Endocrine Abstracts

Aims: Implementation of a protocol-driven, nurse-led clinic to see influence on cardiovascular risk and renal disease progression using a simple ‘ABC’ approach – target HbA1c <7%, BP <125/75 mm Hg and Cholesterol <4 mmol.Method: Weekly Diabetes Specialist Nurse (DSN) clinic with emphasis on ABC approach and guided FLORENCE Telehealth free texting technology for medication reminders and self-monitoring of BP (machines provided)....

Background: Social deprivation is high within our large ethnic and diabetes prevalent population. Compliance is a major stumbling block in the achievement of Blood Pressure (BP) targets. Given the above, we took the opportunity to enrol with West Midlands Academic Health Science Network (WMAHSN) Florence (Flo) Exemplar project mobile phone texting service. Flo sends advice and collects patient information which clinicians can access through any device connected to the internet...

Introduction: UK NICE guidelines recommend that men with diabetes mellitus (DM) should be reviewed annually regarding symptoms of erectile dysfunction (ED) in view of possible phosphodiesterase-5 (PDE-5) inhibitor treatment. Previous studies have shown that 70% of men with ED have concomitant lower urinary tract symptoms (LUTS). It has been suggested that there may be some common patho-physiology accounting for the improvement in LUTS seen in men with ED and LUTS treated with ...

Introduction: Peripheral diabetic neuropathic pain (PDNP) as a significant complication of diabetes mellitus (DM), which is present in 16–26% of patients. NICE UK guidelines recommend that physicians should make an formal enquiry about distressing neuropathic symptoms annually and that either duloxetine, amitriptyline, gabapentin, or pregabalin should be used as first-line treatment for neuropathic pain.Aims: To assess the prevalence PDNP in a diabe...

A 46-year-old Asian male attended our endocrine unit in April 2013 following a referral from his GP for the investigation of a neck mass. Serum TSH level was normal and USS revealed a euthyroid multinodular goiter. He mainly complained of increasingly frequent and severe headaches, polydypsia, polyuria, perspiration, and night sweats.On examination, the patient had prognathism, an enlarged and protruding tongue, thickened lips, prominent supraorbital rid...

Aims: To identify any improvements in BMD on NICE recommended treatments in patients with osteoporosis. Also to identify how many patients were taking calcium and vitamin D.Methods: Retrospective audit of 31 patients who had a DEXA scan between June 2011 and October 2012 at Birmingham City Hospital. Patient information was gathered from electronic data base (Clinical Data Archive). Inclusion criteria was at least two DEXA scan T-scores results, ...

Aim: To audit outcomes and adherence to prescription recommendations in a nurse-led Diabetic Renal Clinic.Method: Baseline data at time of referral to the clinic was compared to the final clinic visit within a 12-month period (T1) of the first visit (T0), using information from clinic letters and electronic records of patients attending the clinic in our hospital between 2010 and 2014. Patients without at least one follow-up data within a 12-month period...

Aims: To assess the prevalence, investigations and management of hyponatraemia in hospital inpatients (previously deemed inadequate) over a 2-week period (1–15 May 2013) and compare with data collected in 2011, following the introduction of updated clinical guidelines in our trust.Methods: Hospital notes and electronic records of all patients with a sodium level of <130 mmol/l were analysed.Results: 43/255 (17%) patients h...

Aims: Short synacthen test (SST) is commonly used to diagnose adrenal insufficiency (AI), and with serum ACTH, can help differentiate between primary and secondary AI. The aim of this audit was to evaluate the clinical appropriateness of SST in our endocrine unit.Methods: We looked at all SSTs performed between August 2012 and August 2013. Relevant clinical information was collected from patient notes and database. A SST was considered inappropriate if n...

Aim: NICE guidelines states that every diabetes patient should have sufficient knowledge of HbA1c to allow them to be actively involved in their diabetes management. Our study aimed to investigate this in an outpatient setting in a multi-ethnic UK hospital clinic.Method: We interviewed 97 patients using an out-patient questionnaire and also gathered demographic information and latest HbA1c values from electronic data and medical records.<p class="abs...