Searchable abstracts of presentations at key conferences in endocrinology

ea0036d1.2 | Debate: Children with diabetes should be managed centrally | BSPED2014

Children with diabetes should be managed locally

Hopper Neil

Paediatric diabetes is a common, chronic, largely self managed disease. The problems children and young people deal with are complex and wide-ranging in scope. The key to success lies in close, personalised support and education for families facing this condition by an MDT who knows them well and is familiar with the local environment.I will put the case that this is best delivered in the UK by properly trained, resourced and accountable local teams, sup...

ea0051p032 | Miscellaneous/other | BSPED2017

Cutaneous rash mimicking acanthosis nigricans in a child with type 1 diabetes mellitus

Gurudutt Divya , Hopper Neil

Background: Cutaneous manifestations in children with type 2 diabetes mellitus is well known. We describe a child with background of poorly controlled type 1 diabetes mellitus who presented with cutaneous lesions posing a diagnostic challenge.Case: A male child BS, was diagnosed with type 1 diabetes mellitus at the age of 8 yrs. He subsequently developed coeliac disease. He had a background of extensive social problems and had been placed on child protec...

ea0033p33 | (1) | BSPED2013

Transition of young people with diabetes: 3 years experience in a single centre

Balasubrahmanyam Vani , Hopper Neil

Background: Transitioning of children with chronic illnesses into adult services is a major challenge. The diabetes transition process in our unit was being redesigned and this audit was performed to provide a historical benchmark relating to the previous setup. During the audit period, young people had a joint appointment in the paediatric service with an adult nurse specialist and then were referred by letter to the adult diabetes team.Aim: We collecte...

ea0030p63 | (1) | BSPED2012

A regional survey of postnatal management of babies at risk of neonatal thyrotoxicosis

Thomas Victoria , Hopper Neil

Neonatal thyrotoxicosis (NT) is a rare condition caused by the transplacental passage of maternal thyroid-stimulating antibodies from mothers with active GravesÂ’ disease or a past history of the condition. We suspected that there were wide differences in the way that babies at risk of NT were managed in our locality and undertook a survey to establish the local approach to this clinical problem.Method: The lead clinician who was considered most like...

ea0058p081 | Diabetes | BSPED2018

Introduction of carbohydrate counting from diagnosis is associated with significant reduction in HbA1c in children with type 1 diabetes

Saranga Shyam S M , Henderson David , Thomas Vicky , Copley Sian , Hopper Neil W

Introduction: NICE NG18 recommends level 3 carbohydrate counting from diagnosis for CYP diagnosed with Type 1 Diabetes. Our unit introduced in-patient level 3 carb counting from day 1 in 2015 in response to an audit demonstrating sub-optimal control in the first year of treatment.Methods: We carried out a longitudinal study of HbA1c in paediatric patients during the first year of diagnosis in two time periods, before and after the introduction of carb co...

ea0024oc4.2 | Oral Communications 4 (Brief Communications) | BSPED2010

Medium term impact of continuous subcutaneous insulin infusion (CSII) on HbA1c levels: A regional meta-analysis of 185 patients

Sinha A , Butt A , Hopper N , Mukundan T , Posner E , Jani J , Jamil F , Ahmed J , Norrington A , Burns M , Birrell G , Lamb B , Cheetham T

Background: The use of CSII in children with T1DM is increasing. Several meta-analyses have concluded that there is an improvement in glycaemic control with CSII but most of these investigations have included adults and have been of short duration (<6 months). Our aim was to assess the medium term impact of CSII on HbA1c levels in patients managed with CSII in one region of The UK.Methods: Data was collected retrospectively from 7 centres within Nort...

ea0020p463 | Obesity and Metabolism | ECE2009

Are hypothalamic oscillators dysfunctional with high fat feeding?

Namvar Sara , Gyte Amie , Birtles Susan , Myatt John , Leighton Brendan , Piggins Hugh

Circadian rhythms in behaviours and gene expression are driven by the autonomously rhythmic cells of the hypothalamic suprachiasmatic nucleus (SCN). In nocturnal rodents, restricting a daily meal to the lights-on phase, leads to entrainment of behaviour and gene expression in many extra-SCN hypothalamic nuclei and peripheral tissues. This anticipatory activity is independent of the SCN and is likely to arise from the activities of multiple hypothalamic centres including the do...