Endocrine Abstracts

Introduction: A 7 year old boy with history of Joubert’s syndrome presented with first presentation of type 1 diabetes mellitus in Diabetic ketoacidosis (DKA) and a hyperglycaemic hyperosmolar state (HHS). His underlying neurological condition made clinical assessment difficult and he had reduced GCS with intermittent apnoeas but no respiratory compromise. Using the BSPED guideline (2015) for DKA he was managed with cautious fluid replacement despite his hyperosmolar stat...