 antibodies suggest non-type 1 diabetes. Persistenc...

ea0066p34 | Diabetes 3 | BSPED2019

When one diagnosis just isn’t enough – diabetes as a first presentation of cystic fibrosis

Mallya Meera , Jain Gunjan , Winocour Peter

Diabetes is a common presentation in children and young people. We describe a case of undiagnosed cystic fibrosis (CF), where diabetes was the presenting diagnosis. A 14 year old girl presented with a 2-month history of weight loss, abdominal pain, polyuria and polydipsia. Blood glucose was 31.4 mmol/l with ketones of 0.8 mmol/l, and a diagnosis of T1DM was made. Initial bloods showed HbA1c 150 mmol/mol, normal thyroid function, negative TTG, and negative TPO, GAD and IA2 anti...

ea0066p35 | Diabetes 3 | BSPED2019

Rare association of type 1 diabetes mellitus (T1DM) with tubulo-interstitial nephritis and uveitis (TINU) and hypercalcaemia

Moshanova Tatyana , Kapoor Sonal , De Sudarshana , Sundaram Premkumar

Children and adolescents with Type 1 Diabetes Mellitus (T1DM) are at increased risk for developing other autoimmune diseases. We are presenting this rare association of tubulo-interstitial nephritis and uveitis (TINU) with severe hypercalcaemia and type 1 DM. 12 years old girl, with Type 1 Diabetes for 5 years presented with 4 months history of weight loss, abdominal pain, nausea, tiredness, anorexia and recurrent hypoglycaemias. Her HbA1c levels was 38 mmol/mol (5.6%). She wa...

ea0066p36 | Diabetes 3 | BSPED2019

Using NPDA data for quality improvement: dedicated annual review clinics are effective in increasing completion rates of health care processes

Elbashir Nihal , Kershaw Melanie , Dias Renuka , Mohamed Zainab , Idkowiak Jan , Saraff Vrinda , Uday Suma , Barrett Tim , Krone Ruth

Introduction: NICE recommends specific annual health checks for children and young people (CYP) with diabetes aged 12 years and over to check for health of feet, kidneys, thyroid and eyes in addition to BP, BMI and HbA1c. Historically, we included annual review care processes into regular diabetes multi-disciplinary clinics. In 2017, our service was identified as negative outlier in the National Paediatric Diabetes Audit for completion of health care processes. In particular, ...

ea0066p37 | Diabetes 3 | BSPED2019

Improving outcomes for young people with type 2 diabetes mellitus

Sharples Kate , Moor Nicky , Nash Elizabeth , Murphy Margaret , Khatun Yasmin , Gevers Evelien , Prasad Rathi

Background: Our Paediatric Diabetes service has a challenging rise in proportion of patients with Type 2 Diabetes Mellitus (T2DM); 8.5% of our current cohort; compared to 3.5% regionally and 2.5% nationally (NPDA 2017–2018).Objectives: Establish a T2DM New Diagnosis Pathway and T2DM clinics aiming to achieve HbA1c < 48 mmol/mol for all new patients at 3 months and a year, with 10% weight loss.Methods: Patients diagnosed wi...

ea0066p38 | Diabetes 3 | BSPED2019

Remission rates, demographics and outcomes of paediatric patients with type 2 diabetes at a single centre: 2006–2018

Procter Elizabeth , Law James , Calvert Jennifer , Sachdev Pooja

Background: Incidence of type 2 diabetes (T2DM) is increasing in children and young people under the age of 18 years. This group has a higher risk of microvascular complications and a more adverse cardiovascular risk profile than those diagnosed later. Weight loss is essential for remission, but intensive input is often required to achieve this.Aims: 1. Describe the demographics of our T2DM population2. Look at our remission rates<...

ea0066p39 | Diabetes 3 | BSPED2019

Paediatric diabetic ketoacidosis (dka)-management in a district general hospital

Viswanath Vidya , Mallya Meera , Matei Cristina

Background: Diabetic ketoacidosis (DKA) can have significant morbidity and mortality in children and young people (CYP). Its management is very well standardised, based on National Guidance (National Institute of Clinical Excellence – NICE). In the UK, CYP DKA Guidelines have been reviewed in 2015 in order to reduce the risks of cerebral oedema. There have been concerns that the new recommended fluid management has the potential to increase the risk of acute kidney injury...