Searchable abstracts of presentations at key conferences in endocrinology

ea0036P34 | (1) | BSPED2014

In-patient care for children with type 1 diabetes across hospitals in the Yorkshire and Humber region in the north of England

Amin Nadia , Uday Suma , Campbell Fiona , Yong James

Introduction: An important part of diabetes management is maintaining high standards of in-patient care. A previous audit in the south of England demonstrated difficulties consistently achieving standards identified as good practice. This audit aimed to identify current standards of in-patient care provided to children with type 1 diabetes across the Yorkshire and Humber region.Methods: The audit was conducted against in-patient care standards identified...

ea0036P44 | (1) | BSPED2014

Transition and beyond in childhood onset type 1 diabetes

Uday Suma , Yong James , Campbell Fiona , Ajjan Ramzi

Introduction: Achieving optimum glycaemic control in young adults is challenging. Furthermore, transfer of care to adult services has been associated with deterioration in glycaemic control. We aimed to establish glycaemic control and rate of microvascular complications in young adults with childhood onset type 1 diabetes (T1D) and looked specifically at a subset of patients before and after transfer to adult care.Methods: A retrospective study of patien...

ea0027oc5.3 | Oral Communications (RCN CYP Diabetes Session) | BSPED2011

Use of Peer review to help individual units and networks improve standards of care

Campbell Fiona , Holland Philip , Heasman James , Bridgeman Ruth

Background: A detailed assessment of children’s diabetes services across 21 units in the Y&H SHA identified a significant variation in care with the number of children with an HbA1c <7.5% ranging from 3 to 30%. This variation could not be explained by demographics or resource.Methods: Agreement was obtained from three units in Yorkshire to pilot a Peer review visit in conjunction with the national Cancer Peer Review Team and too develop the ...

ea0027oc5.5 | Oral Communications (RCN CYP Diabetes Session) | BSPED2011

Group education facilitation skills for the multidiscplinary team

Gelder Carole , Rodgers Jill , Campbell Fiona , Young Liz

Introduction: Currently group education facilitation skills are not part of foundation nurse, medical or dietetic training. Additionally there is no nationally recognised evidence based structured education programme for paediatrics which meet the DoH criteria (2005). Consequently paediatric diabetes teams cannot access group facilitation skills through programmes such as DAFNE and DESMOND in contrast to colleagues working with adults. A one day workshop on group facilitation ...

ea0027p50 | (1) | BSPED2011

Using self-monitoring of blood glucose to improve understanding and self-management of diabetes in children and young people with type 1 diabetes in a routine clinical setting

Holland Philip , Harron Katie , Campbell Fiona , Parslow Roger , Yong James

Introduction: The strong correlation between HbA1c and blood glucose (BG) has been recognised in many studies. We investigated this relationship using BG data from 119 children with diabetes, to better understand factors affecting HbA1c and characteristics of children with good versus poor control.Methods: BG data was obtained on 119 children over a 1-month period and on a subset of 43 children over three consecutive months using the Diasend System (Aide...

ea0027p65 | (1) | BSPED2011

Assessment of standards of care in children's diabetes services across Yorkshire and Humber SHA

Holland Philip , Harron Katie , Campbell Fiona , Parslow Roger

Background: A children’s diabetes network was established in late 2008 across the Y&H SHA. Following agreement from all units over 2009/10 it identified outcome measures and established policies leading to 2011 being a ‘Year of Action’ to produce significant improvement in services.Methods: All units were required to submit annually to the NDA and to complete an extended version of the 2008 Diabetes UK questionnaire on staffing. Data f...

ea0066oc7.3 | Oral Communications 7 | BSPED2019

Improving HbA1c outcomes in young people of transition age with type 1 diabetes using quality improvement methodology

Dymond Emma , Cropper Julie , Trentham Sarah , Kelleher Aoife , Boal Rachel , Bishop Faye , Campbell Fiona

Introduction: Effective transition care is vital to empower young people (YP) to optimally self-manage their diabetes. National data highlights the concern regarding poorer care outcomes due to lower completion of annual care processes and higher rates of DKA whilst transitioning to adult care. The Children and Young People’s Diabetes Team provides care for 170 YP aged 16–19 years. In April 2017, 19% of this age group had a HbA1c <58 mmol/mol, significantly lower...

ea0045p35 | Diabetes | BSPED2016

Assessing the impact of a youth worker on diabetes care in adolescents with type 1 diabetes

Peacock Amanda , Guest Matthew , Cropper Julie , Trentham Sarah , Clarke Michelle , Yong James , Campbell Fiona

Background: The inclusion of a youth worker within a transition service can be pivotal to its success.Objective: To assess the impact of a youth worker on diabetes care in adolescents with type 1 diabetes (T1DM) over a 6 month period by measuring HbA1c levels (primary outcome), Personal Development Tool score (PDT), hospital admissions and clinic attendance (secondary outcomes).Method: Prospective cohort study. 20 adolescents (age ...

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...