Endocrine Abstracts

Background: There exists low confidence in prescription of multiple daily injections (MDI) for newly diagnosed Type 1 Diabetes Mellitus paediatric patients among paediatric doctors at Basildon & Thurrock University Hospital (BTUH).Aim: To improve the confidence in MDI discharge prescriptions for paediatric doctors of all grades via adaptation of local guidelines.Methods: We des...

Introduction: The role of vitamin D in GD is poorly understood. The aim was to compare vitamin D levels in newly diagnosed patients with GD with the general population and to correlate vitamin D levels at diagnosis with laboratory and clinical parameters in GD. Moreover, we examined genetic variation in genes involved in the vitamin D metabolism and their association with GD.Material and methods: Levels of vitamin D were compared in 292 patients with new...

Aims: To assess the impact of socio-economic deprivation on access to diabetes technology, specifically insulin pumps, and its outcome in children with type 1 diabetes.Methods: We designed a retrospective, observational single-centre study of patients attending the paediatric unit at Basildon & Thurrock University Hospital (BTUH). The study included all patients actively receiving diabetic care as of April 2023, incl...

Background: Central hypothyroidism (CeHT) is uncommon in children. CeHT is often part of multiple pituitary hormone deficiency but can occur in isolation, and may occasionally be due to mutations in TSHB, TRHR or IGSF1, involved in TRH signalling. We present an adolescent with a novel truncating mutation of IGSF1.Case presentation: A 15-year-old male was referred for pubertal delay, obesity and abnormal TFTs (FT4 (6.5 pmol/l [8...

Background: The NPDA has been providing annual audit reports to paediatric units in UK from 2003 and a compliance report for 7 care processes since 2016–2017. Over the years the focus on the type of data and implications of data has changed and become more focused especially after introduction of BPT and PEER review. The paediatric diabetes services at Basildon and Thurrock University Hospitals (BTUH) were identified as negative outliers in 2016–2017 NPDA report. A Q...

Objective: Denosumab is a highly specific MAB, which binds to RANK Ligand thus inhibiting osteoclast formation, function and survival1.It’s efficacy in the treatment of osteoporosis was demonstrated in the FREEDOM trial which was an international, randomised, placebo controlled trial involving 7686 post menopausal women. The trial demonstrated a reduction in risk for vertebral fractures (68%), non vertebral fractures (20%), and hip fractu...

Background: Thyroiditis is ‘the disorder in which there is inflammation of the thyroid gland’. If diagnosed earlier have often good chances of recovery. Limited data is available related to this problem from low income countries and hence there is delay in the diagnosis and management of this important disorder. The objective of the study was to assess the clinical presentations and early outcome of patients presenting with thyroiditis in a tertiary care hospital.</p...

Aims: In 2005 we defined a specific reference range for TSH in our pregnant population. We have assessed whether this has resulted in changed management of treated hypothyroidism in pregnant.Methods: The management of 73 mothers (Group 1) between January 2000 and July 2005 was compared to that of 67 mothers (Group 2) between August 2005 and December 2009. The upper limit of normal for TSH was 4.5 mU/l till July 2005; the specific TSH range defined for pr...

In 1999 Haddow et al (NEJM; 1999; 314:549) reported neuropsychological deficits in babies born to inadequately treated hypothyroid mothers. We have compared our management of treated hypothyroidism in 30 pregnancies in 24 mothers delivered before 2000 to 37 pregnancies in 33 mothers since.TSH levels were measured at booking in 22 (73%) in the pre-2000 group, 6 (27%) of which were raised; and 32 (86%) in the post-2000 group where 12 (38%) were raised. 7 m...

Aim: To empower our patients/parents to self-manage Type 1 diabetes (T1dm) by providing them with required knowledge and skills.Method: We identified 10 motivated, mostly newly diagnosed T1dm patients and their families. We organised a master-class to educate them on how to use DIASEND to review blood sugars, identify patterns and adjust Insulin doses. We conducted weekly DIASEND clinics for 6 weeks and fortnightly for another 6 weeks (phone call/email)....