Endocrine Abstracts

Introduction: Ongoing structured education for children and young people with type 1 diabetes and their families is considered essential by ISPAD (2014) and NICE (2015), because there is a lot of education and skills that need to be reinforced.In 2016 the majority of the self-management education was provided at our trust by diabetes self-management education (DSME) sessions, which are two hour sessions designed to improve self-management. This format of...

Objectives: The Diabetes Team at Birmingham Children’s Hospital modified the advanced bolus algorithm suggested by Bell (2015), to develop the KISS (Keep it Simple and Safe). KISS involves adding 25% extra insulin to meals identified as very high fat and protein, and spreading the insulin by a split bolus, 50% now and 50% over 2.5 hours. KISS also has an adjustment tool allowing extra insulin to be added and the split modified from monitoring. KISS is intended to be a sim...

Introduction: The International Society for Paediatric and Adolescent Diabetes (ISPAD) 2022 Nutritional Guidelines recommend calculating carbohydrate requirements using an indivualised equation, such as the Schofield equation. Up to 2023, our centre used the Scientific Advisory Committee on Nutrition (SACN) 2011 guidelines that only require age to determine average carbohydrate requirements. The latest National Paediatric Diabetes Audit (NPDA) showed our centr...

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)....