Endocrine Abstracts

Paediatric diabetes is a common, chronic, largely self managed disease. The problems children and young people deal with are complex and wide-ranging in scope. The key to success lies in close, personalised support and education for families facing this condition by an MDT who knows them well and is familiar with the local environment.I will put the case that this is best delivered in the UK by properly trained, resourced and accountable local teams, sup...

Background: Cutaneous manifestations in children with type 2 diabetes mellitus is well known. We describe a child with background of poorly controlled type 1 diabetes mellitus who presented with cutaneous lesions posing a diagnostic challenge.Case: A male child BS, was diagnosed with type 1 diabetes mellitus at the age of 8 yrs. He subsequently developed coeliac disease. He had a background of extensive social problems and had been placed on child protec...

Background: Transitioning of children with chronic illnesses into adult services is a major challenge. The diabetes transition process in our unit was being redesigned and this audit was performed to provide a historical benchmark relating to the previous setup. During the audit period, young people had a joint appointment in the paediatric service with an adult nurse specialist and then were referred by letter to the adult diabetes team.Aim: We collecte...

Neonatal thyrotoxicosis (NT) is a rare condition caused by the transplacental passage of maternal thyroid-stimulating antibodies from mothers with active Graves’ disease or a past history of the condition. We suspected that there were wide differences in the way that babies at risk of NT were managed in our locality and undertook a survey to establish the local approach to this clinical problem.Method: The lead clinician who was considered most like...

Introduction: NICE NG18 recommends level 3 carbohydrate counting from diagnosis for CYP diagnosed with Type 1 Diabetes. Our unit introduced in-patient level 3 carb counting from day 1 in 2015 in response to an audit demonstrating sub-optimal control in the first year of treatment.Methods: We carried out a longitudinal study of HbA1c in paediatric patients during the first year of diagnosis in two time periods, before and after the introduction of carb co...