Conclusion- Medication adherence was reduced during school holidays and on weekends in children with T1D. Clinical characteristics including socioeconomic status and the presence of adverse effects did not predict adherence.. To read the full article, log in using your NHS OpenAthens details.
A 5-year-old boy with known type 1 diabetes mellitus (T1DM), treated with insulin, presents to the paediatric diabetes outpatient department for his routine clinic review. The family have started the boy on a ketogenic diet (<50 g of carbohydrates daily with target blood ketones of 2–3 mmol/L) to improve his diabetes control and for additional perceived health benefits. On the ketogenic diet, the patient’s insulin needs decreased, his HbA1c is good (41mmol/L/5.2%) and his height and weight are increasing along the 75th centile for his age. He has normal screening bloods (including lipids) and a normal ECG.
The paediatric diabetes multidisciplinary team traditionally recommend a low-fat, high-carbohydrate diet for children with T1DM. The team have no experience of using a ketogenic or low-carbohydrate diet for the management of T1DM in children treated with insulin. You wonder if there is evidence to support the ketogenic diet in children with T1DM and if there are potential risks associated with the low-carbohydrate diet.. To read the full article, log in using your MPFT NHS OpenAthens details.
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A 5-year-old boy with known type 1 diabetes mellitus (T1DM), treated with insulin, presents to the paediatric diabetes outpatient department for his routine clinic review. The family have started the boy on a ketogenic diet (<50 g of carbohydrates daily with target blood ketones of 2–3 mmol/L) to improve his diabetes control and for additional perceived health benefits. On the ketogenic diet, the patient’s insulin needs decreased, his HbA1c is good (41mmol/L/5.2%) and his height and weight are increasing along the 75th centile for his age. He has normal screening bloods (including lipids) and a normal ECG.
The paediatric diabetes multidisciplinary team traditionally recommend a low-fat, high-carbohydrate diet for children with T1DM. The team have no experience of using a ketogenic or low-carbohydrate diet for the management of T1DM in children treated with insulin. You wonder if there is evidence to support the ketogenic diet in children with T1DM and if there are potential risks associated with the low-carbohydrate diet.. To read the full article, log in using your NHS OpenAthens details.
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Open access. To investigate associations between takeaway meal consumption and risk markers for coronary heart disease, type 2 diabetes and obesity risk markers in children.
There are approximately 3.5 million people living in the UK who have been diagnosed with type 1 or type 2 diabetes—in England and Wales, approximately 26 500 of these are children and young people under 18 years of age, with >95% suffering from type 1 diabetes. These individuals carry a lifetime risk of serious long-term complications such as cardiovascular disease and increased risk of strokes and/or heart disease, blindness (retinopathy), kidney disease (nephropathy), peripheral vascular disease and neuropathy with increased risk of limb amputations. Current research demonstrates that for a child diagnosed with type 1 diabetes, the expected loss of life expectancy is 10–12 years.1 This risk can be substantially reduced with good diabetes care and careful blood glucose control, thereby reducing the burden of cost to the patient, family and the National Health Service (NHS).. To read the full article, log in using your NHS OpenAthens details.
We’ve just heard that SSOTP will not be renewing their agreement with SSSFT LKS for library services for this financial year. Because of this we will be reviewing our Be Aware bulletins. Sadly we won’t be accepting any new sign-ups from SSOTP staff and will be withdrawing some of the physical healthcare bulletins that we…
To determine accuracy, safety and acceptability of the FreeStyle Libre Flash Glucose Monitoring System in the paediatric population. To read the full article, log in using your NHS OpenAthens details.
It is unlikely that the screen time itself is causing an increase in risk; more that this could indicate a more sedentary lifestyle.
One concern is that the data was collected before the use of smartphones and tablets became widespread in children. So it could be the case that screen time use has now increased among children, but we would need further research to confirm this.
This guideline covers the diagnosis and management of type 1 and type 2 diabetes in children and young people aged under 18. The guideline recommends strict targets for blood glucose control to reduce the long-term risks associated with diabetes.
Commentary on:
Price KJ, Knowles JA, Fox M, et al. Effectiveness of the Kids in Control of Food (KICk-OFF) structured education course for 11–16 year olds with type 1 diabetes. Diabet Med 2016;33:192–203.
Implications for practice and research
Following a diagnosis of diabetes, group-based interventions should be part of a ‘toolbox’ of resources for children and young people (CYP) and parents and be embedded within routine care.
Group sessions delivered by trained educators, following an interactive developmentally appropriate curriculum may be particularly appropriate for 11–16-year-olds with suboptimal (HbA1c>80 mmol/mol, 9.5%) control.
Involving CYP and parents in and throughout the research process is key to enhancing engagement and ensuring research is relevant and meaningful.
Evaluating the impact of group dynamics, daily peer support and parental involvement could enhance future studies. To read the full article, log in using your NHS OpenAthens details
When a GP suspects a child or young person has diabetes, they should immediately be sent to hospital and seen the same day by a specialist, a new NICE quality standard says.
Come and visit our first pop-up library at Severn Fields, Shrewsbury 19th July 11.00am-3.00pm. Join the library, borrow and return books, get help finding information and evidence, set up an Athens account, find out what the library can do for you and your team.
The main aim of this study was to compare the long-term effect on glycometabolic control of eHealth intervention and traditional care in T1DM SAP-treated adolescents. In our study we demonstrated a favorable impact of monthly teleassistance on treatment compliance. Adolescents receiving frequent feedback provided by the medicalmultidisciplinary team, You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The National Paediatric Diabetes Audit (NPDA) 2014/15, published today by the Royal College of Paediatrics and Child Health (RCPCH) clearly demonstrates that, overall children and young people with diabetes - the vast majority of whom have Type 1 diabetes - are achieving better control thereby reducing their lifetime risk of diabetes-associated complications such as kidney disease, blindness and amputations.
The 2010 Children, Schools and Families Act and the Children and Families Act 2014 introduced a legal duty on schools to look after children with medical conditions. However, last year the Children and Young People’s Transformation programme of the Healthy London Partnership (a collaboration between the 32 CCGs in London and NHS England) was approached by parents about the difficulties they were experiencing in accessing appropriate care for their children.
Aim Adequate sick-day management at home can reduce the risk of progression to diabetic ketoacidosis and admission to hospital. The aim of this project was to review the management of diabetes during illness. Login using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://www.sssft.nhs.uk/library
Background Children with type 1 diabetes mellitus (T1DM) are at increased risk of coeliac disease (CD). Recent guidelines indicate coeliac screening should include HLA typing for CD predisposing (DQ2/DQ8) alleles and those negative for these alleles require no further coeliac screening. To read the full article, log in using your NHS Athens
NHS England has published a non-mandatory diabetes transition service specification that sets out a best practice provision model for services for children and young people with diabetes.
The document is intended to support commissioners in improving outcomes and has been developed to support improvements to existing children and young people’s and adult diabetes services to ensure that they take account of the needs of people up to the age of 25.
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Advice on using social media, texts and Skype to keep young people engaged in treatment for their diabetes has been published as part of wider information to help commissioners improve care transition.
NHS England has produced a new service specification to help improve services for young people transferring from child to adult services or from one service to another geographically.
There are currently 27,000 children and young people in England with Diabetes, 96 per cent of whom have Type 1.
Evidence shows the longer between appointments the higher the chance of a young person developing psychosocial issues such as anxiety and depression and increased HbA1c. Diabetes is also linked to higher rates of eating disorders.
Weight increase during the first year of an infant’s life is positively associated with the risk of developing type 1 diabetes, an analysis of two large Scandinavian birth cohorts has found. To read the full article, log in using your NHS Athens
We're currently making some changes in the background of our email updates to solve some problems we've been having recently. During our testing phase this may automatically generate some alerts, which will show below, but you can ignore these! If all goes according to plan we will be resuming normal service in the next week…