The great enabler: how technology is helping to improve patient outcomes in paediatric diabetes
DOI:
https://doi.org/10.15277/bjdvd.2015.017Abstract
UK management and control of paediatric type 1 diabetes remains amongst the poorest in Europe. An integrated strategy being implemented in north-west England shows that the effective use of technology can improve the management of paediatric diabetes. The adoption of a diabetes information management system is helping the multidisciplinary diabetes team identify trends and tailor individualised patient solutions, while monthly audit and data analyses of patients’ HbA1c is enabling the easy identification of patients requiring intervention.References
Diabetes UK. UK has world’s 5th highest rate of Type 1 diabetes in children(2013). http://www.diabetes.org.uk/About_us/News_Landing_ Page/UK-has-worlds-5th-highest-rate-of-Type-1-diabetes-in-children/
National Institute for Health and Care Excellence. Type 1 diabetes: Diagnosis and management of type 1 diabetes in children, young people and adults. NICE guidelines [CG15] 2004. http://www.nice.org.uk/guidance/CG15
Department of Health. Making every young person with diabetes matter: Report of the Children and Young People with Diabetes Working Group. 2007. Available at http://www.rcpch.ac.uk/improving-child-health/quality-improvement-and-clinical-audit/national-paediatric-diabetes-audit-n-0#National Paediatric Diabetes Audit Report 2012-2013
National Paediatric Diabetes Audit. http://www.hqip.org.uk/assets/NCAPOP-Library/NCAPOP-2012-13/Diabetes-Paediatric-Audit-Report-pub-2012.pdf
Diabetes UK. High quality care for children and young people with type 1 diabetes in the UK (March 2013). http://www.diabetes.org.uk/About_us/What-we-say/Specialist-care-for-children-and-adults-and- complications/High-Quality-Care-for-Children-and-Young-People-with-Type-1-Diabetes-in-the-UK/
Royal College of Paediatrics and Child Health. National Paediatric Diabetes Audit (2010-11). http://www.rcpch.ac.uk/national-paediatric-diabetes-audit-npda
Royal College of Paediatrics and Child Health. National Paediatric Diabetes Audit Report (2012-2013), http://www.rcpch.ac.uk/improving-child-health/quality-improvement-and-clinical-audit/national-paediatric-diabetes-audit-n-0#National Paediatric Diabetes Audit Report 2012-2013
NHS Diabetes. National Paediatric Diabetes Service Improvement Delivery Plan 2013-2018. http://www.diabetes.org.uk/documents/nhs-diabetes/paediatrics/nationalpaediatricdiabetesserviceimprovementdeliveryplan2013-2018.pdf
Vizard M. Unlocking funding for childhood diabetes in the UK. Br J Diabetes Vasc Dis 2013;13:249–52. http://dx.doi.org/10.1177/1474651413506169
Hsia Y, Neubert AC, Rani F, et al. An increase in the prevalence of type 1 and 2 diabetes in children and adolescents: results from prescription data from a UK general practice database. Br J Clin Pharmacol 2009;67:242-9. http://dx.doi.org/10.1111/j.1365-2125.2008.03347.x
Stanescu DE, Lord K, Lipman TH. The epidemiology of type 1 diabetes in children. Endocrinol Metab Clin North Am 2012;41:679-94. http://dx.doi.org/10.1016/j.ecl.2012.08.001
Department of Health. The Power of Information: putting us all in control of the health and care information we need. http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213689/dh_134205.pdf
Department of Health. Six years on. Delivering the Diabetes National Service Framework. http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_112511.pdf
NHS. Glucose Self-Monitoring in Diabetes. Diabetes Factsheet No. 32 (December 2010). http://www.diabetes-support.org.uk/info/downloads/Diabetes_Factsheet.pdf
Diabetes UK Southport, Formby and Ormskirk Children’s Voluntary Group. Welcome to the Lancelots Children’s Diabetic Club. https://www. facebook.com/pages/The-Lancelots-Childrens-Diabetes-Support-Network/168371203222856
Ng SM, Finnigan L, Connellan L, Kiernan C, Coward S. Improving paediatric diabetes care with the use of an integrated paediatric electronic diabetes information management system and routine uploading of blood glucose meters and insulin pumps in outpatient clinics. 999 2014;99:1059. http://dx.doi.org/10.1136/archdischild-2014-307021
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