Endocrine Abstracts

Background: Bilateral cataracts are rarely the initial symptom of diabetes mellitus (DM). Patients with DM who developed cataracts usually have DM for many years. The prevalence of early cataracts in paediatric DM ranges between 0.7 and 3.4%. We report a case of DM diagnosis following onset of blindness due to new bilateral cataracts.Case description: 13-year-old Caucasian girl presented with rapidly declining vision for 2 months. She was blind 2 weeks p...

Introduction: Across the North West England, following a survey across all Children and Young People’s Diabetes Units, a large number of paediatric diabetes specialist nurses (PDSNs) adjust insulin doses of children and young people with diabetes without a non-medical prescribing qualification (NMP). The majority have no Standard Operating Procedure (SOP) in place, which is essential for their indemnity. In the meantime, PDSNs who were waiting to commence the NMP (v300) c...

Background: Recent studies have reported a correlation between the increase in incidence of Type 1 Diabetes (T1DM) in children and young people (CYP) and SARS-COVID19 Infection.Aims and objectives: To study if there is an increase in TIDM incidence in CYP (aged 0-18yrs) post-covid19 (April 2020- March 2021) in East of England (EOE) region compared to previous years (April 2018- March 2020). To identify a correlation between T1DM incidence and the UK COVI...

Background: Type 2 diabetes mellitus (T2DM) is becoming increasingly prevalent in children and young people (CYP), mainly linked to the rise in obesity. It is associated with higher and earlier risk of developing complications; therefore, prompt diagnosis and management involving the multidisciplinary team (MDT) is crucial. The aim of our study was to evaluate the current practice for T2DM management and monitoring of complications at our centre.Methods:...

A 12 year old male presented to the Emergency Department in severe diabetic ketoacidosis (DKA) with a new diagnosis type 1 diabetes mellitus. He had tested positive for Covid a few weeks prior resulting in a reduced appetite and weight loss. He had no other past medical history. He was treated as per the BSPED guideline for DKA and remained on the protocol for 24 hours. He had normal electrolytes on admission but DKA resolution was complicated by hyperchloraemic acidosis, mild...

Background: The move from paediatric to adult services comes at a time in a young person’s life when they face multiple life challenges alongside managing their diabetes. Despite our NHS trust having a planned and integrated diabetes transition service, as per NICE (2016) and NHS England (2016) recommendations, we noticed a rise in patient’s not attending clinic and suboptimal glycaemic control.Aim: To review the data on clinic appointments att...

Introduction: Historically there are many examples of doctors using language which does not aid joint decision making with patients. At medical school we are taught to find out the presenting complaint rather than the reason for attendance. We write about non-compliance with treatment in the medical records rather than barriers to adherence. Similarly we use language in the Diabetes clinic which can disempower the children and families who attend our clinics.<p class="abst...

Introduction and background: Diabetes Mellites is a complex metabolic disorder characterized by chronic hyperglycaemia. Celiac disease & T1DM are immune-mediated diseases that share common susceptibility factors notably HLA genetics. AITD and T1DM are two common autoimmune diseases that can occur concomitantly. It has been proposed that a complex genetic basis together with multiple nongenetic factors make a variable contribution to the pathogenesis of T1DM and AITD. NICE ...