Searchable abstracts of presentations at key conferences in endocrinology
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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 8

ea0078OC8.1 | Oral Communications 8 | BSPED2021

Cystic fibrosis related diabetes (CFRD): could Cystic Fibrosis Transport Receptor (CFTR) modulators be the answer?

Park Julie , Walsh Anna , Kerr Sue , Woodland Clare , Southward Suzanne , Deakin Mark , Thursfield Rebecca , Senniappan Senthil

Background: Cystic Fibrosis related diabetes affects 40-50% of adults with cystic fibrosis (CF). This can significantly affect pulmonary function and life expectancy. Kaftrio (Ivakaftor, tezacaftor and elexacaftor) has recently been licensed for use in CF. Previous data highlight that glucose regulation may be altered on commencing this treatment.Methods: Eight children and young people (CYP), aged 14 (12-15) years, who were diagnosed with CFRD aged 12.8...

ea0078OC8.2 | Oral Communications 8 | BSPED2021

The cost of diabetes school training was halved whilst training 25% more staff during COVID-19 using multi-media interactive care plans

Collins Louise , Pemberton John , Sands Donna

Introduction: The COVID-19 pandemic prevented face-to-face school diabetes training in 2020/2021 at Birmingham Women’s and Children’s Hospital. Moving school training online was the only viable option to ensure children with type 1 diabetes could attend school.Objectives: 1. Develop an online school training package with competency assessment for all diabetes devices 2. Audit the number of staff competent and the cost and acceptability of the t...

ea0078OC8.3 | Oral Communications 8 | BSPED2021

Nottingham’s Robin Hood approach to socioeconomic and ethnic disparities in paediatric diabetes

Hill Sarah , Swaby Rabbi , Randell Tabitha

Introduction: Racism is a fundamental determinant of health, described by Prof Kevin Fenton (PHE) as a "wicked problem"- a complex problem highly resistant to solutions. The amplification of the voice of black lives matter” and disproportionate number of deaths from Covid-19 in Black and Asian people has re-focussed attention on racial health inequalities. Structural racism and unconscious bias is present throughout medicine. The National Paediatric Diabetes Audit...

ea0078OC8.4 | Oral Communications 8 | BSPED2021

Developing a clinical decision aid for paediatric diabetic ketoacidosis: the DKA Calculator

Leach Daniel , Barton John

Diabetic Ketoacidosis (DKA) is a significant complication of paediatric diabetes, the effective management of which relies on meticulous calculations, and timely decision making in response to changing physiology. A previous regional audit in South West England has shown that compliance with national guidelines is highly variable, and errors in calculations such as fluid rates are common. Fluid management in paediatric DKA is a subject of ongoing debate and changing guidance. ...

ea0078OC8.5 | Oral Communications 8 | BSPED2021

Permanent neonatal diabetes due to KCNJ11 mutation: early successful transition to Glibenclamide and stable glucose profile with multiple daily dosing

Hawton Katherine , Adams Rebekah , Dustan Emily , Giri Dinesh

Introduction: Neonatal diabetes (ND) usually presents before 6 months of age and 50% of cases are transient and 50% permanent with more than 20 known genetic causes. Early recognition and urgent genetic testing are important to enable appropriate, precise treatment. Mutations in KCNJ11 cause ND responsive to glibenclamide, alleviating the need for insulin administration, but there are limited reports of early successful transition.Case: This inf...

ea0078OC8.6 | Oral Communications 8 | BSPED2021

Evaluation of the diabetes education app

Swaby Rabbi , Greening James , Sachdev Pooja , Blake Holly

Introduction: Structured education is an integral part of type one diabetes care for children and young people and their families, delivered at diagnosis. There is currently no validated curriculum or outcome measures of diabetes education in the UK. We evaluated the outcome of using the diabetes education app (deapp), using flipped learning against historical practice, to determine if it conferred any benefit in our single centre.Methods: Two cohorts of...

ea0078OC8.7 | Oral Communications 8 | BSPED2021

HENRY: High HbA1c service Evaluation 2016-2019: New “tipping point” in contact Required for CYPwD

Pemberton John , Krone Ruth , Kershaw Melaine , Drummond Lesley , Paget Stephanie , Neylon Pauline

Background: Children and young people (CYPwD) with a persistent high HbA1c are at greater risk of developmental and long-term complications. Diabetes services across the England & Wales are mandated to have a ‘high HbA1c’ policy by the Best Practice Tariff quality standards, to improve health outcomes. Aim: To evaluate the Birmingham Women’s and Children’s (BWC) Diabetes Team ‘High HbA1c Policy’ from 2016 – 2019.</p...

ea0078OC8.8 | Oral Communications 8 | BSPED2021

Barriers to uploading diabetes technology at home

van Boxel Elizabeth , Trevelyan Nicola

Background: Our department cares for 273 children with type 1 diabetes (T1DM). All T1DM patients are issued with an uploadable glucose meter from diagnosis. 101 patients (37%) use insulin pump therapy and 126 (46%) use a continuous glucose monitoring device. Anecdotally we noted many patients were not uploading their data prior to coming to clinic. This contributed to reduced patient flow through diabetes clinics and also to reduced patient and carer engagement with their diab...

ea0078OC8.9 | Oral Communications 8 | BSPED2021

Virtual sessions ‘cook and count’ for young people with type 1 diabetes, using PDSA cycles, meeting young peoples wishes

Costello Kate , Dublon Victoria , Heaven Trudie , Arscott Rhiannon , Dunbar Emma

Background: At the beginning of the first Covid 19 lockdown the team realized the need for an innovative way of having contact with young people. Virtual sessions could do this? We also needed to meet young person’s wishes.Objectives: -For the activity to be fun. -Improve carbohydrate counting, knowledge, expertise and confidence -Give young people skills to be independent with their carb counting skills...