Endocrine Abstracts

Background: As per 2011–15 National Paediatric Diabetes Audit (NPDA) data set, the paediatric diabetes units (PDU) contributed data on annual lipids levels check for children and young people (CYP) over 12 years of age. Blood cholesterol were used to stratify the risk of complications of diabetes. National Institute of Health and Care Excellence (NICE) guideline NG18 did not recommend lipid screening during annual review of type 1 diabetes due to lack of robust evidence. ...

Background: “Diabetes (type 1 and type 2) in children and young people: diagnosis and management” guideline (NICE NG18, 2015) stipulates following “Coeliac disease: recognition, assessment and management” guideline (NICE NG20, 2015) for follow up children and young people (CYP) with diabetes and coeliac disease. NG20 advocates against checking coeliac antibodies on yearly basis if compliance with gluten free food is confirmed by dietary review. In 2016, we ...

Evidence suggests that empowering patients of chronic illness with self-management skills improves the outcomes. European countries with high emphasis on diabetes self-management education report significantly better clinical outcomes. In PREM survey, few service users expressed the desire to know the results of their annual review blood results. We used this as a trigger for a project to inform service users about their annual care processes completion status. We describe the...

Background: Screening for Congenital hypothyroidism is part of National New-born screening program. Each District General Hospital is required to have a Congenital Hypothyroidism Service with a Lead Paediatrician and a Deputy to provide seamless service to babies with suspected congenital hypothyroidism and their families. National guidelines and service standards exist to guide setup, operation and auditing of this service.Aim: We aim to benchmark the p...

Introduction: NICE Guidelines NG18 (published 2015) advocate a more conservative approach to management of diabetic ketoacidosis (DKA) in children and young people up to the age of 18, in an attempt to reduce the risk of cerebral oedema.We aimed to assess if management of DKA in children at Manor Hospital was compliant with hospital guidelines, that were based on BSPED guidelines (issued 2009). We analysed the difference in total fluid administered if th...

Aims and objectives: Poor attendance in clinics remains a concern shared by diabetes services nationally and internationally. We surveyed our children’s diabetes service users to identify local reasons for non-attendance. We used the opportunity to seek feedback from service users about service design.Study population group: The group included parents/carers of children and young people who use children’s diabetes service delivered by Walsall H...