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48th Meeting of the British Society for Paediatric Endocrinology and Diabetes

Online, Virtual
24 Nov 2021 - 26 Nov 2021

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Oral Communications

Oral Communications 7

ea0078OC7.1 | Oral Communications 7 | BSPED2021

Utility of glycated haemoglobin in assessing abnormal glucose homeostasis in children and adolescents with obesity undergoing oral glucose tolerance test

Matan Ayaan , Hawton Katherine , Riaz Kulsoom , Shield Julian P H , Candler Toby , Giri Dinesh

Background: Childhood obesity and type 2 diabetes mellitus (T2DM) have increased proportionately in the last decade. Oral glucose tolerance test (OGTT) is recommended for paediatric patients with a BMI >98th centile (NICE, 2014) to identify T2DM or abnormal glucose homeostasis (AGH).Aim: To estimate the proportion of patients with AGH/T2DM seen in a tier 3 obesity service and evaluate the utility of the glycated haemoglobin (HbA1C) in detecting AGH. ...

ea0078OC7.2 | Oral Communications 7 | BSPED2021

Multi-centre service evaluation of presentation of newly diagnosed type 1 diabetes in children in the U.K. furing the COVID-19 pandemic

McLean Ross , Mitchell Rod , Sachdev Pooja , Conway Nicky , Liu Jo-Fen

Background: The COVID-19 pandemic led to major changes in the pattern of presentation to Emergency Departments. This prompted concern within Paediatrics that this altered behaviour could lead to delays in the diagnosis of life-threatening conditions such as type 1 diabetes. A multicentre study was conducted to determine the incidence, referral patterns and severity of disease at presentation of this condition. Methods: This was a U.K.-based multi-centre ...

ea0078OC7.3 | Oral Communications 7 | BSPED2021

Hybrid closed-loop in children and young people with type 1 diabetes improves glycaemic management and quality of life measures

Ng Sze May , Katkat Nancy , Day Helen , Hubbard Rebecca , Quinn Michelle

Introduction: Hybrid closed-loop (HCL) systems are characterised by integrating continuous glucose monitoring (CGM) with insulin pumps which automate insulin delivery via specific algorithms and user-initiated insulin delivery.Objectives: The aim of the study was to evaluate effectiveness of HCLs on HbA1c, time-in-range (TIR), hypoglycaemia frequency and quality of life measures in children and young people (CYP) with T1D, and their carers.<p class="...

ea0078OC7.4 | Oral Communications 7 | BSPED2021

Patient experiences of the changes made to the Cardiff and Vale University Health Board Paediatric Diabetes service due to COVID-19

Bone Megan , Pryce Rebekah

Background: Children and Young People (CYP) with diabetes are encouraged to attend four clinics each year.(1,2) During the COVID-19 pandemic, concerns regarding risk of virus transmission, reduced staff numbers and social distancing requirements, meant the Cardiff and Vale University Health Board (CAVUHB) paediatric diabetes service had to find alternative ways to communicate with patients. This included video consultations and drive-through HbA1c clinics as a substitute for s...

ea0078OC7.5 | Oral Communications 7 | BSPED2021

Screening for eating disorders in young people with type 1 diabetes

Jacob Rebecca , Braha Nirit , Ladha Ruhina

Background: Eating disorders (ED) are more prevalent in young people with Type 1 diabetes than their peers and the combination is associated with higher levels of mortality. However, ED are often under-identified in paediatric diabetes services. Using quality improvement methodology, a screening pathway for ED was developed. Methods: Questionnaires and semi-structured interviews explored participantsÂ’ views regarding a screening pathway and choice o...