Endocrine Abstracts

Prevention, diagnosing, and adequate management of cerebral oedema in diabetic ketoacidosis are of vital importance. This can be very challenging in infants and toddlers as symptoms can be very subtle or difficult to interpret. Young age, new diagnosis of diabetes, and severe acidosis at presentation has been reported as risk factors for the development of cerebral oedema. We report our experience in managing one infant and two toddlers newly diagnosed diabetics who were refer...

Introduction: Microalbuminuria is the first of sign of incipient nephropathy and other micro vascular complications in the diabetic population. Up to 30% of the paediatric diabetic population are at risk of developing microalbuminuria by the age of 20. NICE 2006 recommends microalbuminuria screening from 12 years of age in children with type 1 diabetes however there is no guidance on specimen collection, test methodology or treatment regime. The definition of microalbuminuria ...

Background: An effective care pathway is required for the smooth ‘transition’ (rather than swift ‘transfer’ of care) from the paediatric to adult diabetes clinic. Engaging the patient in the service, with a clear, smooth and robust pathway, is required to bridge this very challenging period. The aim of our study was to assess the effectiveness of a staged transition process based on a shared-care protocol that has been existent over the last 3 years at our ...

Objectives: The Department of Health introduced a Best Practice Tariff (BPT) to finance Paediatric Diabetes Services in England, in response to variation in service provision and outcome. The tariff became mandatory in April 2013 and depends on achievement of 13 quality standards (QS). The West Midlands (WM) Region covers an area of 5020 square miles, where 2700 Children with Diabetes receive care from 15 Hospital Trusts who are members of the Regional Paediatric Diabetes Netw...