Endocrine Abstracts

Background: Management of diabetes in patients with End Stage Renal Failure (ESRF) is complex, requiring intervention from multiple disciplines. The Joint British Diabetes Societies and Renal Association published the first ever guidelines for the management of patients with diabetes undergoing haemodialysis for ESRF in 2017.Aims and objectives: Assess Current Care Pathways of all patients with Diabetes undergoing Haemodialysis in Cork University Hospita...

The management of children and young people (CYP) with diabetes is forever evolving, with tools and management strategies becoming much more intense. Year on year this has led to an overwhelming burden of educating schools when providing training for over 300 patients with type 1, type 2 and rarer types of diabetes. Children spend on average 1,267.5 hours per year in school – it is essential children’s diabetes management is optimised during this time, and health car...

Introduction: The COVID-19 pandemic prevented face-to-face school diabetes training in 2020/2021 at Birmingham Women’s and Children’s Hospital. Moving school training online was the only viable option to ensure children with type 1 diabetes could attend school.Objectives: 1. Develop an online school training package with competency assessment for all diabetes devices 2. Audit the number of staff competent and the cost and acceptability of the t...

Introduction: Achieving glycaemic targets for young children with type 1 diabetes (T1D) is challenging due to rapidly changing physiology and behavioural patterns. An under-fives specialised multidisciplinary clinic (U5-MDT) was implemented in January 2022 due to poorer glycaemic control in this group compared to the rest of the clinic cohort. The U5-MDT aimed to optimise glycaemic control through access to technology while providing family support.<p clas...

Objectives: Children and young people (CYP) with Type 1 Diabetes Mellitus (T1DM) are at risk of acute clinical emergencies. Wearing medical identification (ID) is recommended by the National Institute for Clinical excellence (NICE). Information on adherence to this recommendation in CYP with T1DM is scarce. This study aimed to assess parent and CYP’s knowledge of the recommendation, to explore adherence and barriers to carrying ID and understand preferred forms of ID....

Introduction: Artificial pancreas systems (APS) have improved glycaemic control in adult and paediatric patients in clinical trials as part of routine clinical careAim and objectives: To evaluate the effectiveness of artificial pancreas system in routine clinical care on glycaemic control over a period of three to six months. Changes in glycated haemoglobin (HbA1c), time in range (TIR, 3.9-10 mmol/l) and time below range (TBR, <3.9 mmol/l) were asses...

With the increase in incidence of type 1 diabetes in children and young people (CYP) and the use of intensive insulin therapies, paediatric diabetes teams are under increasing pressure to support school staff with the day to day management of their pupils with diabetes. The CYPWMDN have developed a study day to provide basic diabetes awareness education to all school staff in the West Midlands (WM) region. This work also meets the training and support responsibilities of diabe...

Background: From 2018 to 2020, the Birmingham Children’s Hospital (BCH) Diabetes Team was a negative regional outlier for the National Paediatric Diabetes Audit (NPDA) seven key care processes. In 2021, the BCH team embarked on a Quality Improvement (QI) journey using Plan-Do-Study-Act (PDSA) cycles to improve care.Objective: Review PDSA cycles of improvements from 2021 to 2023.Methods...

Introduction: The National Paediatric Diabetes Audit consistently highlights disparity in Type 1 diabetes outcomes with a higher mean HbA1c observed in the most deprived socioeconomic groups. During COVID concerns escalated as the impact of lockdowns on socioeconomic deprivation had potential to inflate pre-existing health divides. Our study aimed to assess care provided and impact of socioeconomic background on diabetes outcomes through COVID in a large terti...

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)....