Endocrine Abstracts

In recent years, Low Carbohydrate Diets (LCD) and Very Low Carbohydrate Diets (VLCD) as management strategies for Type 1 diabetes have been gaining popularity. Whilst now acceptable as an option amongst adults with Type 1 diabetes, the situation in paediatrics is more complicated. While this option is not currently recommended or endorsed by international diabetes experts, paediatric diabetes teams need to be aware of the potential risks of following such restricted diets in t...

Disordered eating is more common amongst people with type 1 diabetes than their peers without this condition. Anorexia nervosa, bulimia, eating disorder not otherwise specified (EDNOS) and deliberate insulin omission are more common in type 1 diabetes. Binge eating disorder is more prevalent in type 2 diabetes. These disorders present difficulties and dilemmas in personal diabetes management on a daily basis, and significantly increase risk of diabetes complications, particula...

Introduction: There is increasing emphasis on stringent glycaemic control (HbA1c <48 mmol/mol) within the first year of diagnosis for all types of diabetes, to preserve metabolic memory and reduce future risk of sub-optimal diabetes outcomes. Retrospective data collected on two previous annual cohorts of children and young people (CYP) with diabetes revealed only 9% achieved the HbA1c < 48 mmol/mol target at 12 months post diagnosis despite initial HbA1c improvement un...