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Endocrine Abstracts (2021) 78 P15 | DOI: 10.1530/endoabs.78.P15

1Jenny Lind Children’s Hospital, NNUH, Norwich, United Kingdom; 2University of East Anglia, Norwich, United Kingdom


Background: Prior to COVID-19, HbA1C was performed in clinic as a point of care test. As a service development project driven by the changes to our service from COVID-19 we offered either a hospital drive through point of care HbA1C test or the validated VAMS collection method to obtain HbA1C at home.

Objective: Research ethics approval was obtained to assess patient/carer acceptability of these collection methods.

Methods: Drive through HbA1C appointments were offered to all patients under our care. Fifty home HbA1c VAMS tests kits were sent to those were unable to attend the hospital. A survey asking children and young people (CYP) and their parents to score their agreement with statements on a 7-point Likert-type scale was distributed to the 280 families in our diabetes service.

Results: We received 65 complete responses. 8 respondents had not had either home or drive through HbA1C tests. Ten respondents used home HbA1c tests. Overall 90% found the home test kits easy to use (sampling, ease of use, instructions convenience and satisfaction) overall. Fifty percent of CYP found the home HbA1C test less painful than hospital HbA1C measurement. Forty seven respondents attended for drive through HbA1c. Fifty percent were not concerned about attending the hospital during the pandemic, 89 % found the procedure convenient, 34% preferred point of care testing over home HbA1c. The majority of the written feedback reported the service to be convenient and efficient, with an overall 97% satisfaction with the service. However patients who lived some distance from the hospital site felt a home HbA1C testing option would be preferable to driving to the hospital for a 5 min appointment.

Conclusion: Both modes of measurements had 90% or above ratings for satisfaction and convenience. In future we plan to continue some remote clinics; this data can be used to further develop the HbA1C testing options we offer.

Volume 78

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

Online, Virtual
24 Nov 2021 - 26 Nov 2021

British Society for Paediatric Endocrinology and Diabetes 

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