Endocrine Abstracts

Aims: Exercise increases beta cell health in people at risk of, and with established type 2 diabetes (T2D). These benefits of exercise have not been characterised in T1D. Over 10% of beta cells are still present at the time of diagnosis with T1D, and exercise has the potential to preserve them. We aimed to explore the mechanisms through which exercise could improve beta cell health in T1D by investigating the effects of exercise serum on apoptosis and proliferation of the MIN6...

Introduction: PWS results from lack of expression of genes on the paternally inherited chromosome 15q11.2-q13. Clinical manifestations include hypotonia, altered body composition, reduced growth and a high incidence of obstructive sleep apnoea (OSA). Impaired GH secretion is documented in children with PWS. Recombinant growth hormone (rGH) use poses a therapeutic challenge due to potential life threatening adverse events, namely, the theoretical risk of increased lymphoid tiss...

Introduction: Mauriac first described a syndrome in 1930 of growth failure, delayed puberty and hepatomegaly in children with type 1 diabetes. This was in the era prior to long acting insulin analogues being available. With the now widespread availability of various insulin analogues and near patient testing to optimise glucose control, this syndrome was presumed to be of historical interest only. There are increasing reports in the literature of the resurgence of this once fo...

Introduction: NICE CG15 (2004) recommends that diabetic patients aged over twelve years receive seven key care processes. The National Paediatric Diabetes Audit (NPDA) aims to improve outcomes and quality of care in paediatric diabetes. The following describes what proportion of children with type 1 diabetes in our Paediatric Diabetes Unit (PDU) are receiving these seven key care processes in comparison to the NPDA (2013–14).Audit Methodology: Patie...

Introduction: NICE CG15 (2004) states that children with diabetes should receive care to achieve optimum control to reduce risk from diabetes complications. The National Paediatric Diabetes Audit (NPDA) aims to improve outcomes in paediatric diabetes. The following describes the outcomes of care in our Paediatric Diabetes Unit (PDU) in comparison to the NPDA (2013-14).Audit Methodology: Patients aged 1–17 years with a diagnosis of diabetes for &#880...

Hyponatremia complicates 1% of hospital admissions and can be associated with serious CNS effects. We report a case of an 84-year-old woman with longstanding hyponatremia resulting in several hospital admissions because of acute confusion due to severe hypoatremia. This case emphasizes the need to consider selective vasopressin V2-receptor antagonist (Tolvaptan) as a potential therapy for hyponatremia secondary to the syndrome of inappropriate antidiuretic hormone (SIADH)....

Introduction: Hypercalcemia due to parathyroid-hormone-related-peptide (PTHrP) is rare in neuroendocrine tumours.A 63-year-old lady initially presented to ENT surgeons with symptoms of reflux, dysphagia, and weight loss. Past medical history included hysterectomy eight years previously for uterine prolapse. There was no family history of note. Investigations revealed corrected calcium was elevated at 2.94 (2.1–2.5) mmol/l. ALP: 184 (30–135) U/l...

Whilst surgery and external beam radiotherapy remain cornerstones of the management of acromegaly, recent guidelines have emphasised the importance of adjunctive medical therapy [e.g. with somatostatin receptor ligands (SRLs), dopamine agonists, growth hormone (GH) receptor antagonists] in attaining 'safe' GH and insulin like growth factor 1 (IGF-1) levels, especially in patients who are not 'cured' following primary intervention. Several studies have established the efficacy ...

This study was designed to evaluate whether weight change in type 2 diabetes leads to deteriorating glycaemic control necessitating treatment escalation, or whether deteriorating glycaemic control results in medication change and possible weight gain.We studied 702 type 2 diabetic subjects with a follow-up of 56 plus/minus 2 months (mean plus/minus S.E.) treated on diet, metformin or sulphonylurea, alone or in combination. Patients who remained on diet alone (40 plus/minus...

The Diabetes Control and Complications Study, United States, and the United Kingdom Prospective Diabetes Study both reported increasing weight gain in all groups of patients with diabetes. The present study was designed to examine retrospectively if this was the experience in a clinic with an emphasis on weight loss as a central component of the treatment offered, facilitated by frequent clinic visits, the attendance of a dietitian at all clinics, a relatively low rate of insu...