Endocrine Abstracts

Introduction: Cushing’s syndrome in childhood usually results from exogenous steroids, which can potentially cause adrenal suppression and leave the patient at risk of adrenal crisis. Classically this occurs secondary to oral glucocorticoid medication, but there are also frequent reports resulting from high dose topical steroids. Prolonged intranasal or inhaled steroids have also been implicated, however cases resulting from the prolonged use of ocular steroids are extrem...

Introduction: Serum C Peptide is traditionally used to diagnose factitious Hypoglycaemia due to exogenous Insulin. However in our case we were able to initiate child protection work up on the basis of skin marks which were noted during child’s admission in hospital.Case report: 2-year-old male presented with 3 days history of diarrhoea and vomiting. Past history and examination were unremarkable. Mother had gestational diabetes and was on insulin du...

Introduction: Optimising management of diabetes in school is critical especially with more children being commenced on intensive insulin regimens. Partnership between families, school and caregivers is essential to enhance safety and satisfaction with the educational experience for students.Methodology: We gathered information on facilities in schools for children with T1D from our district hospital by telephonic questionnaire. The questions related to p...

Peer Review programmes (PRP) help organisations to improve the quality of clinical services in a developmental and supportive way. The West Midlands Paediatric diabetes network (WMPDN) consists of 15 National Health Service (NHS) Trusts looking after 2800 children (aged 0–18 years). 2010/2011 National Paediatric diabetes audit (NPDA) data showed that the median HBA1c achieved in the region was 69 mmol/mol. In order to improve the metabolic control and quality of care, the...