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

Endocrine Abstracts (2019) 66 P47 | DOI: 10.1530/endoabs.66.P47

Patient directed carbohydrate counting from diagnosis - the Torbay experience

Ravi Lehal & Phil Reilly

South Devon NHSFT, Torbay, UK

In 2014 Torbay Hospital was a national outlier for diabetes control in the paediatric population. At this time a transformative quality improvement project which tracked the patient’s journey through the service resulted in the introduction of carbohydrate counting from diagnosis. Whilst other hospitals had already adopted this approach the Torbay team introduced a system of care where the patient/parent lead the process of calculating carbohydrates and insulin doses from the point of diagnosis. The hope was that this would reduce the time spent in hospital during the diagnosis period and improve overall control at one year post diagnosis. This poster presents methodology and comparative data about length of hospital stay along with HbA1c data over the first year post diagnosis in the cohorts pre and post introduction of this change. This single change is cited as the most significant factor in moving our outcome over 4 years to a point we are no longer national outliers in our patient’s overall HbA1c control (below).


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