Endocrine Abstracts

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...

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...

Background: Central hypothyroidism (CeHT) is uncommon in children. CeHT is often part of multiple pituitary hormone deficiency but can occur in isolation, and may occasionally be due to mutations in TSHB, TRHR or IGSF1, involved in TRH signalling. We present an adolescent with a novel truncating mutation of IGSF1.Case presentation: A 15-year-old male was referred for pubertal delay, obesity and abnormal TFTs (FT4 (6.5 pmol/l [8...

Background: The NPDA has been providing annual audit reports to paediatric units in UK from 2003 and a compliance report for 7 care processes since 2016–2017. Over the years the focus on the type of data and implications of data has changed and become more focused especially after introduction of BPT and PEER review. The paediatric diabetes services at Basildon and Thurrock University Hospitals (BTUH) were identified as negative outliers in 2016–2017 NPDA report. A Q...

Aim: To empower our patients/parents to self-manage Type 1 diabetes (T1dm) by providing them with required knowledge and skills.Method: We identified 10 motivated, mostly newly diagnosed T1dm patients and their families. We organised a master-class to educate them on how to use DIASEND to review blood sugars, identify patterns and adjust Insulin doses. We conducted weekly DIASEND clinics for 6 weeks and fortnightly for another 6 weeks (phone call/email)....