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• W4292121439 abstract "<h3>Aims</h3> Around 3000 new Paediatric Diagnosis of Type 1 Diabetes Mellitus a year in the UK, with around 25% presenting in Diabetic Ketoacidosis. Prompt recognition and referral of children with suspected Diabetes is vital to prevent life threatening Diabetes Ketoacidosis and its consequences. NICE recommendations state to refer children and young people with suspected Type 1 Diabetes Mellitus immediately (on the same day) to a multidisciplinary Paediatric Diabetes team. Our Aims were to: Establish the current practice in diagnosing Type 1 Diabetes in children at a District General Hospital.-Compare the current practice to a set standard of practice by NICE and BSPED (see table 1 (Diabetes in children and young people Quality standard [QS125] Published: 14 July 2016)). -Identify potential areas of improvements and concerns. -Give recommendations based on the results of the study. <h3>Methods</h3> <h3>Population</h3> Patients ages 16 and below who were admitted to Lincoln County Hospital and Pilgrim Hospital Boston with a new Diagnosis of Type 1 Diabetes. Retrospective study from 01/03/2020 till 31/12/2020 with data collection done from November 2020 till January 2021.Information extracted from Patients medical motes and Questionnaire see figure 1 (Questionnaire: Early Diagnosis of Type 1 Diabetes Audit 2020, Lincoln County Hospital). <h3>Results</h3> Total patients included 25 (22 at Lincoln, 3 at Boston) Age groups- 0-5 years : 2 patients 6-10 years: 6 patients, 11-16 years : 14 patients. sex- Females 8, Males 17. 43% Presented with Diabetic Ketoacidosis and 57% were not in Diabetic Ketoacidosis. Diagnosis of Type 1 Diabetes and Diabetic Ketoacidosis was done as per the NICE/BSPED clinical guidelines. -Duration of symptoms before presenting to GP or A&E were between 2 days and 6 weeks. -Delay in review by GP in 12%.- Delay in referral to Paediatric team in 8%. <h3>Reasons for delay were</h3> -One patient with glycosuria was treated for UTI and had a delay in referral to the Paediatric team of 2 weeks. -Awaiting negative Covid screen results, average delay of 3 days till GP review. - GP arranged bloods as Out Patient, with no referral to Paediatric team on the same day. <h3>Conclusion</h3> Diagnosis was delayed by >24 h (median 3.0 days, range 1-14 days) in 20% (8) Our recommendations 1. Make sure every child with suspected Type 1 Diabetes Mellitus gets referred for as assessment on the same day by a Paediatric team. 2. To add the requirement of referral on the same day to GP referral system. 3 Educational Activities and training for GP and Paediatric teams to improve awareness. Feedback in case of delayed referral. 4. If bloods are booked at GP surgery an electronic alert system for same day referral to Paediatric teams. <h3>Referrences</h3> 1. Diabetes type 1 and 2 in children and young people: Diagnosis and management. NICE guideline (NG18) 1st published 2015, Updated December 2020. 2. Care of the well child with newly diagnosed type 1 diabetes- BSPED guidelines-update 2019. 3. Sundaram PC, Day E, Kirk JMW. 2009. Delayed diagnosis in type 1 diabetes mellitus. Archives of disease in childhood, 94(2), pp.151-152. 4. Kear C, Fisher T, Westwood E, Sachdev P, Denvir L. 2016. G194 (P) delayed diagnosis of type 1 diabetes in children." @default.
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• W4292121439 date "2022-08-01" @default.
• W4292121439 modified "2023-09-30" @default.
• W4292121439 title "1316 Type 1 diabetes mellitus: early diagnosis and referral" @default.
• W4292121439 doi "https://doi.org/10.1136/archdischild-2022-rcpch.458" @default.
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