Endocrine Abstracts

Introduction: Hybrid closed loop (HCL) therapy has been shown to improve the glycaemic control in children and adolescents with Type 1 Diabetes. There is however limited data comparing the HCL therapy with conventional insulin pump therapy. We aimed to retrospectively compare the outcomes of hybrid closed loop (Tandem T slim) and conventional insulin pumps.Methodology: Electronic patient records for all the patients using insulin pump therapy at Sheffiel...

Background: Rapid implementation of tele-clinics was necessary during the COVID-19 pandemic. Patients missed routine point-of-care HbA1c testing, vital for evaluating long-term glycemic control. We evaluated the feasibility of remote HbA1c monitoring via self-collection of capillary blood samples at home, and examined clinical characteristics associated with patient engagement.Methods: Bio-Rad Haemoglobin Capillary Collection System (HCCS) was used, with...

Background: Wolfram Syndrome (WS) is a rare autosomal recessive disorder characterised by early-onset diabetes and optic atrophy as well as a variable spectrum of other endocrine and neurological conditions. It is caused by mutations in the WFS1 gene. Previous reports have documented a variable prevalence of hypogonadism (6.3% of the international EURO-WABB registry, 34% of a German cohort); however the only UK cohort reported was of 10 males, 7 of whom had primary gonadal atr...

Background: Type A insulin resistance syndrome (TAIRS) is rare (prevalence 1/100 000) and is caused by pathological mutations in the insulin receptor (INSR) gene. The clinical features tend to affect females more severely. Patients can present with severe hyperinsulinemia, hyperandrogenism and acanthosis nigricans. We report a case of a girl with symptoms initially suggestive of polycystic ovarian syndrome (PCOS) but also with asymptomatic diabetes mellitus.<p class="abste...

Background: Monogenic obesity is generally considered to only be responsible for a small proportion of genetic obesity with the vast majority attributable to polygenic obesity. Previous studies estimate that monogenic obesity accounts for less than 5% of obesity in Caucasian populations.Aims and method: To identify prevalence and clinical characteristics of monogenic obesity, we reviewed clinical notes of 219 patients currently, or recently (within 24 mo...