Endocrine Abstracts

Introduction: We were one of ten paediatric diabetes teams taking part in the pilot RCPCH QI project initiated in Autumn 2017 and the sole representative from the North East of England. The project we chose was to enable and empower children, young people and their families to improve overall diabetes management, long term health and wellbeing through education and knowledge in adjusting insulin to improve blood glucose control.Method: We created a bespo...

Background: Advances in technology have led to new approaches in diabetes management. CGM has been associated with improvements in HbA1c, however, the evidence is limited and there are substantial cost considerations. The main aim of this audit was to assess the impact of CGM and FGS on HbA1c levels.Method: A retrospective analysis of the use of CGM and FGS in paediatric patients under the care of the children’s diabetes team at James Cook Hospital,...

Introduction: Dyslipidaemia and diabetes mellitus have a complex relationship. Uncontrolled diabetes can result in hypertriglyceridaemia through decreased adipose tissue and muscle lipoprotein lipase activity. Conversely, insulin resistance and diabetes can occur in association with primary familial hyperlipidaemia. Eruptive xanthomas can be a presenting feature of the severe hypertriglyceridaemia found in familial hyperlipidaemia.Although there are repo...

Introduction: Vitamin D deficiency is increasingly recognised as an important cause of neonatal hypocalcaemia. In this case report, we discuss the impact of co-existing vitamin D deficiency on the diagnostic process in a preterm infant who had refractory hypocalcaemia due to hypoparathyroidism resulting from a homozygous GCM2 mutation.Case report: A 33-week gestation male infant of Pakistani extraction was found to be profoundly hypocalcaemic with seizur...

Introduction: A diagnosis of type 1 diabetes makes a huge impact on the child and family. We believe intensive training in the first-year after diagnosis is crucial in laying a solid foundation to the lifelong management of this chronic condition. To provide this intensive support and drive reduction in HbA1c we started a quality improvement project focussing on the first year of care. Previously all patients were admitted following diagnosis of diabetes for s...