Searchable abstracts of presentations at key conferences in endocrinology
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50th Annual Meeting of the British Society for Paediatric Endocrinology and Diabetes

Manchester, UK
08 Nov 2023 - 10 Nov 2023

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The 50th Annual BSPED Meeting will take place at the Midland Hotel, Manchester from 8-10 November 2023.

ea0095p108 | Diabetes 4 | BSPED2023

The impact of COVID-19 and ethnicity on the outcomes of type 1 diabetes in children

Akhtar Fareen , Drage Rachel , Barrett Tim , Krone Ruth , Dias Renuka , Saraff Vrinda , Mohammed Zainab , Uday Suma , Idkowiak Jan , Drummond Lesley , Collins Louise , Leal Catarina , Kershaw Melanie

Background: The National Paediatric Diabetes Audit consistently highlights disparity in Type 1 diabetes outcomes across different ethnic groups. During COVID concerns escalated as the impact of lockdowns on ethnic minority groups had potential to inflate pre-existing health divides. This study aims to consider if COVID-19 differentially impacted children with Type 1 diabetes in different ethnic groups (White, Black, Asian, Mixed, Other)....

ea0095p109 | Diabetes 4 | BSPED2023

What do young people with type 1 diabetes really think about the new advances in diabetes technology?

Millar Sarinda , Parker Kathryn , McConville Niamh

Background: The rapid progression in diabetes related technology should in theory make it easier to self-manage diabetes. Previous studies have shown an improvement in glycaemic control and reduced disease burden. However young people show less sustained use of technology, with potential barriers hypothesised as body image difficulties, perception of standing out from peers and not wishing to have devices attached. This study aims to explore the reasons young ...

ea0095p110 | Diabetes 4 | BSPED2023

Assessing diabetic ketoacidosis management: an audit of clinical practices at bristol royal hospital for children

Baioumi Alaa , Candler Toby

Background: Approximately 1/3 of children newly diagnosed with type 1 diabetes (T1D) present with diabetic ketoacidosis (DKA). Despite the progress made in managing T1D, DKA continues to pose a substantial risk for existing and new patients with T1D. The British Society for Paediatric Endocrinology and Diabetes (BSPED) published guidelines for the management of DKA in 2021 and this protocol was adopted by Bristol Royal Hospital for Children.<p class="abste...

ea0095p111 | Diabetes 4 | BSPED2023

Impact of socio-economic deprivation on the management of type 1 diabetes in children

Shoaib Haris , Ahmed Shahida , Francks Ruth , Rawal Sanjay

Aims: To assess the impact of socio-economic deprivation on access to diabetes technology, specifically insulin pumps, and its outcome in children with type 1 diabetes.Methods: We designed a retrospective, observational single-centre study of patients attending the paediatric unit at Basildon & Thurrock University Hospital (BTUH). The study included all patients actively receiving diabetic care as of April 2023, incl...

ea0095p112 | Diabetes 4 | BSPED2023

An unusual case of hyperosmolar hyperglycaemic state

McBay-Doherty Rhiannon , Abid Noina

Background: We present an unusual case of Hyperosmolar Hyperglycaemic State (HHS). A 9 year old girl with complex neurodisability due to HIE, presented with HHS twice within one year. Despite this, she has not yet developed diabetes mellitus and moreover, a raised HbA1c has since normalised.Clinical presentation: In January 2022 she presented with lethargy and increased wet nappies. She had had two recent minor illnesses...

ea0095p113 | Diabetes 4 | BSPED2023

Regional audit on presentation in diabetic ketoacidosis(DKA) at the manifestation of type1 diabetes in children and young people within Yorkshire and Humber region (YH)

Soni Astha , Sahmoud Shaimaa , Lennon Geraldine , Bhimsaria Sunil , Joseph Lovlin , Natarajan Anuja , Gorman Shaun , How-Yaw Stephanie , Alaber Nasar , Matthew Verghese , Campbell Fiona , Hemming Victoria , Bashir Imran , Baker Elizabeth , Danda Nandita , Madhusudhana Madhavi , Watts Wendy , Savage Emma , Gupta Sanjay

The incidence of children presenting with DKA at diagnosis has been on the rise worldwide1. 25.8% of newly diagnosed children had DKA at diagnosis according to the NPDA report (2020/21). 34% of newly diagnosed children in the Yorkshire and Humber(Y&H) region presented in DKA2. Delayed presentation due to lack of awareness is a likely cause for that.Aim: To review the presentations of DKA at diagnosis in the YH r...

ea0095p114 | Diabetes 4 | BSPED2023

Breaking down the barriers in allergic contact dermatitis to continuous glucose monitors

Mann Nina , Bleiker Tanya O. , Smith Julie

The National Institute for Health and Care Excellence (NICE) recommends continuous glucose monitoring devices (CGMDs) for all adults and children with Type 1 diabetes mellitus (T1DM). Automated technologies such as hybrid closed loop (HCL) systems can improve outcomes and quality of life for patients, their families and carers. There have been increasing reports of cutaneous allergic reactions to medical devices, including CGMDs, in the literature. These reactions are mostly t...

ea0095p115 | Diabetes 4 | BSPED2023

Neonatal diabetes experience from a single centre

Evliyaoglu Olcay , Bayramoglu Elvan , Karakas Hasan , Aydın Dilek , Franco Elisa De , Turan Hande

BackgroundNeonatal diabetes mellitus is a rare form of monogenic diabetes which is diagnosed in the first six months of life. Eight patients with neonatal diabetes presenting to a single centre were studied for clinical presentation, genetics and treatment outcomes.Objective: Eight children (2 f/6m) presenting to a single centre in Turkey were studied for correlation of disease with clinical features and genetics, suitability of current ...

ea0095p116 | Diabetes 4 | BSPED2023

Abstract withdrawn...

ea0095p117 | Diabetes 4 | BSPED2023

A rare case of metabolic encephalopathy complicating diabetic ketoacidosis

Reynolds Claire , Alanazi Sami M , Cody Declan , O'Connell Susan M , Conlon Tracey A , Corley Lisa

A previously healthy 12 year old girl presented to the emergency department with loss of consciousness and increased work of breathing. She was unwell for 3 days prior to presentation with vomiting and lethargy. There was a 3 week history of polydipsia and weight loss. On assessment, Glasgow Coma Scale (GCS) was 7/15, pupils size 3, equal but poorly responsive. She was hypertensive BP 140/70 mmHg, HR 113 bpm, and capillary refill time 5 seconds. There was left arm decorticate ...

ea0095p118 | Diabetes 4 | BSPED2023

Adaptation of local practice guidelines increases paediatric doctor confidence in prescribing multiple daily injections for newly diagnosed type 1 diabetics at discharge

Shoaib Haris , Hussain Yunus , Ahmed Shahida

Background: There exists low confidence in prescription of multiple daily injections (MDI) for newly diagnosed Type 1 Diabetes Mellitus paediatric patients among paediatric doctors at Basildon & Thurrock University Hospital (BTUH).Aim: To improve the confidence in MDI discharge prescriptions for paediatric doctors of all grades via adaptation of local guidelines.Methods: We des...

ea0095p119 | Diabetes 4 | BSPED2023

A rare case of diabetes mellitus and congenital deafness in an 18 month old girl with Wolfram like syndrome

Kareem Nabeel Abdul , Modgil Gita , Bridges Sarah , Candler Toby

Background: Wolfram Syndrome (WFS) is a rare genetic progressive neurodegenerative disorder caused by mutation in the gene encoding Wolframin, a protein located in the endoplasmic reticulum. WFS has an estimated prevalence of 1 in 770 000.The hallmark features are Diabetes Mellitus, Diabetes Insipidus, Optic Atrophy, Deafness(DIDMOAD) and neurodegeneration. Classic WFS1 is inherited in an Autosomal Recessive manner whereas the Non-classic form is Autosomal Dom...