Documente Academic
Documente Profesional
Documente Cultură
P150
Contrasting relationships between sleep
duration and central obesity in South Asians
and White Europeans with Type 2 diabetes
AA Tahrani1,2, K Dubb1, S Begum2 and MJ Stevens1,2
1
Centre of Endocrinology, Diabetes and Metabolism, University of
Birmingham, Birmingham, UK, 2Department of Diabetes and Endocrinology,
Birmingham Heartlands Hospital, Birmingham, UK
DIABETICMedicine
P152
An audit to determine and improve the
attendance of the X-PERT programme among
a Greater Manchester general practice
population of patients with Type 2 diabetes
V Grannon1 and J Hider2
1
73
DIABETICMedicine
P153
An audit investigating how clinical
outcomes on pump services can be achieved
through intensive follow-up via face-to-face
and distance consultation
S Salehi, H Addington, K Turner and K Vithian
Diabetes Centre, Colchester Hospital University NHS Foundation Trust,
Colchester, UK
P154
The use of GLP-1 agonist liraglutide:
adhering to guidelines?
J Fatima and S Pearce
Diabetes, Wrightington, Wigan and Leigh NHS Trust, Wigan, UK
74
P155
Diabetes in the very elderly: need for an
individualised approach
S Bellary1,2 and A Oluwatoyin1
1
Aston Research Centre for Healthy Ageing, Aston University, Birmingham,
UK, 2Diabetes Department, Heart of England NHS Foundation Trust,
Birmingham, UK
P156
Influenza vaccine effectiveness against
hospitalisation and death in people with
Type 2 diabetes
EP Vamos1, UJ Pape1, V Curcin2, MJ Harris1, J Valabhji3,
A Majeed1 and C Millett1
1
Department of Primary Care and Public Health, Imperial College London,
London, UK, 2Department of Computing, Imperial College London, London,
UK, 3Department of Diabetes and Endocrinology, St Marys Hospital, Imperial
College Healthcare NHS Trust, London, UK
P157
Achievement of treatment targets: reaching
a plateau? Results from the National
Diabetes Audit in England
B Young1, N Holman2, L Dunn3, A Uddin3, J Hope3 and
R Gadsby4
1
Diabetes and Endocrinology, Salford Royal Hospital, Salford, UK, 2Public
Health England, York, UK, 3Health and Social Care Information Centre, Leeds,
UK, 4Institute of Diabetes in Older People, University of Bedfordshire, Luton, UK
DIABETICMedicine
P158
Referral pattern and outcome in elderly
inpatients with diabetes: impact of the
diabetes inpatient team on outcome and
glycaemic control
AA Syed, H Maurice, C Holmes, N Taylor and A Mahmood
Diabetes, Heartlands Hospital, Birmingham, UK
P159
SCI-Diabetes inpatient tracking system:
could this support a Scottish National
Diabetes Inpatient Audit?
GM Brennan1, D Voigt1 and C Flach2
1
Diabetes Centre, Ninewells Hospital, Dundee, UK, 2Clinical Technology
Centre, Ninewells Hospital, Dundee, UK
75
DIABETICMedicine
P160
Management of diabetic ketoacidosis:
comparison against standards using an
online audit tool
S Parthasarathy1, K Ellis1, A Smith2, A Crown1 and N Vaughan1
1
2
Aim: To investigate CVD and its risk factors in people with Type
2 diabetes of different ethnicity living in Scotland.
Methods: Data from Scottish Care Information
Diabetes
Collaboration (SCI-DC) were linked to Scottish Morbidity
Records (SMR01) and National Records of Scotland for
mortality. Of 156,991 people with Type 2 diabetes with coded
76
P162
Ethnicity and risk of cardiovascular disease
(CVD): 4.8 year follow-up of patients with
Type 2 diabetes in Scotland
MO Malik and SDRN Epidemiology Group
British Heart Foundation (BHF) Glasgow Cardiovascular Research Centre,
University of Glasgow, Glasgow, UK
DIABETICMedicine
P163
Management of hyperglycaemia in patients
with acute coronary syndrome
P Hegde, N Ormsby, FM Kaivani and D Bowen-Jones
Department of Diabetes and Endocrinology, Wirral University Teaching
Hospital, Wirral, UK
P166
Four cases of radiological diabetic foot
osteomyelitis prior to clinical presentation
1
Department of Diabetes and Endocrinology, Central Middlesex Hospital,
London, UK, 2Department of Radiology, Central Middlesex Hospital, London,
UK
P165
Diagnostic and therapeutic challenge in a
patient with mixed phenotype diabetes
P167
Use of a ketogenic diet in an adolescent
with Type 1 diabetes and epilepsy on insulin
pump therapy
1
Oxford Centre for Diabetes, Endocrinology and Metabolism, University of
Oxford, Churchill Hospital, Oxford, UK, 2Oxford National Institute for Health
Research (NIHR) Biomedical Centre, Churchill Hospital, Oxford, UK,
3
Radiology Department, Oxford University Hospitals NHS Trust, Oxford, UK
1
Child Health, University of Dundee, Dundee, UK, 2Paediatics, NHS Tayside,
Dundee, UK, 3Paediatrics, NHS Grampian, Aberdeen, UK
77
DIABETICMedicine
P168
Two cases of hepatoselective insulin being
less efficacious in patients with
non-alcoholic fatty liver disease and
hypertriglyceridaemia
MB Whyte1, A Quaglia2 and A Hopkins1
1
2
P169
First presentation of autoimmune diabetes
at age 89 years
S Ahmad, M Patel, LKD Premawardhana and M Adlan
Diabetes and Endocrine, Ysbyty Ystrad Fawr, Ystrad Mynach, Hengoed, UK
78
the pancreas was entirely normal. She was given an insulin infusion
and later twice daily subcutaneous insulin with symptomatic
improvement and resolution of metabolic abnormalities. This
subject was unusual for several reasons: (a) first presentation of
autoimmune diabetes with significant metabolic derangement at
the age of 89 years is rare; (b) her diabetes was part of an endocrine
diathesis as evidenced by the presence of autoimmune
hypothyroidism; (c) the presence of autoimmune antibodies at
very high levels is also unusual for this age group. Although the
first presentation of Type 1 diabetes is rare at the age of 89 years,
clinicians should be aware of this possibility even in the very
elderly.
P170
Diabetic enthesopathy: a distinct clinical
entity in foot pathology
F Medici1 and S Rowe2
1
Department of Metabolic Medicine, Homerton University Hospital NHS
Foundation Trust, London, UK, 2Department of Radiology, Homerton
University Hospital NHS Foundation Trust, London, UK
P171
Truncal neuropathy and generalised
oedema: two rare complications of insulin
initiation in the same patient
NK Tufton, SW Coppack and MSB Huda
Endocrine and Diabetes, Royal London Hospital, Barts Health Trust, London,
UK
P172
A description of two patients with Type 1
diabetes living in a high secure psychiatric
hospital: their journey moving from fixed
dose to self-directed variable dose insulin
using an individualised adaptation of the
Bournemouth Type 1 Intensive Education
(BERTIE) Programme and a unique
calculation tool
D Edson and T Humphries
Rampton High Secure Psychiatric Hospital, Nottinghamshire NHS Trust,
Retford, UK
DIABETICMedicine
P173
Chemotherapy for diabetes? Improved
glycaemic control following
commencement of sunitinib
A Puttanna and A Wright
Diabetes and Endocrinology, Walsall Healthcare NHS Trust, Walsall, UK
P174
Thalamic abscess as the presenting feature
of Type 2 diabetes
I Karageorgiou1, C Chandler2 and MB Whyte1
1
79
DIABETICMedicine
P175
Third nerve palsy as a presenting feature of
Type 2 diabetes
P177
Lucky or unlucky: a case report of
development of latent onset Type 1
diabetes following gastric bypass surgery
for morbid obesity and Type 2 diabetes
P176
A case of haemochromatosis and diabetes: a
missed opportunity
1
1
Department of Diabetes, The County Hospital, Hereford, UK, 2Diabetes and
Endocrinology Department, Peterborough City Hospital, Peterborough, UK
P178
A case of non-diabetic ketoacidosis in
pregnancy
L Turner and A Gallagher
Department of Diabetes and Endocrinology, University Hospitals of Leicester
NHS Trust, Leicester, UK
80
P179
Alcoholic ketoacidosis mimicking diabetes
ketoacidosis
WMHS Chandrasekara1, FJ Burton2 and C Jayawarna1
1
Acute Medicine, Stepping Hill Hospital, Stockport, UK, 2Endocrinology and
Diabetes, Stepping Hill Hospital, Stockport, UK
P180
Observational outcome data using
glulisine during pre-conception and
throughout pregnancy in women with
Type 1 diabetes
H Chenoweth and H Probert
Diabetes and Endocrine Centre, Royal Cornwall Hospital, Truro, UK
DIABETICMedicine
P181
A case of coexisting lipohypertrophy and
lipoatrophy
RPK Lim1,2, P Joseph2, K Leong2, KS Leong1,2 and
M Banerjee1,2
1
Diabetes and Endocrinology Department, Wirral University Teaching Hospital
NHS Foundation Trust, Upton, UK, 2Diabetes Department, Clatterbridge
Hospital, Wirral University Teaching Hospital NHS Foundation, Bebington, UK
81
DIABETICMedicine
P182
Timing of access to secondary healthcare
services and lower extremity amputations
in people with diabetes: a case control study
CM Buckley1,2, F Ali3, G Roberts3, PM Kearney2, IJ Perry2 and
CP Bradley1
1
P183
Mycotic infection in diabetic foot ulcers: a
cause of non-healing
Z Htike1, R Jogia2, D Modha3, R Berrington2, K Nisal2,
S Jackson2 and MF Kong2
1
82
P184
Resistant hypoglycaemia in post-Roux-en-Y
gastric bypass surgery
R Khan, A Jamalfar, P Jacob and SW Coppack
Department of Endocrinology and Diabetes Mellitus, St Bartholomews
Hospital, Barts Health NHS Trust, London, UK
P185
Progressive cerebellar ataxia and new onset
diabetes
M Kong1,3, G Glibert2, F Baleanu1 and R Karmali1
1
Department of Diabetes and Endocrinology, Centre Hospitalier Universitaire
Brugmann, Brussels, Belgium, 2Department of Neurology, Centre Hospitalier
Universitaire Brugmann, Brussels, Belgium, 3Department of Diabetes,
University Hospitals of Leicester NHS Trust, Leicester, UK
travel had been to Dubai and Europe. MRI scan of the brain and
spine was essentially normal. Detailed laboratory profile was
normal apart froma fasting blood glucose of 8.6mmol/l and a
dyslipidaemia. A paraneoplastic syndrome was considered but
investigations were negative. A repeat fasting glucose of 9.0mmol/l
confirmed diabetes and he was started on metformin. He had no
family history of diabetes or of autoimmune diseases.
Autoantibodies to glutamic acid decarboxylase (GAD-ab) were
checked and were very high (>250IU/ml). Islet cell antibodies were
positive at a titre of 25,600. A diagnosis of autoimmune cerebellar
ataxia was suspected and confirmed by the presence of high titres
of GAD-ab in the cerebrospinal fluid. He has responded poorly to
treatment. A year after diagnosis of his diabetes his blood sugars
remain well controlled on metformin only. Thyroid, adrenal,
parietal cell and gliadin antibodies were negative. Autoimmune
cerebellar ataxia related to GAD-ab is a rare condition that
typically affects women with late-onset Type 1 diabetes or other
autoimmune disorders. Cerebellar ataxia, the second most
common syndrome associated with high GAD-ab levels, shares
with stiff-man syndrome the same demographic, clinical and
immunological features. Our patient most probably has latent
autoimmune diabetes of the adult.
P186
The chronic and acute management of
glycogen storage disease Type 1 causes
difficulties both in diagnosing diabetes and
managing glycaemic variability: a case
report
J Hazlehurst1,2, J Johnson3, T Geberhiwot1, P Newsome4,
J Webber1 and SG Ghosh1
1
Diabetes Centre, University Hospitals Birmingham, Birmingham, UK, 2Centre
for Endocrinology, Diabetes and Metabolism, University of Birmingham,
Birmingham, UK, 3Dietetics, Metabolic Liver Service, University Hospital
Birmingham, Birmingham, UK, 4Liver Biomedical Research Unit, University of
Birmingham, Birmingham, UK
DIABETICMedicine
P187
Diabetes ketoacidosis precipitated by
natalizumab infusion
N Choudhary, H Chenoweth and DL Browne
Diabetes and Endocrinology, Royal Cornwall Hospital Trust, Treliske, Truro,
UK
P188
Sudecks atrophy: an uncommon
complication of diabetes foot infection
SU Srinivas1,3, C Elliot1, N Majid1, R Narayanan1, S Keigan1,
P Chiran1 and N Mohsin2
1
Department of Diabetes and Endocrinology, St Helens and Knowsley
Teaching Hospitals NHS Trust, St Helens, UK, 2Department of Radiology,
St Helens and Knowsley Teaching Hospitals NHS Trust, St Helens, UK,
3
University of Manchester, Manchester, UK
83
DIABETICMedicine
P189
Hemichorea-hemiballismus in an adolescent
with Type 1 diabetes
R Srinivasan1, CI Woodward2, K Cudmore3, L Krishnan4,
V Raman5, M Venu1, J Saada2 and J Randall1
1
Diabetes and Endocrinology, James Paget University Hospitals NHS
Foundation Trust, Great Yarmouth, UK, 2Radiology, Norfolk and Norwich
University Hospitals, Norwich, UK, 3Accident and Emergency, James Paget
University Hospitals NHS Foundation Trust, Great Yarmouth, UK, 4Diabetes
and Endocrinology, Queen Elizabeth Hospital, Kings Lynn,UK, 5Paediatrics,
James Paget Hospitals NHS Foundation Trust, Great Yarmouth, UK
P190
Thick skinned
K Duncan, M Pass, P Ogilvie and R Nayar
Departments of Diabetes and Endocrinology, City Hospitals Sunderland NHS
Foundation Trust, Sunderland, UK
P191
One foot, two diseases: a case of Charcots
foot with superimposed osteomyelitis
D Blundell, U Aziz and V Oguntolu
Wolverhampton Diabetes Centre, Royal Wolverhampton NHS Trust,
Wolverhampton, UK
84
P192
Transforming diabetes of pregnancy
K Duncan, M Pass and R Nayar
Department of Diabetes and Endocrinology, City Hospitals Sunderland NHS
Foundation Trust, Sunderland, UK
P193
Severe oedema: a rare complication of
insulin therapy
RS Manjunatha, UY Raja, R Mahto and PM Horrocks
Department of Diabetes and Endocrinology, Warwick Hospital, Warwick, UK
DIABETICMedicine
P194
Charcot neuroarthropathy in a patient with
Type 1 diabetes and Charcot Marie tooth
disease
N Ibraheem and K Jacob
Diabetes and Endocrine, Pilgrim Hospital, Boston, UK
P195
85
DIABETICMedicine
diet and exercise. Having identified the success of CGM for the
diagnosis and management of CFRD, we have incorporated this
into our annual screening programme for all patients.
P197
Dapagliflozin in primary care: three case
studies
N Milne and N Kanumilli
Northenden Group Practice, Manchester, UK
P196
The sweet success of continuous glucose
monitoring for diagnosis and management
of cystic fibrosis related diabetes
P Dyce
Cystic Fibrosis, Liverpool Heart and Chest Hosptial, Liverpool, UK
P199
1
Diabetes and Endocrinology, Sheffield NHS Teaching Hospitals Foundation
Trust, Sheffield, UK, 2Diabetes and Endocrinology, Dewsbury NHS Trust,
Dewsbury, UK, 3Stroke Medicine, Sheffield NHS Teaching Hospitals
Foundation Trust, Sheffield, UK, 4Department of Human Metabolism,
University of Sheffield, Sheffield, UK
86
1
College of Life Sciences and Medicine, University of Aberdeen, Aberdeen,
UK, 2Grampian Retinal Screening Service, NHS Grampian, Aberdeen, UK
Clinical care and other categories posters: cerebral and cerebrovascular complications
P200
Is diabetes an important risk factor for
posterior circulation stroke? Lessons learnt
from retrospective case series
P Boovalingam, L Brawn, C Miller, N Pipalia, V Moore, R Day,
M Blake, V Srinivasan and D OKane
Department of Medicine, Northampton General Hospital, Northampton, UK
DIABETICMedicine
P201
Glycaemic management in acute stroke
S Muktar, N Hill, J Meegan, C Jairam, S Misra, O Geraghty and
N Oliver
1
Diabetes and Endocrinology, Charing Cross Hospital, Imperial College NHS
Trust, London, UK, 2Hyperacute Stroke Unit, Charing Cross Hospital, Imperial
College NHS Trust, London, UK
87
DIABETICMedicine
P203
Hospital admissions in young people with
Type 1 diabetes: results from a large
national matched cohort study
D Thayer1, A Sayers2, J Harvey3, M Atkinson1, J Warner4,
S Wong5, CM Dayan5, S Luzio1 and J Gregory5
1
College of Medicine, Swansea University, Swansea, UK, 2Department of
Social and Community Based Medicine, University of Bristol, Bristol, UK,
3
School of Medical Sciences, Bangor University, Bangor, UK, 4Department of
Child Health, University Hospital of Wales, Cardiff, UK, 5Institute of Molecular
and Experimental Medicine, Cardiff University, Cardiff, UK
P204
A third of patients within paediatric clinics
have endogenous insulin production:
implications for diagnosis and management
M Shepherd1,2, The UNITED team1, C Moudiotis3, B Fraser4,
K Mallam5, J Cox6, R Smith7, E Pearson8, B Shields1 and
AT Hattersley1
P206
Influence of a short-term school-based
intervention on the health behaviours and
prevalence of obesity among schoolchildren
and their parents: results of RATIONAL
HEALTH pilot programme
S Watson, AK Gupta and N Poulter
International Centre for Circulatory Health, Imperial College London, London,
UK
P207
Insulin adjustment for blood glucose and
carbohydrate content of meals from day 1
of diagnosis in children and adolescents
with Type 1 diabetes improves glycaemic
control by 3 months in a home-based
education programme
HL Mitchell, SA Greene, V Alexander, S Bluff, L McKenzie,
V Ramsay and C Sturrock
Child Health, NHS Tayside, Dundee, UK
P208
Hearing voices: do it in STYLE (Safe
Transition to Young Adult Life)
AD Thynne, PS Kar, J Head and L Albon
Diabetes Centre, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust,
Portsmouth, UK
88
1
National Institute for Health Research (NIHR) Exeter Clinical Research Facility,
University of Exeter Medical School, Exeter, UK, 2Research and Development,
Royal Devon and Exeter NHS Foundation Trust, Exeter, UK, 3Paediatric Unit,
Royal Devon and Exeter NHS Foundation Trust, Exeter, UK, 4Diabetes
Research Department, South Devon Healthcare NHS Foundation Trust,
Torquay, UK, 5Directorate of Child Health, Royal Cornwall Hospitals NHS
Trust, Truro, UK, 6Paediatric Department, Northern Devon Healthcare NHS
Trust, Barnstaple, UK, 7Children and Young Peoples Outpatient Department,
Plymouth Hospitals NHS Trust, Plymouth, UK, 8Division of Cardiovascular and
Diabetes Medicine, Medical Research Institute,University of Dundee, Dundee,
UK
P205
Improving transition from paediatric to
adult diabetes services: an audit of
changing models of care in a district general
hospital
J Witczak, M McClatchey, B Mumford, V Oldham, O Okosieme
and N Agarwal
Diabetes Centre, Cwm Taf Local Health Board, Merthyr Tydfil, UK
Clinical care and other categories posters: children, adolescents and young adults
P209
Young adolescent diabetes transition clinic
in a city hospital: are we making a
difference?
J Lloyd1, Z Khan1, L Hudson2, H Gandhi1, M Bandhakavi2 and
P De1
1
Department of Adult Diabetes and Endocrinology, City Hospital,
Birmingham, UK, 2Department of Paediatric Diabetes, City Hospital,
Birmingham, UK
DIABETICMedicine
programme and (ii) the key issues for young people with long-term
conditions and professionals involved in the transition process.
Methods: The following databases were searched from inception
to August 2012: MEDLINE, EMBASE, PsychINFO, CINAHL,
ASSIA, Social Services Abstracts, Academic Search Complete,
Social Science Citation Index, Cochrane and Campbell Libraries.
Selected studies included young people aged 11 25 diagnosed with
long-term conditions who were in transition from paediatric to
adult secondary healthcare services.
Results: Sixteen systematic reviews and 13 primary studies were
included from 9,992 records retrieved. No single transition model
was uniquely effective. The most successful transitions centred
around the following factors: young personfocused; age
and developmentally appropriate content and delivery; selfmanagement education; family participation; paediatric and adult
collaboration; designated transition clinics; transition coordinator;
young persons portfolio; specific professionals training;
multidisciplinary approach; structured process embedded in
service delivery. There were no distinctive characteristics of
condition-specific Type 1 diabetes services.
Conclusion: This important and timely review summarises the
key factors that need to be considered for the development of
transition programmes for young people with long-term
conditions, including those with Type 1 diabetes.
P211
A jointly staffed adolescent transitional
diabetic clinic improves glycaemic control
and attendance rates on transfer to the
adult service at a local district general
hospital
Y Khalid1, N Martin2 and S Joseph1
1
Diabetes and Endocrinology, East Kent Hospitals University and NHS
Foundation Trust, Margate, UK, 2Paediatric Endocrinology, East Kent
Hospitals University Foundation NHS Trust, Canterbury, UK
89
P210
A systematic review of transition models
for young people with long-term
conditions, including Type 1 diabetes
N Kime1, AM Bagnall2 and R Day3
1
DIABETICMedicine
P212
Barriers to good transitional diabetes care
in UK universities
KS Myint1, MJ Sampson1, C Price2, A Howes3, FM Swords1,
V Datta1, NK Thalange1 and J Kellett1,4
1
Diabetes and Endocrinology, Norfolk and Norwich University Hospitals NHS
Foundation Trust, Norwich, UK, 2University East Anglia Medical Practice,
University of East Anglia, Norwich, UK, 3Medical School, University of East
Anglia, Norwich, UK, 4Clinical Research and Trials Unit, Norfolk and Norwich
University Hospitals NHS Foundation Trust, Norwich, UK
P213
Introduction of the paediatric diabetes best
practice tariff associated with significant
improvements in HbA1c in a single centre
EJ Peters and NW Hopper
The Children and Young Peoples Diabetes Service, City Hospitals Sunderland
NHS Foundation Trust, Sunderland, UK
P214
Developing stakeholder agreed guidelines
for the support of children and young
people with diabetes in the school setting
MG Williams1, K Wilson2, C Pesterfield3 and CL Acerini4
1
Paediatric Diabetes, Queen Elizabeth Hospital NHS Foundation Trust, Kings
Lynn, UK, 2The East of England Paediatric Diabetes Network, Cambridge, UK,
3
Paediatric Diabetes, Cambridge University Hospitals NHS Foundation Trust,
Cambridge, UK, 4Paediatric Endocrinology and Diabetes, Cambridge
University Hospitals NHS Foundation Trust, Cambridge, UK
90
Clinical care and other categories posters: children, adolescents and young adults
P215
Could diabetic ketoacidosis at presentation
of Type 1 diabetes in children predict higher
insulin requirements?
B Khodaghalian1, AU Nayak1, GI Varughese1 and P Raffeeq2
1
Diabetes and Endocrinology, University Hospital North Staffordshire NHS
Trust, Stoke-on-Trent, UK, 2Paediatrics, University Hospital North
Staffordshire NHS Trust, Stoke-on-Trent, UK
P216
Ten years on: a review of paediatric patients
with diabetic ketoacidosis admitted to a
district general hospital
JS Woodside and ECA Stewart
Paediatric Department, Antrim Hospital, Antrim, UK
DIABETICMedicine
P217
Giving diabetes street cred: improving
young persons diabetes service
MZ Chen, D Stern, C Grove, V Parfitt and F Chau
Diabetes Unit, Southmead Hospital, Bristol, UK
P218
A stable incidence rate of childhood onset
Type 1 diabetes in Wales: the influence of
birth cohort
JN Harvey1, R Hibbs1, H OConnell2 and JW Gregory2
1
91
DIABETICMedicine
in 2006 and 2013 using data from primary care. Incidence rate was
modelled using Poisson regression analysis. Age-period-cohort
modelling was undertaken using a novel method we derived to
avoid the problem of identifiability with birth cohorts constructed
using exact date of birth.
Results: From 1995 to 2012 2,676 newly diagnosed cases were
identified. Ascertainment was satisfactory. Best fit models indicated
no further increase in incidence rate since 2000 and no further
increase before age 5years. The rate is currently 29 per 100,000
children annually. Changes in incidence rate were primarily
determined by birth cohort with period having minimal
92
Clinical care and other categories posters: diet, obesity, exercise and inflammation
P221
Community diabetes specialist nurse: value
for money or a role the National Health
Service can ill-afford?
S Smith
Diabetes, Royal Wolverhampton NHS Trust, Wolverhampton, UK
DIABETICMedicine
P223
Patients with Type 2 diabetes achieve
similar weight loss in a community weight
management programme to those without
Type 2 diabetes
AC Wright1, A Brown1, R Golics2, E Maxwell2, R Davies1,
R John1, S Bellary1,3 and A Tahrani1,2
1
Specialist Weight Management Services, Heart of England NHS Foundation
Trust, Birmingham, UK, 2Centre of Endocrinology, Diabetes and Metabolism,
University of Birmingham, Birmingham, UK, 3Department of Life and Health
Sciences, Aston University, Birmingham, UK
P224
An improved indicator of risk for
obstructive sleep apnoea: estimated
visceral adiposity compared with body mass
index and waist hip ratio in individuals
with diabetes
S Mazumdar, D Hughes and P Narendran
Diabetes Research Unit, Queen Elizabeth Hospital, Birmingham, UK
93
DIABETICMedicine
P225
Development of a care pathway for patients
with Type 2 diabetes undertaking a very low
calorie liquid diet (VLCLD)
J Jackson, D Till, DW Lipscomb, JJ Bending, S Faulkner,
K Colvin, L Mackay and H ODonnell
Eastbourne District Diabetes Centre, Eastbourne District General Hospital,
Eastbourne, UK
94
P226
Effectiveness and cost-effectiveness of
providing a local dietetic service to general
practitioner (GP) practices for people with
Type 2 diabetes and those at significant risk
of developing hyperglycaemia
E Smith
Nutrition and Dietetics Department, East Sussex Healthcare NHS Trust,
Hastings, UK
P227
Effect of intensive preoperative and
postoperative glucose management on
glycaemic outcome after Roux-en-Y gastric
bypass surgery
LL Chuah1, A Miras1, T Olbers2 and CW le Roux1,3
1
Imperial Weight Centre, Imperial College Healthcare NHS Trust, London, UK,
Department of Surgery, Sahlgrenska Academy, University of Gothenburg,
Gothenburg, Sweden, 3Conway Institute, University College Dublin, Dublin,
Ireland
2
Clinical care and other categories posters: early detection and prevention
P228
A newly developed obesity pathway
implemented by community dietitians and
dietetic assistants to measure outcomes
more accurately
K Treslove
Clinical Nutrition and Dietetics, Kent Community Health NHS Trust, Herne
Bay, UK
DIABETICMedicine
P230
HbA1c values are associated with changes in
risk scores in four commonly used validated
diabetes risk assessment tools
BJ Gray1,2, RM Bracken1,2, D Turner1,2, K Morgan3, SD
Mellalieu2, M Thomas4, SP Williams5, M Williams3, S Rice3 and
JW Stephens1
1
Diabetes Research Group, Swansea University, Swansea, UK, 2Applied
Sports Technology Exercise and Medicine Research Centre, Swansea
University, Swansea, UK, 3Hywel Dda Health Board, Prince Philip Hospital,
Llanelli, UK, 4Public Health Wales, Carmarthen, Carmarthenshire, UK, 5TATA
Steel Packaging Recycling, Llanelli, UK
P231
Higher prevalence of undiagnosed glucose
intolerance in an urban adult Indian
population than in South Asians living in
the UK
V Kumar1, R Selvarajan1, R Gupta2 and S Rajbhandari3,4
1
Diabetacare, Bangalore, India, 2University of Bolton, Bolton, UK, 3Lancashire
Teaching Hospital, Chorley, UK, 4University of Central Lancashire, Preston, UK
95
DIABETICMedicine
P232
The value of clinical networks when seeking
to improve patient outcomes:
implementing a Merseyside diabetes
prevention pathway for those at highest
risk
P233
Missed opportunities for patients with
pre-diabetes: a study of the Salford
integrated record
96
DIABETICMedicine
P238
DAFNE-HART, a psychoeducational
programme to reverse hypoglycaemia
unawareness in Type 1 diabetes: report on
sustained biomedical benefit at 1 year, and
the user experience
1
Specialist Weight Management Services, Heart of England NHS Foundation
Trust, Birmingham, UK, 2Life and Health Sciences, Aston University,
Birmingham, UK, 3Centre of Endocrinology, Diabetes and Metabolism,
University of Birmingham, Birmingham, UK
P235
Detrimental effects of dietary acculturation
in UK communities of black African and
Caribbean ancestry
LM Goff, L Timbers, H Style and A Knight
Division of Diabetes and Nutritional Sciences, Kings College London, London,
UK
P236
Pregnancy planning indicators following
the implementation of an educational
pre-conception counselling resource (DVD)
for women with diabetes into routine care
in Northern Ireland: a service evaluation
P239
Influence of basal insulin (BI) regimen on
outcome after structured education in
adults with Type 1 diabetes in a Scottish
diabetes service
KJ Gardner1, RM Jacques2 and HE Hopkinson1
1
Diabetes Department, Victoria Infirmary, Glasgow, UK, 2School of Health
and Related Research, University of Sheffield, Sheffield, UK
P237
The 12 month impact of a group patient
education programme (Diet and Insulin to
Suit Yourself DAISY2) in patients with
Type 2 diabetes on basal bolus insulin
therapy
EH Gan, A Stewart, R Raine, B Marron, J Weir, K Dukhan,
J Mettayil and ST Wahid
97
DIABETICMedicine
P240
Alcohol health literacy in young adults with
Type 1 diabetes and impact on diabetes
management
KD Barnard1, RIG Holt1, J Lawton2, JMA Sinclair3, AJ Young4,
A VanDenTol1 and P Dyson5
1
Human Development and Health Academic Unit, University of
Southampton, Southampton, UK, 2Centre for Population Health Sciences,
University of Edinburgh, Edinburgh, UK, 3Faculty of Medicine, University of
Southampton, Southampton, UK, 4National Institute for Health Research
(NIHR) Evaluation, Trials and Studies Coordinating Centre (NETSCC),
University of Southampton, Southampton, UK, 5Oxford Centre for Diabetes,
Endocrinology and Metabolism (OCDEM), University of Oxford, Oxford, UK
P241
A twice daily basal insulin (BI) regimen
achieves better glycaemic control than a
once daily regimen during structured
education in adults with Type 1 diabetes in
routine UK clinical practice
HE Hopkinson1, RM Jacques2, I Lawrence3, SA Amiel4 and
PM Mansell5
1
Diabetes Department, Victoria Infirmary, Glasgow, UK, 2School of Health
and Related Research, University of Sheffield, Sheffield, UK, 3Leicester
University Hospitals, Leicester, UK, 4Kings College Hospital, London, UK,
5
Queens Medical Centre, Nottingham, UK
98
P242
Understanding the impact of patient
education on the lives of people with
diabetes, inside and outside the health
system
R Snow1, J Sandall2 and C Humphrey1
1
2
P243
Insulin safety and tomorrows doctors
AK Potts, N Robinson and A Crown
1
Diabetes Department, Brighton and Sussex University Hospitals Trust,
Brighton, UK
P244
Integrating an evidence-based behaviour
change intervention targeting physical
activity behaviour into routine primary
care: Movement as Medicine for Type 2
Diabetes: an open pilot study
L Avery1, SJ Denton1, FF Sniehotta2, N Steen2, E McColl2,
R Taylor1 and MI Trenell1
1
Institute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne,
UK, 2Institute of Health and Society, Newcastle University,
Newcastle-upon-Tyne, UK
DIABETICMedicine
P245
Downloaded glucose monitoring data for
insulin pump users: what matters?
E Jenkins, M Weiss, J Knott and D Kerr
Centre of Postgraduate Medical Research and Education, Bournemouth
University, Bournemouth, UK
99
DIABETICMedicine
P246
PADDLE (a pictorial structured navigational
tool) used to deliver diabetes pregnancy
care
S Moutter1, MH Cummings1, J Head1, C Hall2 and A Going2
1
Diabetes Centre, Queen Alexandra Hosptial, Portsmouth, UK, 2Maternity
Unit, Queen Alexandra Hospital, Portsmouth, UK
P247
Evaluation and utility of education
programmes and materials for those with
poor numeracy and diabetes, in eight
different countries
G Teft
Lews Castle College, University of the Highlands and Islands, Stornoway, Isle
of Lewis, UK
100
P248
Type 2 diabetes education for adults with
intellectual disabilities
L Taggart1, V Coates1, MJ Davies2, B Bunting1, ME Carey2,
R Northway3, M Brown4, M Truesdale-Kennedy1,
L Martin-Stacey2 and PK Mandalia2
1
Institute of Nursing and Health Research, University of Ulster,
Newtownabbey, UK, 2Diabetes Research Group, University Hospitals of
Leicester, Leicester, UK, 3Faculty of Life Sciences and Education, University of
Glamorgan, Pontypridd, UK, 4Faculty of Health and Social Care Research,
Edinburgh Napier University, Edinburgh, UK
Aim: The aim of this study was to adapt and evaluate a selfmanagement Type 2 diabetes education programme (DESMOND) for
adults with intellectual disabilities (ID) and their carers.
Methods: Two iterations of the DESMOND education
programme were delivered in Northern Ireland. In total 13 adults
with ID with Type 2 diabetes and eight family/paid carers engaged in
this programme over a 6 week period in 2012 and 2013. Feedback
was obtained using focus groups with the adults, their carers, the
educators and three independent observers. Video recordings of the
sessions were also used to supplement this evaluation.
Results: The feedback from the first iteration of the DESMOND
programme illustrated that it needed to be adapted to accommodate
for the adults literacy skills and comprehension levels. The adults
with ID also required the support of their carers to develop and
maintain the skills to self-manage their diabetes at home, focusing on
diet, exercise and medication. The second iteration of the
programme supported the adaptations that have been made,
although other minor changes are still required. Family/paid carers
need a separate day to prepare them to engage effectively to help
support the adults to learn the objectives of the adapted DESMOND
programme. A third iteration is planned.
Conclusion: Adults with ID can be educated and supported to
develop the skills to self-manage their Type 2 diabetes. It is
important to have the support of family/paid carers. Such
self-management programmes developed for the non-disabled
population need adapting for adults with ID.
P249
Using the internet to reduce the barriers
that prevent people with Type 2 diabetes
from being active in rural areas
J Connelly1, A Kirk2, J Masthoff3 and S MacRury1
1
Department of Diabetes and Cardiovascular Science, University of Highlands
and Islands, Inverness, UK, 2Department of Physical Activity for Health,
University of Strathclyde, Glasgow, UK, 3Department of Computing Science,
University of Aberdeen, Aberdeen, UK
P250
Knowledge of hyperglycaemia
management in acute coronary syndrome
P Hegde, H Shoo, N Ormsby and D Bowen-Jones
Diabetes and Endocrinology, Wirral University Teaching Hospital NHS
Foundation Trust, Wirral, UK
DIABETICMedicine
P251
Prevalence of diabetes and identification of
high risk patients on Santa Cruz island in the
Galapagos archipelago
NK Tufton and T Chowdhury
Diabetes and Endocrine Department, Royal London Hospital, Barts Health
Trust, London, UK
P252
So why do women with pre-gestational
diabetes not attend for pre-pregnancy
counselling?
A Going1, C Hall1, J Head2 and MH Cummings2
1
Maternity, Portsmouth NHS Trust, Portsmouth, UK, 2Diabetes Centre,
Portsmouth NHS Trust, Portsmouth, UK
101
DIABETICMedicine
P253
Non-attendance at structured diabetes
education for Type 2 diabetes: patient
choice or poor marketing?
K Winkley1, C Evwierhoma1, SA Amiel2, A Forbes3 and
K Ismail1
1
102
P254
Can group education for patients with Type
2 diabetes on multiple daily injections
improve knowledge and outcomes?
J Campbell and R McGee
Gloucestershire Foundation Trust, Cheltenham, UK
P255
Non-attendance in diabetes education
centres: perceptions of patients and
education providers
MO Lawal
Health and Human Science, University of West London, London, UK
P256
Impact of implementing care-planning
principles in specialist diabetes clinics
B Obale1 and M Banerjee2,3
1
Department of Medicine, University Hospitals of Morecambe Bay NHS
Foundation Trust, Kendal, UK, 2Wirral Diabetes and Endocrinology Unit,
Wirral University Teaching Hospitals NHS Foundation Trust, Wirral, UK,
3
Centre for Endocrinology and Diabetes Research Group, University of
Manchester, Manchester, UK
DIABETICMedicine
P257
How do patients and carers develop their
ability to self-manage diabetes? Evidence
from a practice-based study involving
families with a child diagnosed with Type 1
diabetes
CC Tranchant1 and D Charron2
1
School of Food Science, Nutrition and Family Studies, Faculty of Health
Sciences and Community Services, Universite de Moncton, Moncton, Canada,
2
School of Nursing, Faculty of Health Sciences and Community Services,
Universite de Moncton, Moncton, Canada
P258
PITstop improves primary care healthcare
professionals confidence in supporting
people with Type 2 diabetes with more
complex needs
A Goodchild and A Kitt
Diabetes Ttraining, PITstop Diabetes, Kent, UK
103
DIABETICMedicine
P259
Development of an online resource to
facilitate access to diabetes educational
resources for healthcare professionals and
patients
JRS McDowell1, A Taylor2 and S MacRury3
1
Nursing and Health Care, University of Glasgow, Glasgow, UK, 2NMAHP,
NHS Education for Scotland, Edinburgh, UK, 3Consultant Diabetologist,
Raigmore Hospital, Inverness, UK
104
P260
An audit of participant evaluations
following attendance at diabetes education
self-management for ongoing and newly
diagnosed (DESMOND) sessions
H Noakes and C Tinson
Diabetes Department, Specialist Medicine, Lewisham and Greenwich NHS
Trust, London, UK
P261
An exploration of personal constructs in
people with Type 2 diabetes in the
community
WP Gillibrand
Health Science, University of Huddersfield, Huddersfield, UK
P262
Adoption of the Piecing Together Diabetes
education tool by NHS Trusts
R Herring, C Pengilley, B Tuthil, H Hopkins and D Russell-Jones
Centre for Endocrinology, Diabetes and Research, Royal Surrey County
Hospital, Guildford, UK
DIABETICMedicine
105
P263
Can laboratory based research regarding
Type 1 diabetes and exercise be applied in
the real-life environment?
J Charlton1,2, L Kilbride2, R MacLean2, M Darlison2 and
J McKnight1
1
DIABETICMedicine
P266
Why are attendance rates at structured
education so low in inner city areas of
Central London? A qualitative analysis
P267
Diabetes weight management programme
delivered by a dietetic assistant: the success
of weight reduction and the cost saving
R Fitz-Patrick and J Neale
Department of Nutrition and Dietetics, University Hospital Southampton NHS
Foundation Trust, Southampton, UK
106
P268
Insight and engagement with patients and
the public to facilitate pathway
development: the Merseyside Impaired
Glucose Regulation (IGR) Pathway, aiming
to prevent or delay Type 2 diabetes in
accordance with NICE public health
guidelines 38
RA Du Plessis1, E Page2, A James2 and S McNulty3
1
Public Health, Sefton Council, Sefton, UK, 2Public Health, Liverpool Council,
Liverpool, UK, 3Public Health, Knowsley Council, Knowsley, UK
P269
Care planning advocates: supporting quality
care planning
J George and S Lucas
Diabetes Modernisation Initiative (DMI), Guys and St Thomas Charity,
London, UK
P270
Is the insulin passport taking off?
AR Aiyengar1 and MA Saeed2,3
1
College of Medical and Dental Sciences, University of Birmingham,
Birmingham, UK, 2Department of Diabetes, University Hospitals Birmingham,
Birmingham, UK, 3School of Clinical and Experimental Medicine, University of
Birmingham, Birmingham, UK
DIABETICMedicine
P271
Community-based Type 1 diabetes
education reduces HbA1c, total insulin
usage and insulin treatment costs
S Marden, J Murphy and KE Fayers
West Hampshire Community Diabetes Service, Southern Health NHS
Foundation Trust, Southampton, UK
P272
Education of patients with diabetic foot
disease: is it effective?
E Cerrone, RA McDonnell, D Selvarajah, FM Creagh and
RA Gandhi
Department of Diabetes, Sheffield Teaching Hospitals NHS Foundation Trust,
Sheffield, UK
107
DIABETICMedicine
P273
Barriers to self-care and diabetes
complications among patients with Type 2
diabetes in rural England
D Simmons1, XW Mei1 and J Graffy2
1
Wolfson Diabetes and Endocrinology Clinic, Cambridge University Hospitals,
Cambridge, UK, 2Primary Care Unit, Department of Public Health and Primary
Care, University of Cambridge, Cambridge, UK
P274
How confident are people with diabetes in
managing their own health?
CAM Paddison, CS Saunders, GA Abel, RA Payne and
M Roland
Cambridge Centre for Health Services Research, University of Cambridge,
Cambridge, UK
108
P275
Effectiveness of carbohydrate counting and
insulin dose adjustment structured group
education programme for Type 2 diabetes
on basal bolus insulin regimen
I Shorrock1, J Hannah1, A Barnes1 and I Idris2
1
P276
The effect on glycaemic control of sharing
personalised clinical information with
people with Type 2 diabetes prior to their
consultation: an exploratory study using a
randomised controlled design
M ODonnell1, J Newell2, BE McGuire3 and SF Dinneen1,4
1
School of Medicine, National University of Ireland, Galway, Ireland, 2Health
Research Board Clinical Research Facility, National University of Ireland,
Galway, Ireland, 3School of Psychology, National University of Ireland,
Galway, Ireland, 4Department of Diabetes and Endocrinology, Galway
University Hospitals, Galway, Ireland
DIABETICMedicine
P278
Acceptability of using trained lay people to
deliver diabetes self-management
education: a qualitative investigation using
data from patients and educators
PK Mandalia1, M Stone1, ME Carey1, H Daly1, R Hale2,
L Martin-Stacey1, N Taub3, K Khunti4, LJ Gray5, TC Skinner6,
S Heller7 and MJ Davies4
1
109
P277
Hospital insulin prescription and
management errors: are we improving the
care to our patients and knowledge to our
staff?
LS Mills and JE Stamper
Diabetes Department, Warrington and Halton Hospitals NHS Foundation
Trust, Warrington, UK
DIABETICMedicine
P279
Development of video-based behavioural
intervention to optimise self-management
in children with poorly controlled Type 1
diabetes
CM Webster1, AC Greene2, SA Greene1,2 and VA Alexander1
1
Paediatrics, NHS Tayside, Dundee, UK, 2Child Health, University of Dundee,
Dundee, UK
P281
Can improvements in newly diagnosed Type
2 diabetes patients reported outcomes,
following attendance at a 2h structured
education programme, be replicated as new
educators are trained?
E Jennnings1, C OKane1, D Steele1 and J Green2
1
Nutrition and Dietetics, Betsi Cadwaladr University Health Board, Wrexham,
UK, 2Medical Physics, Betsi Cadwaladr University Health Board, Rhyl, UK
110
P280
Developing a culture of shared decision
making between healthcare professionals
and families through collaborative care
planning: patient care planning tool to
support a more patient-led paediatric
outpatient consultation
J Cross1, L Varlow2 and L Briant3
1
Young Diabetes Connections, Evelina Childrens Hospital at Guys and St
Thomas NHS Foundation Trust, London, UK, 2Family Support Group,
Diabetes UK Lambeth Lewisham and Southwark, London, UK, 3Children and
Young People, Diabetes Modernisation Initiative, London, UK
P282
Food for thought: do young adults with
diabetes make the right choices?
EV Iddles1, A McKillop-Smith2, JS Lemon3, R Keenan1 and
WA Watson2
1
P283
Reaching and teaching: community based
use of bolus advisor meters improves
glycaemic control in patients with both
Type 1 and Type 2 diabetes
DIABETICMedicine
P284
Assessment of quality of life among
patients with Type 2 diabetes
MA Aboawja, AF Alamri and T Shaqran
Family Medicine and Diabetes Clinics, North West Armed Forces Hospital,
Tabuk, Kingdom of Saudi Arabia
111
DIABETICMedicine
P285
Transformation of diabetes care in Kuwait
through postgraduate healthcare
professional education
DJ Wake1, F Sukkar2, C Goddard1, N Halawa2, R Barake2,
S Chisholm1, A Morris1, K Behbehani2, J Ker1 and M Scott1
1
School of Medicine, University of Dundee, Dundee, UK, 2Dasman Diabetes
Centre, Kuwait City, Kuwait
P286
Increasing the uptake of structured
education: myth busting and moving
beyond basic demographic segmentation to
greater understanding of needs in Lambeth
and Southwark
RH Dale, S Lucas and J George
Diabetes Modernisation Initiative, Guys and St Thomas NHS Foundation
Trust, London, UK
112
P287
Introducing an effective predictor of HbA1c
for research and clinical care: the DSMQ
(Diabetes Self-Management Questionnaire)
JW Huber1, G Hood2, A Schmitt3, M Fang1, M Callender1 and
N Hermanns3
1
Institute of Health and Wellbeing, University of Northampton, Northampton,
UK, 2North East London Diabetes Research Network, Queen Mary University of
London, London, UK, 3Research Institute of the Diabetes Academy
Mergentheim, Diabetes Academy Mergentheim, Bad Mergentheim, Germany
P288
Training practice nurses to care for people
with severe mental illness to reduce the risk
of cardiovascular disease and diabetes
S Hardy1 and JW Huber2
1
University College London Partners, London, UK, 2Institute of Health and
Wellbeing, University of Northampton, Northampton, UK
P289
Are X-PERT centres meeting audit standards
for structured patient education?
TA Deakin, SR Seed, CA Finch, BA Armitage and
I Cummingham
Structured Education, X-PERT Health, Hebden Bridge, UK
DIABETICMedicine
P290
Are X-PERT centres meeting the NICE
structured patient education key criteria for
quality assurance?
SR Seed, TA Deakin, CA Finch, BA Armitage and
I Cummingham
Structured Education, X-PERT Health, Hebden Bridge, UK
P291
Mobile technology as a tool for patient
education and self-management in the
diabetic population
IJM Campbell1, SG Cunningham2, N Conway3 and DJ Wake4
1
Medical School, College of Medicine, Dentistry and Nursing, University of
Dundee, Dundee, UK, 2Clinical Technology Centre, University of Dundee,
Dundee, UK, 3Child Health, University of Dundee, Dundee, UK, 4Medical
Research Institute, University of Dundee, Dundee, UK
113
DIABETICMedicine
P292
Findings from the Diabetes Attitudes,
Wishes and Needs (DAWN2TM) study
regarding education for diabetes in the UK
MJ Davies1, H Daly1, ME Carey1, K Barnard2, G Hall3,
NM Munro4 and RIG Holt2
1
114
P293
Consistency of biomedical outcomes of
structured education over time: an 8 year
retrospective audit
S Jahan1, H Rogers2, P Choudhary1, SA Amiel1 and D Hopkins2
1
Diabetes Research Group, Kings College London School of Medicine,
London, UK, 2Department of Diabetic Medicine, Kings College Hospital NHS
Foundation Trust, London, UK
P294
Patterns of self-monitoring of blood glucose
in Tayside, Scotland, among people with
Type 1 and Type 2 diabetes treated with
insulin
DM Cameron, J Evans and L Macaden
School of Nursing Midwivery and Health, University of Stirling, Stirling, UK
DIABETICMedicine
P295
My Diabetes My Way, an electronic personal
health record for diabetes care: an update at
3 years
SG Cunningham1, M Brillante1, B Allardice1, RR McAlpine1,
L Wilson2, R Kerr3, J Walker4, A Emslie-Smith5 and DJ Wake6
1
Clinical Technology Centre, University of Dundee, Dundee, UK, 2Monklands
Hospital, NHS Lanarkshire, Airdrie, UK, 3Patient Representative, NHS Fife,
Kirkcaldy, UK, 4St Johns Hospital, NHS Lothian, Livingston, UK, 5Tayside
Diabetes Managed Clinical Network, NHS Tayside, Dundee, UK, 6Medical
Research Unit, University of Dundee, Dundee, UK
P297
Factors contributing to mortality in Type 1
diabetes: a case control study
Refer to Oral A7
1
Diabetes Research Group, Kings College London School of Medicine,
London, UK, 2Psychological Medicine, Institute of Psychiatry, Kings College
London, London, UK, 3Diabetes and Endocrinology, Guys and St Thomas
Hospitals NHS Trust, London, UK, 4Diabetic Medicine, Kings College Hospital
NHS Trust, London, UK
115
DIABETICMedicine
P298
Incidence of impaired glucose regulation
(IGR) and progression to Type 2 diabetes in
the Tayside region of Scotland
C Eades1, G Leese2 and J Evans1
1
2
116
DIABETICMedicine
P302
P301
Designing effective culturallycompetent
diabetes care service in primary care: a
participatory research study to implement
evidence
P Zeh1,2, HK Sandhu1, AM Cannaby3 and JA Sturt4
1
Warwick Medical School, University of Warwick, Coventry, UK, 2Research
and Development, University Hospitals Coventry and Warwickshire NHS Trust,
Coventry, UK, 3Hamad Medical Corporation, Doha, Qatar, 4Florence
Nightingale School of Nursing and Midwifery, Kings College, London, UK
1
3
Aims: The aim of the study was to see if there were any differences
in characteristics of patients between predominantly Muslim and
Hindu urban Indian populations from Bangalore.
Methods: The general public were invited for a health check-up
including capillary blood glucose tests during public events
performed in the mosque and the community centre in
Bangalore. Simple history, anthropometric data, blood pressure
and random blood glucose were measured. Only those subjects
above the age of 30 were analysed.
Results: In all, 367 predominantly Muslims were screened in the
mosque of whom 326 were above the age of 30. In the community
centre 102 predominantly Hindus were screened of whom 86 were
above 30. Subjects who were known to have diabetes (DM) were
analysed separately from those who were not known to have
diabetes (non-DM). Uncontrolled blood pressure (>160/90 mm
Hg) was more prevalent amongst the Muslim population both in
the DM group (51.2% vs 27.3%; p < 0.01) and the non-DM group
(51.2% vs 27.7%; p < 0.01). Overweight (body mass
index > 25kg/m2) was common in subjects with diabetes in both
communities (71.3% vs 69%; p = NS). There were no differences
(p > 0.05) in age, body mass index and proportion of diabetes
patients but more males were screened in the mosque.
Discussion: Our data show that overweight is common in both
communities; however, uncontrolled blood pressure was twofold
higher amongst Muslims. Diabetes is often associated with
hypertension, which can be influenced by a number of factors.
Religious belief is possibly one of them and further studies are
needed to explore it.
P303
Detection of haemoglobin E on HbA1c
measurement using new software
developed for the Tosoh G8 IE HPLC analyser
SB Stilwell1, A Surj1, RA Round1, CL Mason1, J Webber2,
R Cramb1,3 and SE Manley1,3
1
Clinical Laboratory Services, University Hospitals Birmingham NHS
Foundation Trust, Birmingham, UK, 2Diabetes Centre, University Hospitals
Birmingham NHS Foundation Trust, Birmingham, UK, 3Division of Medical
Sciences, University of Birmingham, Birmingham, UK
117
DIABETICMedicine
P304
Current status of diabetes care in Wachet,
Rural Upper Myanmar
TT Hlaing1,2, MW Aung3, O Myint4, AP Naing3, ZM Htet4,
AT Khaing3, EK Khaing3 and KS Myint2,5
1
Department of Clinical Biochemistry, Cambridge University Hospital NHS
Foundation Trust, Cambridge, UK, 2Brighter Future Foundation Charity,
Cambridge, UK, 3Department of Medicine, North Okkalapa General Hospital,
Yangon, Myanmar, 4General Practitioner, Yangon, Myanmar, 5Department
of Diabetes and Endocrinology, Norfolk and Norwich University Hospital NHS
Foundation Trust, Norwich, UK
118
P305
Metabolic control among 15,989 Emirati
patients with diabetes
A Bakir1, N Lessan1, S Narayan2, Z Hannoun1 and MT Barakat1
1
Research, Imperial College London Diabetes Centre, Abu Dhabi, United Arab
Emirates, 2University of Birmingham, Birmingham, UK
P306
South Asian adults with insulin treated
young-onset Type 2 diabetes have a lower
body mass index and better control than
other ethnic groups
S Misra, T Brabarupan, DG Johnston and NS Oliver
Diabetes and Endocrinology, Imperial College, London, UK
Aims: South Asian (SA) and African Caribbean (AC) people in the
UK are increasingly affected with young-onset Type 2 diabetes,
although incidence is also rising in white European (WE) people.
Ethnic differences are well described in adult-onset Type 2
diabetes. We aimed to determine the characteristics of people
with young-onset Type 2 diabetes according to ethnic origin and
whether insulin treated (IT).
Methods: A cross-sectional retrospective study of adults
diagnosed <35 years of age from WE, AC or SA ancestry was
undertaken from an electronic database in a London clinic.
Results: A total of 203 people were identified with an equal ethnic
split. 66.5% of all individuals were insulin treated with no ethnic
variations. In the non-IT group, body mass index (BMI) did not
vary by ethnicity (34.6kg/m2 WE, 30.6kg/m2 AC and 31.9kg/
m2 SA) and HbA1c was significantly lower in the WE group (6.9%
vs 8.7% AC and 8.5% SA, p = 0.009). On analysis of the IT
group, BMI varied significantly between each ethnic group
(34.1kg/m2 WE, 34.0kg/m2 AC and 28.4kg/m2 SA, p < 0.0001)
and HbA1c was significantly lower in the SA group (8.1% vs 9.0%
AC); however, duration of diabetes was not different across all
three groups.
P307
Type 2 diabetes in young South Asian
patients leads to increased cardiovascular
comorbidity and decreased survival
R Potluri1, L Pichaipillai2, S Rayasamudra3, AK Ravi4, H Uppal5,
D Lavu6 and S Chandran7
1
DIABETICMedicine
P308
Comparing outcomes of exenatide/insulin
and exenatide/oral anti-hyperglycaemic
combination therapies
R Shankland, R Oelbaum, J Simmonds and A Allen
Diabetes and Endocrinology, Southport and Ormskirk NHS Hospital Trust,
Southport, UK
P309
The potential impact of changing from WHO
to IADPSG criteria for screening
for gestational diabetes (GD) in a
multi-ethnic UK population
H Venkataraman1, N Sukumar1, P Pushton2, N Anderson2 and
P Saravanan1,3
1
119
DIABETICMedicine
P312
P311
Data from EQ-5D and SF-36 indicate reduced
quality of life in patients with acute Charcot
osteoarthropathy
T Jemmott, V Morris, M Bates, ME Edmonds, NL Petrova and
W Tang
Diabetic Foot Clinic, Kings College Hospital NHS Foundation Trust, London,
UK
120
Diabetic Foot Clinic, Kings College London Medical School, London, UK,
Diabetic Foot Clinic, Kings College Hospital, London, UK
P313
Outcome of osteomyelitis in patients with
diabetic foot ulceration
G Spyer1, L Davis2, R Gornall3, J Smith1, R McCarthy4 and
J Davis5
1
P314
The challenges of improving inpatient
diabetes foot care: the Severn
Deanery Project designed by diabetes
specialist registrars to better protect people
with diabetes whilst inpatients in hospitals
and raise the awareness of good foot care in
an area with high rates of amputation
C Papastathi1, G Russell1, K Gkastaris2, I Khan4, C Eboh2,
S Ahmed5, H Tan3, B Houlford3, I Ghaffar6 and S Thrower1
1
Department of Diabetes and Endocrinology, University Hospitals of Bristol,
Bristol Royal Infirmary, Bristol, UK, 2Department of Diabetes and
Endocrinology, Royal United Hospital Bath, Bath, UK, 3Department of
Diabetes and Endocrinology, Musgrove Park Hospital, Taunton, UK,
4
Department of Diabetes and Endocrinology, Weston General Hospital,
Weston, UK, 5Department of Diabetes and Endocrinology, Gloucester Royal
Hospital, Gloucester, UK, 6Department of Diabetes and Endocrinology, North
Bristol NHS, Bristol, UK
DIABETICMedicine
were trialled and shared this rose to 25% across the Severn
Deanery. NaDIA data showed a rise from 27% to 33%; whilst
pleasing, not impressive.
Conclusion: Change is hard. In the first 6 months improvement
was demonstrated and associated with a modest improvement in
NaDIA. The interventions tested were effective as demonstrated by
a fourfold rise in the data. Further work on embedding and
spreading the work continues.
Acknowledgement: Additional authors include, J Triay, M
Chen, R Gouni, F Chau and B Varupula.
P315
A systematic review examining the
prevalence, progression and outcomes of
foot ulcers and lower limb amputations in
South Asians and White Europeans with
Type 2 diabetes
AN Butt1, K Khunti1, W Crasto2, P Carter3 and MJ Davies3
1
P316
Diabetes led or vascular led: does it affect
root cause? A root cause analysis of major
foot amputations in patients with diabetes
at Newcastle Primary Care Trust (NPCT)
A Santhakumar1, N Coates1,2, S Manohar1 and N Leech1
1
Newcastle Diabetes Centre, Newcastle-upon-Tyne Hospitals NHS Foundation
Trust, Newcastle-upon-Tyne, UK, 2Newcastle Hospitals Community Health
Podiatry Department, Newcastleupon-Tyne Hospitals NHS Foundation Trust,
Newcastle-upon-Tyne, UK
121
DIABETICMedicine
P317
What are the key factors in avoidable
amputations?
RA McDonnell, D Selvarajah, FM Creagh and RA Gandhi
Department of Diabetes, Sheffield Teaching Hospitals NHS Foundation Trust,
Sheffield, UK
122
P318
Successful conservative management of
calcaneal osteomyelitis with avulsion
fracture in a diabetic cohort
V Bravis1,2, WM Gedroyc3, P Rosenfeld4, RGJ Gibbs5,
DG Samarasinghe6, J Valabhji1, S Robinson1 and R Fikri1
1
Department of Diabetes and Endocrinology, St Marys Hospital, Imperial
College Healthcare NHS Trust, London, UK, 2Department of Investigative
Sciences, Imperial College, London, UK, 3Department of Radiology, St Marys
Hospital, Imperial College Healthcare NHS Trust, London, UK, 4Department of
Orthopaedic Surgery, St Marys Hospital, Imperial College Healthcare NHS
Trust, London, UK, 5Department of Vascular Surgery, St Marys Hospital,
Imperial College Healthcare NHS Trust, London, UK, 6Department of
Microbiology, St Marys Hospital, Imperial College Healthcare NHS Trust,
London, UK
P319
Amputation rates in diabetes patients: can
we decrease our rates?
N Sargazi, M Shah, R Zaidi, D Kalathil, D Sharma, P Weston,
T Purewal and A Ahmad
Diabetes and Endocrinology, Royal Liverpool and Broadgreen University
Hospitals, Liverpool, UK
P320
Inpatient diabetes foot screening: a
different approach for the non-specialist
M Pass, K Duncan, E Ricci and R Nayar
Department of Diabetes and Endocrinology, City Hospitals Sunderland NHS
Foundation Trust, Sunderland, UK
DIABETICMedicine
P321
Benefits and risks of peripherally inserted
central catheters (PICC lines) in the
management of acute and chronic diabetic
foot infection
M Bates, I Alejandro, T Jemmott and ME Edmonds
Diabetic Foot Clinic, Kings College Hospital NHS Foundation Trust, London, UK
Aim: To report the benefits and risks of the use of PICC lines in
the management of diabetic foot infection.
Patients: We studied 31 patients with diabetes(22 males and 9
females; 8 Type 1 and 23 Type 2 diabetes; mean age 59
years 10.6 and duration of diabetes18 years 11.4) who
were treated with intravenous (IV) antibiotics. The reasons for
treatment with PICC line were (1) acute onset infections in the foot
(72%) and (2) long-term treatment of persistent infection (28%).
Osteomyelitis was observed in 24% of the total. PICC lines were
monitored routinely in the diabetic foot clinic for complications.
Results: The median duration of treatment with IV antibiotics
was 9 weeks (2 65 weeks) and the median duration of PICC line
in situ was 9 weeks (range 3 67 weeks). Despite the long
treatment in some cases, this therapy was well tolerated by all
patients with positive feedback. Main advantages of PICC line
therapy reported were being painless and having no
nausea. Common complications noted were PICC line blockage,
skin dermatitis and cellulitis. However, these were overcome and
the overall management of diabetic foot infection with PICC lines
resulted in avoidance of hospital admission in 30% of cases. In
46% of the cases who were admitted to hospital, PICC line
insertion facilitated early discharge. Ulcers healed in 51%,
improved in 43% and 6% remained unhealed.
Conclusions: We believe the use of the PICC line to be a
significant advance in the management of diabetic foot infection.
P322
Non-removable plastic tag: a psychological
tool in improving compliance with DH
Walker
JE Spragg1, J Spratt1, J Armstrong1, G Steel2 and
S Rajbhandari2
1
Podiatry, Lancashire Care NHS Foundation Trust, Preston, UK, 2Medicine,
Lancashire Teaching Hospitals Foundation Trust, Preston, UK
123
DIABETICMedicine
apart from two where the walker had been removed due to an
adverse event including infection and abrasion.
Conclusion: Total Contact Cast is the gold standard for
offloading diabetic foot ulcers but disadvantages include skills,
equipment and cost needed for casting and removal difficulties as
opposed to the benefits of a removable walker. The study suggests
that use of plastic tag may help improve compliance by acting as a
psychological barrier to patient removal.
P323
The pathway to amputation in patients with
diabetes; missed opportunities for early
intervention and implications on clinical
management
MA Ali1, KS Higgins2, DR Webb2,3, MJ Davies2,3, E Choke1,
RD Sayers1 and MJ Bown1
1
Department of Cardiovascular Sciences, University of Leicester, Leicester,
UK, 2Department of Diabetes and Endocrine Medicine, University Hospitals of
Leicester, Leicester, UK, 3Diabetes Research Centre, University of Leicester,
Leicester, UK
P324
Case series of patients with diabetic foot
ulceration in Galway University Hospitals
R Mannion1, E Young2, D Gallagher3 and SF Dinneen1,4
1
School of Medicine, National University of Ireland, Galway, Ireland, 2Merlin
Park Podiatry Clinic, Galway University Hospitals, Galway, Ireland, 3Medical
Assessment Unit, Galway University Hospitals, Galway, Ireland, 4Department
of Diabetes and Endocrinology, Galway University Hospitals, Galway, Ireland
Aim: This audit aimed to assemble and describe all patients with
active diabetic foot ulceration seen in Galway University Hospitals
(GUH) between April 2012 and March 2013.
Methods: We undertook a retrospective review of clinical and
laboratory records among patients attending the Diabetes Day
124
P325
Evaluation of 18 month mortality for
patients seen within a multidisciplinary
diabetic foot clinic
CA Manu1, OG Mustafa2, NL Petrova1, M Simmgen1 and
ME Edmonds1
1
Diabetes Foot Department, Kings College Hospital, London, UK, 2Diabetes
Department, Kings College Hospital, London, UK
P326
Delays in referral of patients with diabetes
with active foot disease to secondary care
MA Ali1, A Aber1, R Berrington2, M Quinn2, KS Higgins2,
MJ Davies2,3, E Choke1, RD Sayers1 and MJ Bown1
1
Department of Cardiovascular Sciences, University of Leicester, Leicester,
UK, 2Department of Diabetes and Endocrine Medicine, University Hospitals of
Leicester, Leicester, UK, 3Diabetes Research Centre, University of Leicester,
Leicester, UK
P327
The impact of a streamlined pathway on
vascular referrals for patients with diabetic
foot disease
MA Ali1, KS Higgins2, M Quinn2, MJ Davies3, E Choke1,
RD Sayers1 and MJ Bown1
1
Department of Cardiovascular Sciences, University of Leicester, Leicester,
UK, 2Department of Diabetes and Endocrine Medicine, University Hospitals of
Leicester, Leicester, UK, 3Diabetes Research Centre, University of Leicester,
Leicester, UK
DIABETICMedicine
P328
Follow-up audit: inpatient management of
diabetic foot problems in patients who have
subsequently undergone a major lower limb
amputation and implications for the
multidisciplinary diabetic foot team
C Rice, KS Higgins and A Gallagher
Diabetes and Endocrinology, University Hospital Leicester, Leicester, UK
125
DIABETICMedicine
P333
P330
Department
Department
3
Department
4
Department
of
of
of
of
P334
Coefficient of variation from continuous
glucose monitoring is associated with the
frequency of hypoglycaemia in Type 1
diabetes complicated by impaired
awareness of hypoglycaemia: baseline
analysis of the HypoCOMPaSS study group
P331
Impact of hypoglycaemia on length of stay,
time to readmission, and mortality in
inpatients with diabetes
GC Jones and CAR Sainsbury
Department of Diabetes, Gartnavel General Hospital, Glasgow, UK
P332
One year mortality in individuals with
diabetes following severe hypoglycaemia
requiring emergency services intervention
FR Elwen1, AC Huskinson1, MJ Bottomley1, S Heller2, C James3,
PD Baxter4, L Clapham5 and RA Ajjan1
1
Leeds Institute of Genetics, Health and Therapeutics, University of Leeds,
Leeds, UK, 2Academic Unit of Diabetes, Endocrinology and Metabolism,
University of Sheffield, Sheffield, UK, 3Yorkshire Ambulance Service,
Yorkshire, UK, 4Division of Biostatistics, Leeds Institute of Genetics, Health
and Therapeutics, Leeds, UK, 5Leeds Teaching Hospital Trust, Leeds, UK
126
P335
A prospective study of hospital admissions
among patients with Type 2 diabetes
admitted with hypoglycaemia
M Munu, C Jairam and A Dornhorst
Department of Endocrinology and Diabetes, Imperial College Healthcare NHS
Trust, London, UK
P336
Hospitalisation costs arising from
hypoglycaemic episodes in England
ML Evans1, ML Wolden2, BL Thorsted2, P McEwan3 and
JL Jacobsen4
1
DIABETICMedicine
P337
Are hypoglycaemia treatment boxes
(hypoboxes) being used correctly to
improve hypoglycaemia treatment?
EA Hackett1, S Rotimi1,2 and K Higgins3
1
P338
Admissions to emergency department with
hypoglycaemia are associated with
increased mortality in patients with Type 2
diabetes
R Rajendran1, D Hodgkinson2, K Lentini3 and G Rayman1
1
Diabetes Centre, Ipswich Hospital NHS Trust, Ipswich, UK, 2Accident and
Emergency Department, Ipswich Hospital NHS Trust, Ipswich, UK,
3
Information and Development, East of England Ambulance Service NHS
Trust, Cambourne, UK
127
DIABETICMedicine
P339
Serious harm from inpatient
hypoglycaemia: a survey of hospitals in the
UK
G Rayman and R Rajendran
Diabetes Centre, Ipswich Hospital NHS Trust, Ipswich, UK
128
P340
Impact of hypoglycaemia on people with
diabetes, family members and healthcare
professionals in the UK: results from the
Diabetes Attitudes, Wishes and Needs
(DAWN2TM) study
NM Munro1, K Barnard2, G Hall3 and RIG Holt2
1
P341
Decreased hypoglycaemia and improved
wellbeing in adults treated with continuous
subcutaneous insulin infusion (CSII)
A Al-Janabi1, MA Jones1, S Ng1, K Davenport1, C Ward1 and
ML Evans1,2
1
Wolfson Diabetes Endocrine Clinic, Cambridge University Hospitals NHS
Foundation Trust, Cambridge, UK, 2Wellcome Trust , Medical Research Council,
Institute of Metabolic Science, University of Cambridge, Cambridge, UK
P342
A comparison of methods used to assess
impaired awareness of hypoglycaemia in
Type 1 Diabetes
SS Hussain, K Ghandi and A Dornhorst
Department of Diabetes, Endocrinology and Metabolism, Imperial College
London, London, UK
DIABETICMedicine
P343
Non-specific symptoms associated with
hypoglycaemia in the elderly are common in
patients treated with metformin only, as
well as those treated with insulin or
sulphonylureas
SV Hope1, PJ Taylor2, BM Shields1, RA Oram1, AJ Chakera1,
WD Strain1 and AT Hattersley1
1
National Institute for Health Research, Exeter Clinical Research Facility,
University of Exeter, Exeter, UK, 2Axminster Medical Practice, NHS,
Axminster, UK
P344
The Portsmouth hypoglycaemic pathway:
The Hypo Hotline
JL Buchanan, A Morcombe, S Daltry and PS Kar
Diabetes Centre, Portsmouth Hospitals Trust, Portsmouth, UK
129
DIABETICMedicine
Refer to Oral A8
P346
An audit on inpatient insulin prescription
and administration at Mater Dei Teaching
Hospital, Malta
P347
Improving the quality of inpatient diabetes
care: the importance of understanding the
whole care system and its complexity
A Cox1, R Lim2, J Anderson3 and R Malik1
1
Kings Diabetes Centre, Kings College Hospital, London, UK, 2Reading
School of Pharmacy, University of Reading, Reading, UK, 3Florence
Nightingale School of Nursing, Kings College Hospital, London, UK
130
P348
National Diabetes Inpatient Audit 2012
(NaDIA 2012) cohort of a large teaching
hospital: one year follow-up
KD Dawoud1, RH Heath1, IR Ray2, AM Murphy3 and SG Ghosh3
1
Medical School, University of Birmingham, Birmingham, UK, 2Department of
Economics, University of Birmingham, Birmingham, UK, 3Department of
Diabetes, University Hospital Birmingham NHS Foundation Trust,
Birmingham, UK
P349
Management of adults with diabetes
undergoing surgery and elective procedures
JA Worthington, D Flanagan, L Mole and E Moore
Diabetes Centre, Plymouth Hospitals NHS Trust, Plymouth, UK
DIABETICMedicine
P350
An electronic Think Glucose referral system
to facilitate and monitor inpatient diabetic
care
TM Kapadi, RP Warwick, BC Lee and A Basu
Diabetes and Endocrinology, City Hospital, Birmingham, UK
P351
Clinical incidents relating to insulin and oral
hypoglycaemics in hospital
HK Tan, A Baggott, E Moore and D Flanagan
Diabetes and Endocrinology, Derriford Hospital, Plymouth, UK
131
DIABETICMedicine
P352
Inpatient diabetes: do-it-yourself electronic
referral system to support and enhance
Think Glucose
REJ Ryder, W Burbridge, LS Braycotton, RJ Ryder, ML Cull,
PH Davies, P De, A Basu and BC Lee
Diabetes, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham,
UK
132
P353
An audit of mortality of inpatients with
diabetes as a comorbidity
R Zaidi, D Kalathil, M Shah, Y Mahgoub, D Sharma, A Ahmad,
J Vora, TS Purewal and PJ Weston
Diabetes and Endocrinology, Royal Liverpool University Hospital, Liverpool, UK
P354
Improving inpatient insulin prescribing and
administration by introduction of a
standard prescribing chart: results of a
prospective audit
EJ McCracken, PC Johnston, L Hegarty and AG Nugent
Diabetes Education Unit, Belfast City Hospital, Belfast, UK
P355
The challenges of maintaining an effective
inpatient diabetes service: demonstrating
the need for supporting diabetes resources
A Bray1, B Mumford2, J Jones2, H Rasmussen1, R Griffiths1,
M Fogarsy1, H Husband1, K Hamden2 and N Agarwal2
1
Diabetes Centre, Cwm Taf Local Health Board, Llantrisant, UK, 2Diabetes
Centre, Cwm Taf Local Health Board, Merthyr Tydfil, UK
DIABETICMedicine
P356
Clinicians opinions of a new inpatient care
pathway, the Diabetes Inpatient Care and
Education (DICE) chart, containing a unique
referral system, the Diabetes Patient at Risk
(DPAR) score
RM Round, C Kerry, R Rajendran, N Anscomb, S Laflin and
G Rayman
Diabetes Centre, Ipswich Hospital NHS Trust, Ipswich, UK
P357
Characteristics of patients who develop
hyperglycaemia and require insulin
treatment in hospitalised patients receiving
prednisolone
R Bhatti, N Gayle, S Hopkins, S Thomas and D Kariyawasam
Diabetes and Endocrinology, Guys and St Thomas, London, UK
133
DIABETICMedicine
P358
Demographics of inpatients presenting with
hypoglycaemia to a district general hospital
HA Bajwa1, MM Alam1, AW Safi2, WB Leong3, K Crowley1,
A Tahrani2 and H Siddique1,2
1
Endocrine and Diabetes, Dudley Group NHS Foundation Trust, Dudley, UK,
Division of Medical Sciences, University of Birmingham, Birmingham, UK,
Endocrine and Diabetes, Heart of England NHS Foundation Trust,
Birmingham, UK
2
3
P359
An audit of the management of diabetic
ketoacidosis in a district general hospital
after introduction of the Joint British
Diabetes Societies guidelines
H Kurdi, LP Pinto and FJ Smeeton
Diabetes and Endocrinology, Nevill Hall Hospital, Abergavenny, UK
134
P360
Diabetes inpatient consultant input
improves follow-up of patients admitted
with hypoglycaemia
K Clements, V Connor, T Williams, S Wynne, R Lim, M Banerjee
and KS Leong
Wirral University Teaching Hospital, Wirral, UK
P361
Never too late for diabetic ketoacidosis
TS Shekaraiah and PJ Evans
Department of Endocrine and Diabetes, Royal Gwent Hospital, Newport, UK
P362
Two years on, how well are we doing?
Management of diabetic ketoacidosis (DKA)
in acute medicine
RWF Lee, A Abiodun, CL Wong, R Buka and P Rehsi
DIABETICMedicine
P363
An evaluation of a proactive inpatient
diabetes team initiative on a liver unit
GM Noble-Bell and A Forbes
Diabetes, Kings College Hospital, London, UK
P364
An insight into nursing staff knowledge on
managing hypoglycaemia
K Leong, P Joseph and KS Leong
Diabetes Department, Clatterbridge Hospital, Wirral, UK
135
DIABETICMedicine
insulin regimens for at least 6 months before the index date were
compared against 12months follow-up data. Response was
defined as HbA1c < 7.5% and/or HbA1c reduction by >1% at
12 months. A subgroup of 233 patients initiating insulin therapy
with Humalog Mix50 was also assessed. Associations were
examined using multivariate logistic regression techniques.
Results: At 12 months, patients on existing insulin therapy who
were converted to Humalog Mix50 showed a mean HbA1c
reduction of 2.1% (p < 0.001). Adjusted odds ratios (OR) show
glycaemic response to intensification was significantly associated
with baseline HbA1c [OR1.72(1.58 1.87)], increased body mass
index [OR1.09(1.03 1.15)], reduced cholesterol [OR0.86
(0.76 0.98)] and sulphonylurea use [OR1.32(1.04 1.68)].
Patients in the subgroup showed a significant HbA1c reduction
of 3% (p < 0.001). Response in this subgroup was associated with
gliptin use [OR4.59(1.26 16.7)].
Conclusion: Humalog Mix50 is effective for achieving glycaemic
control in some patients with diabetes with suboptimal glucose
control on other insulin regimens. Higher baseline HbA1c,
previous sulphonylurea or gliptin use appear to be independent
predictors of response to this insulin regimen.
P367
136
P368
Should we routinely ask our patients with
diabetes about gastrointestinal symptoms
and do we think about pancreatic exocrine
insufficiency?
PL Chong, DR Meeking, ICP Cranston, PS Kar, V Hunter and
MH Cummings
Academic Department of Diabetes and Endocrinology, Portsmouth Hospitals
NHS Trust, Portsmouth, UK
DIABETICMedicine
P370
A preliminary survey on awareness of
periodontal risk among people with
diabetes in a district general hospital
K Jeyaraman1, Z Vakil1, P Rihal1, C Gunpot1, E Umotong1,
R Kaushal1, C Cotzias2, A Dixit2 and R Kaushal1
1
Department of Diabetes and Endocrinology, West Middlesex University
Hospital, London, UK 2Department of Obstetric and Gynaecology, West
Middlesex University Hospital, London, UK
137
P369
The adverse impact of diabetes on
in-hospital mortality for non-elective
admissions
G Gill, B Jose, L Varadhan, GI Varughese, A Walker and
AU Nayak
Diabetes and Endocrinology, University Hospital of North Staffordshire NHS
Trust, Stoke-on-Trent, UK
DIABETICMedicine
138
DIABETICMedicine
P374
Development of electrochemical
non-esterified fatty acid (NEFA) biosensor
for patient management of Type 2 diabetes
AT Hussain1, M Catt2 and EH Yu1
1
Chemical Engineering and Advanced Materials, Newcastle University,
Newcastle-upon-Tyne, UK, 2Institute of Ageing and Health, Newcastle
University, Newcastle-upon-Tyne, UK
P375
Glucometabolic abnormalities and their
association with novel biomarkers in
patients with acute coronary syndrome
MA Karamat1,2, AA Tahrani1,2, UY Raja3 and MJ Stevens1,2
1
Diabetes, Heartlands Hospital, Birmingham, UK, 2Centre for Endocrinology,
Diabetes and Metabolism, University of Birmingham, Birmingham, UK,
3
Diabetes, Warwick Hospital, Warwick, UK
139
DIABETICMedicine
P376
Biochemical monitoring in patients with
diabetes treated with variable rate insulin
infusion
P377
1
Department of Vascular Surgery, Queen Alexandra Hospital, Portsmouth,
UK, 2Department of Microbiology, Queen Alexandra Hospital, Portsmouth,
UK
140
P379
Improving uptake of annual urine
microalbuminuria screening in people with
diabetes attending the Newcastle Diabetes
Centre
AL Mitchell, R Wright, N Leech and SM Marshall
Newcastle Diabetes Centre, Newcastle-upon-Tyne NHS Trusts,
Newcastle-upon-Tyne, UK
P380
Are feet at risk in a diabetic renal clinic
population?
P Singh1, J Hogg2, E Guest2, D Corlis-Jones1 and P De1
1
Department of Diabetes and Endocrinology, Sandwell and West Birmingham
NHS Trust, Birmingham, UK, 2Department of Chiropody, Sandwell and West
Birmingham NHS Trust, Birmingham, UK
DIABETICMedicine
P381
Population based survey of
macroalbuminuria in a diabetic screening
programme
A Lawrence-Ball, J Littlewood, PA Meadows and JN Harvey
Wrexham Academic Unit, Bangor University, Wrexham, UK
141
DIABETICMedicine
P384
Changes in interstitial glucose are not
associated with exacerbation of pain in
subjects with diabetes with painful
neuropathy
R Gouni1,2, M Errikson3, L Gribble3, D Kerr1 and D Coppini2
1
Bournemouth Diabetes Endocrine Centre, Royal Bournemouth Hospital,
Bournemouth, UK, 2Diabetes Department, Poole Hospital NHS Trust, Poole,
UK, 3Clinical Research Centre, University of Surrey, Guildford, UK
142
P383
Corneal confocal microscopy: a prognostic
test for the development of diabetic
neuropathy
G Ponirakis, I Petropoulos, HF Fadavi, AU Uazman, OA Asghar,
M Jeziorska, MF Ferdousi, AM Marshall, M Tavakoli and
RAM Malik
Centre for Endocrinology and Diabetes, University of Manchester,
Manchester, UK
P385
Factors influencing diabetes
polyneuropathy: assessment using methods
of small fibre function and structure
S Sharma, P Vas and G Rayman
Diabetes Research Unit, Ipswich Hospital NHS Trust, Ipswich, UK
P386
Socioeconomic deprivation independently
predicts symptomatic treated painful
diabetic neuropathy in Type 2 diabetes
AH Heald1,3, SG Anderson2, RP Narayanan1,3, N Malipatil1,3,
H Roberts1 and G Dunn4
1
DIABETICMedicine
(32.0 32.4) vs 31.1 (30.9 31.2)kg/m2; p < 0.0001] than patients
not on treatment for neuropathic pain. There was no difference in
HbA1c at 57mmol/mol. eGFR was lower in the neuropathic pain
group at 70.0 (69.4 70.6) vs 73.4 (73.1 73.7)ml/min/1.73m2.
Amitryptiline was the most commonly prescribed agent (1,719/
3,232). Duloxetine (60mg daily) was prescribed in 157/3,232 of
cases. There were significant differences between groups for the
Townsend index, with a greater proportion (30.6% vs 22.8%) of
patients with treated neuropathic pain having a score of 1
(v2 = 83.9, p < 0.0001). Multivariate logistic regression analyses
indicated that each unit increment in the Townsend index was
associated with a 16% increased odds of requiring neuropathic
pain treatment (odds ratio 1.16, 95%CI 1.12 1.20, p < 0.001).
This was independent of age, HbA1c, gender, diabetes duration,
systolic blood pressure and eGFR.
Conclusion: Amitriptyline was the most commonly used agent for
treatment of diabetes related neuropathic pain with duloxetine
much less used. A higher level of socioeconomic deprivation may
predispose to severe neuropathic pain in diabetes. Differential
allocation of resources may benefit this group.
P387
Abnormal small nerve fibre function
demonstrated by the laser Doppler imaging
(LDI) flare technique in children and young
people with Type 1 diabetes
J Hassler-Hurst, S Sharma and G Rayman
Diabetes Centre, Ipswich Hospital NHS Trust, Ipswich, UK
143
DIABETICMedicine
P388
P389
144
P391
Achievement of weight loss with
canagliflozin, sitagliptin and glimepiride in
combination with metformin or
metformin+sulfonylurea in patients with
Type 2 diabetes
L Stein1, G Thompson2, J Diels3, P Thilakarathne3 and I Girod2
1
Medical Affairs, Janssen-Cilag Ltd, High Wycombe, UK, 2Outcomes
Research, Janssen-Cilag Ltd, High Wycombe, UK, 3HEMAR EMEA, Janssen,
Beerse, Belgium
Objectives: Treating
Type
2
diabetes
with
existing
anti-hyperglycaemic agents (AHAs) is frequently accompanied by
weight gain that can increase the risk of cardiovascular diseases.
This analysis compares weight change achieved with three AHAs
in combination with metformin (MET): the sodium glucose
co-transporter-2
inhibitor
canagliflozin,
the
dipeptidyl
peptidase-4 inhibitor sitagliptin and the sulfonylurea (SU)
glimepiride. Canagliflozin was also compared with sitagliptin in
combination with MET+SU.
Methods: A meta-analysis and an indirect comparison, using
patient level data from four randomised trials (modified
intent-to-treat, n = 3,957), were conducted using a logistic
regression analysis comparing achievement of weight loss 3%
after 52week treatment with canagliflozin 100mg or 300mg,
glimepiride titrated from 1mg to 6 8mg/day (plus MET), or
sitagliptin 100mg (plus MET or MET+SU). A generalised
estimating equation (GEE) model was used to capture correlation
of subjects within trials, with treatment, baseline bodyweight
and the interaction between both as covariates.
Results: In patients on MET (average baseline weight 86.9kg), a
weight loss 3% was achieved in 62.4% (95% CI 59.9%, 64.8%)
DIABETICMedicine
P392
A novel scoring system for assessing beta
cell function after clinical islet
transplantation (CIT)
A Smith1, S Imes2, A Malcolm2, PA Senior2 and AMJ Shapiro2
1
2
P394
Fasting plasma glucose (FPG) alone will miss
persisting postnatal glucose abnormalities
in gestational diabetes
H Venkataraman1, N Sukumar1, C Wood2, N Anderson2 and
P Saravanan1,3
1
145
DIABETICMedicine
P395
Do differences in treatment for gestational
diabetes reflect/produce differences in
perinatal outcome? An audit of antenatal
care involving dietary advice alone, insulin
and/or metformin
DL Ashmore, G Blakey, L Brooke and H Panayiotou
1
Leeds Institute of Genetics, Health and Therapeutics, University of Leeds,
Leeds, UK
P396
Screening for diabetic retinopathy in
pregnant women with Type 1 and Type 2
diabetes: are guidelines being met?
L McVicker1, L Carmody2, O Kgosidialwa2, A Egan1,2 and
F Dunne1,2
1
Department of Medicine, National University of Ireland Galway, Galway,
Ireland, 2Galway Diabetes Research Centre, National University of Ireland
Galway, Galway, Ireland
P397
Association of continuous subcutaneous
insulin infusion (CSII) during pregnancy
with pregnancy related outcome and its
relationship with microvascular
complications
MS Ahmed, A Tahrani, S Ateeq, S Jones, H Buckley, P Dyer,
A Field, J Hand and M Karamat
Diabetes and Endocrinology Department, The Heart of England NHS
Foundation Trust, Birmingham, UK
146
the greater decline in HbA1c observed in the first group. The safety
and benefits of using CSII in pregnancy need to be examined in
randomised clinical trials.
P398
Twin pregnancies in mothers with
pre-gestational diabetes: regional
population based cohort study
J Darke, SV Glinianaia and R Bell
Institute of Health and Society, Newcastle University, Newcastle-upon-Tyne, UK
P399
Tele-Mum: a feasibility study for a
randomised controlled trial to explore the
potential of using telemedicine for the
diabetes care of those with gestational
diabetes
JE Given1, M OKane2, BP Bunting3, F Dunne4,5, K Moles6,
L King6, E McIvor6, T Gallacher7 and V Coates1,8
1
P400
GDm-Health: a pilot study examining
acceptability of mobile phone assisted
remote blood glucose monitoring for
women with gestational diabetes
L Loerup1, JE Hirst2, LH MacKillop2,3, A Farmer4, DA Kevat3,
L Tarassenko1, OJ Gibson1, K Bartlett3, YM Kenworthy2 and
J Levy5
1
DIABETICMedicine
P401
Investigating hypoglycaemia awareness in
Type 1 diabetes during pregnancy
L Vermont1, SS Hussain1, SJ Lam2, S Jarvis1, F Cheng2,
C Jairam1, B Jones2 and A Dornhorst1
1
Department of Diabetes and Endocrinology, Imperial College Healthcare
NHS Trust, London, UK, 2Department of Obstetrics and Gynaecology,
Imperial College Healthcare NHS Trust, London, UK
147
DIABETICMedicine
P402
Nutrient intake of pregnant women with
Type 1 diabetes in the DAPIT trial:
relationships with anthropometry and
glycaemic control
AJ Hill1, C Patterson2, VA Holmes2, IS Young2 and
DR McCance3
1
Northern Ireland Centre for Food and Health, University of Ulster, Coleraine,
UK, 2Centre for Public Health, Queens University, Belfast, UK, 3Regional
Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast, UK
P403
Gestation of stillbirths in women with
pre-gestational diabetes
N Holman1, M Maresh2, R Bell3, R Holt4, D Todd5, J Hawdon6,
M Morgan7, B Young8, N Lewis-Barned9 and H Murphy10
1
National Cardio-Vascular Intelligence Network, Public Health England, York,
UK, 2Central Manchester University Hospitals NHS Foundation Trust,
Manchester, UK, 3Institute of Health and Society, Newcastle University,
Newcastle-upon-Tyne, UK, 4Human Development and Health Academic Unit,
Faculty of Medicine, University of Southampton, Southampton, UK,
5
University Hospitals Leicester, Leicester, UK, 6Barts Health NHS Trust,
London, UK, 7Singleton Hospital, Swansea, UK, 8Diabetes and Endocrinology,
Salford Royal Hospital, Salford, UK, 9Northumbria Healthcare Foundation NHS
Trust, North Shields, UK, 10Institute of Metabolic Science, University of
Cambridge, Cambridge, UK
P404
GDm-Health: a pilot study demonstrating
the feasibility of mobile phone assisted
treatment advice and medication
adjustment for women with gestational
diabetes
L Loerup1, OJ Gibson1, JE Hirst2, AJ Farmer3, KJ Bartlett4,
YM Kenworthy4, JE Blincowe5, DA Kevat4, LH MacKillop2,4,
L Tarassenko1 and JC Levy6
1
148
P405
ATLANTIC DIP (diabetes in
pregnancy): postpartum screening in
women with gestational diabetes, who
attends and why?
L Carmody1, A Egan1, B Kirwan1, A ODea2 and F Dunne1,2
1
2
DIABETICMedicine
P406
Higher serum glucose levels during oral
glucose tolerance test (OGTT) allow early
identification of women who will
ultimately fail dietary intervention alone
and progress to pharmacological therapy
for gestational diabetes
CM McHugh1 and D ODonoghue2
1
Medicine, Sligo Regional Hospital, Sligo, Ireland, 2Medicine, National
University of Ireland Galway,Galway, Ireland
P407
Study on the safety and efficacy of the use
of insulin glargine in gestational diabetes
CM McHugh1 and D ODonoghue2
1
149
DIABETICMedicine
p < 0.001) during OGTT (p < 0.001) compared with those on diet
alone. There was no significant difference between the gestation at
delivery, birth weight, Apgar at 0 and 5min, mode of delivery, or in
systolic BP, diastolic BP after 20 weeks gestation. There was a
higher mean HbA1c in those receiving glargine and aspart
compared with diet alone (5.73 0.16% vs 5.58 0.2%)
(p = 0.002). This was not evident with any other group
comparison. There is a positive correlation between the birth
weight and mode of delivery (vaginal delivery or Caesarean
section) (p = 0.018)(r2 = 0.031), but no correlation between
treatment type and birth weight.
Conclusion: This study demonstrated the safety and efficacy of
glargine therapy during pregnancy compared with diet alone.
P408
Managing gestational diabetes: an
evaluation
EM Kewell, J Chaman, J Knott, S Matthias and T Richardson
Bournemouth Diabetes and Endocrine Centre, Royal Bournemouth Hospital,
Bournemouth, UK
P409
Pre-conception care in diabetes and impact
on fetal macrosomia
S Krishnasamy1, R Indusekhar2, S Taylor1, L Varadhan1 and
AU Nayak1
1
Diabetes and Endocrine Department, University Hospital of North
Staffordshire, Stoke-on-Trent, UK, 2Obstetrics and Gynaecology Department,
University Hospital of North Staffordshire, Stoke-on-Trent, UK
150
P410
Emotional sequelae during and following
hospital admission for diabetic ketoacidosis
in Type 1 diabetes: a prospective cohort
study
KY MacLennan, AJA Keen and AE Gold
Diabetes Centre, NHS Grampian, Aberdeen, UK
P411
Psychosocial impact of closed loop therapy
for adults with Type 1 diabetes: overnight
closed loop at home study
H Thabit2, R Hovorka2, E Walkinshaw3, A Lubina-Solomon3,
M Stadler4, T Tinati5, SR Heller3, SA Amiel4, ML Evans2 and
KD Barnard1
1
Human Development and Health Academic Unit, University of
Southampton, Southampton, UK, 2Wellcome Trust, Medical Research Council
Institute of Metabolic Science, University of Cambridge, Cambridge, UK,
3
Diabetes Centre, Clinical Sciences Centre, Northern General Hospital,
Sheffield, UK, 4Diabetes Research, Weston Education Centre, Kings College
London, UK, 5Medical Research Council, University of Southampton, UK
DIABETICMedicine
P412
Closed loop therapy overnight at home
study: psychosocial impact on adolescents
with Type 1 diabetes
J Allen1, R Hovorka1, D Elleri1, H Thabit1, L Leelarathna1,
A Gulati1, M Nodale1, DB Dunger1, T Tinati2 and KD Barnard3
1
Wellcome Trust, Medical Research Council Institute of Metabolic Science,
University of Cambridge, Cambridge, UK, 2Medical Research Council
Lifecourse Centre, University of Southampton, Southampton, UK, 3Human
Development and Health, University of Southampton, Southampton, UK
P413
Depression, anxiety and self-care among
young adults with Type 2 diabetes: results
from the international Diabetes MILES
study
JL Browne1,2, G Nefs3, F Pouwer3 and J Speight1,2,4
1
Australian Centre for Behavioural Research in Diabetes, Diabetes Australia,
Melbourne, Australia, 2Centre for Mental Health and Wellbeing Research,
School of Psychology, Deakin University, Burwood, Australia, 3Center of
Research on Psychology in Somatic Diseases CoRPS, Tilburg University,
Tilburg, The Netherlands, 4AHP Research, Hornchurch, Essex, UK
151
DIABETICMedicine
P414
Does one size fit all? Towards an
understanding of the maintaining factors of
fear of hypoglycaemia
C Shaban, D Kerr and J Knott
Bournemouth Diabetes and Endocrine Centre, Royal Bournemouth Hospital,
Bournemouth, UK
152
P415
Beliefs about insulin in people with newly
diagnosed Type 2 diabetes: findings from
the South London Diabetes Cohort (SOUL-D)
study
M Boughdady1, K Winkley2, K Ismail2 and SA Amiel3
1
School of Medicine, Kings College London, London, UK, 2Department of
Psychological Medicine, Institute of Psychiatry, Kings College London,
London, UK, 3Diabetes and Nutritional Sciences Division, Kings College
London, London, UK
P415A
Outcome of individual psychological
interventions following a cognitive
behavioural therapy and mindfulness
model applied to adults with Type 1 and
Type 2 diabetes
KS Woldt
Department of Diabetes, Crichton Hospital, Dumfries, UK
P417
Psychosocial impact on parents of
adolescents with Type 1 diabetes: overnight
closed loop at home study
D Alleri1, R Hovorka1, J Allen1, H Thabit1, L Leelarathna1,
A Gulati1, M Nodale1, DB Dunger1, T Tinati3 and KD Barnard2
1
Wellcome Trust, Medical Research Council Institute of Metabolic Science,
University of Cambridge, Cambridge, UK, 2Human Development and Health,
University of Southampton, Southampton, UK, 3Medical Research Council,
University of Southampton, Southampton, UK
DIABETICMedicine
P418
Implementing a physical activity
consultation service for adults with
diabetes: promising results from a 12 month
evaluation
M McCallum1, L Matthews2, A Kirk2, N Mutrie3 and AE Gold1
1
Diabetes Centre, NHS Grampian, Aberdeen, UK, 2Physical Activity for Health
Research Group, School of Psychological Sciences and Health, University of
Strathclyde, Glasgow, UK, 3Institute for Sport, Physical Education and Health
Sciences, University of Edinburgh, Edinburgh, UK
P419
Enhancement of structured diabetes care
for adults with diabetes and a severe
mental health condition
C Simpson
Community Diabetes Team, Bradford Teaching Hospitals NHS Foundation
Trust, Bradford, UK
153
DIABETICMedicine
sessions and off ward link nurse education sessions; new blood
glucose monitors and care plans on the wards.
Results: Thirteen patients took part in the study. Baseline average
HbA1c 76mmol/mol, average HbA1c after 3 months 62mmol/mol
and at 6 months 54.7mmol/mol. At baseline the percentage of
patients having all annual diabetes checks was 48%; at 6 months
this increased to 83.3%. Staff who engaged with the education
reported to be more confident at managing patients with diabetes
on the wards.
Conclusion: A more systematic and flexible approach to looking
after patients with diabetes and mental health problems creates a
reduction in HbA1c and improved patient satisfaction.
P420
Levels of anxiety and depression in
secondary care diabetes outpatient clinics:
the need for service change
SG Wijetilleka, S Pais, W Liberty and TM Galliford
Department of Diabetes and Endocrinology, West Hertfordshire Hospitals
NHS Trust, Watford, UK
P421
Diabetes care in the acute mental health
setting
AF Conlon, H Atkins and KS Higgins
Diabetes and Endocrinology, University Hospitals of Leicester Acute Trust,
Leicester, UK
154
P422
Impact of diabetes on the quality of life of
family members: UK findings from the
second Diabetes Attitudes, Wishes and
Needs (DAWN2TM) study
KD Barnard1, MH Cummings2, MJ Davies3, N Kanumilli4 and
N Munro5
1
P423
What are the factors that influence
glycaemic control in the emerging adult
group of people living with Type 1 diabetes?
CM Reidy1, D Wellsted1, TM Galliford2 and S George3
1
Centre for Lifespan and Chronic Illness Research, University of Hertfordshire,
Hatfield, UK, 2Department of Diabetes and Endocrinology, West
Hertfordshire Hospitals NHS Trust, Watford, UK, 3Department of Diabetes
and Endocrinology, East and North Hertfordshire NHS Trust, Hertford, UK
P424
Depression and glycaemic control in Emirati
patients with diabetes: how strong is the
association?
A Khalili, N Lessan, Z Hannoun and MT Barakat
Research, Imperial College London Diabetes Centre, Abu Dhabi, United Arab
Emirates
DIABETICMedicine
P425
The influence of psychological wellbeing on
glycaemic control in adults treated with
continuous subcutaneous insulin infusion
(CSII)
MA Jones1, A Al-Janabi1, S Ng1, K Davenport1, C Ward1 and
ML Evans1,2
1
Wolfson Diabetes and Endocrinology Clinic, Cambridge, UK, 2Institute of
Metabolic Science, University of Cambridge, Cambridge, UK
P426
Cross-sectional survey of depression and
anxiety in a diabetes clinic population:
levels and role in blood sugar control
HA Lakhani1, I Cane1, M Taylor2, P Chadwick2 and
M Rosenthal3
1
155
DIABETICMedicine
under eye hospital care and three patients were kept in digital
surveillance at 6 monthly intervals.
Conclusion: The
diabetic
prisoner
population
in our
county showed a higher level of any diabetic retinopathy (40%)
than the normal diabetic population (32%). In our county during
the year 2011 2012 there were 27,219 digital screenings: 1,488
(5.4%) had sight-threatening retinopathy and 8,654 (32%) had
any retinopathy. However, 10% of diabetic prisoners had
sight-threatening diabetic retinopathy which is double the normal
diabetic population level. The results emphasise the need to screen
this group of the population although it requires extra time,
expense and effort on the part of the screening programme.
P428
P430
P427
Personalised risk estimation for progression
to sight-threatening diabetic retinopathy:
how much does clinical information add to
screening data?
IM Stratton1, SJ Aldington1, AJ Farmer2 and PH Scanlon1
1
Gloucester Diabetic Retinopathy Research Group, Gloucester Hospitals NHS
Foundation Trust, Cheltenham, UK, 2Primary Health Care Sciences, University
of Oxford, Oxford, UK
Refer to Oral A9
P429
Screening imperative: 10% of prisoners
with diabetes have sight-threatening
retinopathy
C Wallis, B Jennings and W Gatling
Dorset Diabetic Eye Screening Programme, Dorset Healthcare University NHS
Foundation Trust, Ferndown, UK
156
P431
Diabetic retinopathy in the Kingdom of
Swaziland: is there a need for screening?
HA Burn1 and J Pons2
1
2
P432
Uptake of annual retinal screening in
adolescents with diabetes in Grampian
DA Cole1, S Philip2, JD Olson3 and A Mayo4
1
Foundation Programme, NHS Grampian, Aberdeen, UK, 2Diabetes and
Endocrinology, NHS Grampian, Aberdeen, UK, 3Ophthalmology, NHS
Grampian, Aberdeen, UK, 4Adolescent Diabetes, NHS Grampian, Aberdeen,
UK
DIABETICMedicine
P433
Retinopathy in cystic fibrosis related
diabetes: more common than we think
M Choudhury1, SF Wong1, J Bell2, L Evans2, L Speight2,
J Duckers2 and RI Ketchell2
1
Institute of Molecular and Experimental Medicine, Cardiff University School
of Medicine, Cardiff, UK, 2All Wales Adult Cystic Fibrosis Centre, University
Hospital Llandough, Penarth, UK
157
DIABETICMedicine
P434
Prevalence of diabetic retinopathy at first
screen in children with diabetes diagnosed
before age 12 years in Scotland
HC Looker1 and DT Cromie2
1
Diabetes Epidemiology Unit, University of Dundee, Dundee, UK, 2Public
Health, NHS Lanarkshire, Glasgow, UK
158
P435A
Trends and outcomes from the use of the
glycated haemoglobin test to screen for
Type 2 diabetes in a diverse West Midlands
population: opportunities for diabetes
prevention
P Singh1, A Hayling2 and PH Davies1
1
Diabetes Centre, Sandwell Hospital, Sandwell and West Birmingham
Hospitals NHS Trust, West Bromwich, UK, 2Department of Pathology,
Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
P437
The role of non-invasive screening methods
in estimating prevalence of diabetes in
patients admitted to hospital with acute
coronary syndrome
MA Karamat1,2, W Hanif3, SE Manley4, AA Tahrani1,2 and
MJ Stevens1,2
1
Diabetes, Heartlands Hospital, Birmingham, UK, 2Institute of Biomedical
Research, University of Birmingham, Birmingham, UK, 3Diabetes, Queen
Elizabeth Hospital, Birmingham, UK, 4Biochemistry, Queen Elizabeth Hospital,
Birmingham, UK
P438
Screening for diabetes in the SW peninsula:
assessing the use of different risk scores
and HbA1c
F Brown1, C OMahoney1, S Creanor2, N Shaw1 and
BA Millward1
1
Diabetes Clinical Research Centre, Plymouth University Peninsula Schools of
Medicine and Dentistry, Plymouth, UK, 2Centre for Medical Statistics and
Bioinformatics, Plymouth University Peninsula Schools of Medicine and
Dentistry, Plymouth, UK
DIABETICMedicine
P439
Targeted screening of a high risk population
using HbA1c identifies a high yield of
patients with impaired glucose metabolism
(IGM)
HJ Wallace1, S Ferguson2, D Bernatowicz2, J Dougan2 and
SJ Hunter1
1
Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital,
Belfast, UK, 2Rapid Access Chest Pain Clinic, The Heart Centre Northern
Ireland Royal Victoria Hospital, Belfast, UK
159
DIABETICMedicine
P440
Corneal confocal microscopy detects early
nerve damage in subjects with impaired
glucose tolerance and predicts progression
to diabetes
S Azmi1, I Petropoulos1, MF Ferdousi1, G Ponirakis1, U Alam2,
HF Fadavi1, M Tavakoli1, A Kheyami1, M Jeziorska1 and
RA Malik1,2
1
P441
Screening for diabetes following pancreas
transplantation
A Nicholls, F Akiboye, D Cavan and D Kerr
Bournemouth Diabetes and Endocrine Centre, Royal Bournemouth and
Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK
160
Clinical care and other categories posters: structure/systems of care and healthcare delivery
P443
Clinical profile of patients with Type 1
diabetes attending an Irish teaching
hospital
TG Cotter, T OBrien, SF Dinneen, F Dunne, M Bell,
FM Finucane and M Gately
Endocrinology, Galway University Hospital, Galway, Ireland
DIABETICMedicine
P447
P445
Adherence to local protocol for the initial
management of adult patients presenting
with diabetic ketoacidosis to a district
general hospital
DH Foster, C McCarthy and A Helmy
General Medicine, South West Acute Hospital, Enniskillen, UK
P446
The InterCare Diabetes Service: a whole
system integrated approach to diabetes
care
P King1, K Gale1, S Ashton-Cleary1, P Dindsa1, K Farrell2 and
M Munir3
1
Diabetes and Endocrinology, Derby Hospitals NHS Foundation Trust, Derby,
UK, 2Willington Partnership, Willington, UK, 3Wilson Street Surgery, Derby, UK
161
DIABETICMedicine
P448
An integrated diabetes service facilitates
the transition from inpatient to outpatient
and is associated with reduced readmissions
MB Whyte, A Cox, GM Noble-Bell, M Boerkamp and R Malik
Diabetes, Kings College Hospital NHS Trust, London, UK
P449
An evaluation of the impact of virtual clinics
for people with Type 2 diabetes in primary
care
N Basudev1, A Forbes2 and S Thomas3
1
Diabetes Intermediate Care Team, Lambeth Clinical Commissioning Group,
London, UK, 2Department of Primary and Intermediate Care, Kings College
London, London, UK, 3Department of Diabetes and Endocrinology, St
Thomas Hospital, London, UK
162
P450
A paradigm shift in the management of
diabetic ketoacidosis: the introduction of
the Joint British Diabetes Societies 2010
guideline into the Royal Surrey County
Hospital
C van Zeller, T Milner, R Herring and D Russell-Jones
Cedar Centre, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK
Clinical care and other categories posters: structure/systems of care and healthcare delivery
P451
Prevention of recurrent glycaemia related
admissions through case management and
mental health intervention
D Simmons1, S Hartnell1, J Watts1, E Gunn2, A Jenaway2,
C Ward1 and K Davenport1
1
Wolfson Diabetes and Endocrinology Clinic, Cambridge University Hospitals,
Cambridge, UK, 2Psychiatry Liaison, Cambridge and Peterborough
Foundation Trust, Cambridge, UK
P452
Mapping the diabetes landscape: matching
specialist community resource to areas of
need
SL Woodman, KE Fayers, H Alsafadi and C Atkinson
West Hampshire Community Diabetes Service, Southern Health NHS
Foundation Trust, Lyndhurst, UK
DIABETICMedicine
P453
Factors influencing safe and appropriate
discharge from a secondary care rapid
access clinic (RAC) to primary care
PJ Evans1, M Walsh1 and AL Lewis2
1
Diabetes Unit, Royal Gwent Hospital Newport, UK, 2Diabetes Unit, Royal
Gwent Hospital, Newport, UK
163
DIABETICMedicine
P454
Clinical audit of treatment of diabetic
ketoacidosis (DKA): the Joint British
Diabetes Societies (JBDS) guideline (2010)
in practice
B Freudenthal1, J Ironside1, T Khilji2, F Rizvi1 and S Russell1
1
Department of Diabetes and Endocrinology, Chase Farm Hospital, Enfield,
UK, 2Department of Medicine, Chase Farm Hospital, Enfield, UK
P455
Diabetes management in care homes: steps
in the right direction?
E Sloan1 and S Bellary1,2
1
Aston Research Centre for Healthy Ageing, Aston University, Birmingham,
UK, 2Diabetes and Endocrinology, Heart of England NHS Foundation Trust,
Birmingham, UK
164
P456
A decade in diabetes specialist services
2000 2011: the views of consultant
diabetologists and diabetes specialist
nurses amidst persistent healthcare
delivery change
CA Gosden1, T Tinati2, K Barnard1, DRR Williams3 and
RIG Holt1
1
Human Development and Health Academic Unit, University of
Southampton, Southampton, UK, 2Medical Research Council, Lifecourse
Epidemiology Unit, University of Southampton, Southampton, UK, 3College
of Medicine, Swansea University, Swansea, UK
Clinical care and other categories posters: structure/systems of care and healthcare delivery
P457
Online outpatient consultations: the patient
perspective
D Campbell-Richards1, J Morris1, R Sudra1, S Vijayaraghavan1,
T OShea2, T Greenhalgh3 and A Collard4
1
Diabetes and Endocrinology, Barts Health, London, UK, 2Diabetes, East
London Foundation Trust, London, UK, 3Global Health, Policy and Innovation
Unit, Barts and the London School of Medicine and Dentistry, London, UK,
4
Independent Consultant, London, UK
P458
The development of a health
community-wide blood glucose testing strip
formulary
H Hardman1, EA Hackett2, D Jackson3, J James2, J Kaur3,
R Love2, P Navti4, R Oldridge5, T Rengaranjan2, L Walker2 and
KS Higgins2
1
Leicestershire Medicines Strategy Group, Leicester, UK, 2Department of
Diabetes and Endocrinology, University Hospitals of Leicester NHS Trust,
Leicester, UK, 3West Leicestershire Clinical Commissioning Group,
Loughborough, UK, 4East Leicestershire and Rutland Clinical Commissioning
Group, Leicester, UK, 5Leicester City Clinical Commissioning Group, Leicester,
UK
DIABETICMedicine
P459
Improved attendance at postnatal oral
glucose tolerance testing following service
transfer from secondary to primary care
setting
SL Palin1, ACJ Robinson1, J Pankhania1, N Baxendale1, S Bett1,
A Muotune2, N Singh2, L Helsby3 and S Liversedge3
1
Diabetes Department, Royal Bolton Hospitals NHS Foundation Trust, Bolton,
UK, 2Obstetric Department, Royal Bolton Hospitals NHS Foundation Trust,
Bolton, UK, 3Bolton Clinical Commissioning Group, Bolton, UK
165
DIABETICMedicine
P460
People with common mental health
problems and diabetes receive better
surveillance of diabetes related conditions
and equal surveillance of their diabetes in
primary care
AP McGovern, N Munro, T Chan, S Jones and S De Lusignan
Department of Healthcare Management and Policy, University of Surrey,
Guildford, UK
Aims: People with mental health illness are less likely to engage
with healthcare services. Pay-for-performance diabetes targets in
the UK should minimise the impact of this effect on diabetes
management. Here we report the impact of psychiatric conditions
on failure to receive regular check-ups for diabetes and related
conditions.
Methods: A cohort of people with diabetes (N = 35,502) from
the Quality Intervention in Chronic Kidney Disease (QICKD) trial
was followed up, over a period of 2.5 years, using routinely
collected primary care data. A logistic regression analysis was
performed to identify the impact of mental health on the
proportion of patients receiving HbA1c, cholesterol, renal
function and monofilament foot checks. Demographic factors,
comorbiditiesand variability between primary care practices were
adjusted for.
Results: In the cohort studied, 2,042 (5.8%) people had a
recognised affective disorder and 122 (0.3%) a recognised
psychotic disorder. People with affective disorders were slightly
more likely to have cholesterol measurements (odds ratio 1.36,
95% CI 1.08 1.70) and renal function checks (odds ratio 1.37,
95% CI 1.16 1.63). No association was found between psychotic
disorders and cholesterol measurement or renal function checks.
No association was found between mental health illness and
HbA1c and monofilament foot checks.
Conclusions: The presence of recognised psychiatric illness was
found to have no negative effect on the rates of assessment of
diabetes and improved surveillance of renal function and
cholesterol in those with affective disorders.
P461
The role of technology to improve resource
utilisation and support diabetes
self-management in clinical practice: an
audit of a virtual insulin pump clinic
B Mumford, V Oldham, D Lee and N Agarwal
Diabetes Centre, Cwm Taf Local Health Board, Merthyr Tydfil, UK
166
P462
A data integration methodology for
targeting people with diabetes with key
adverse outcomes: the Wolverhampton
Interface Care Knowledge Empowered
Diabetes (WICKED) Project
SMR Gillani, MR Holland and BM Singh
Wolverhampton Diabetes Centre, Royal Wolverhampton NHS Trust,
Wolverhampton, UK
Clinical care and other categories posters: structure/systems of care and healthcare delivery
P463
How do people with diabetes in
England describe their experiences of
primary care: where can we improve?
CAM Paddison, CS Saunders, GA Abel, RA Payne and
M Roland
Cambridge Centre for Health Services Research, University of Cambridge,
Cambridge, UK
P464
Development of a care planning tool to
facilitate structured, informed, patient
empowered and led diabetes care: the
Wolverhampton Interface Care
Knowledge Empowered Diabetes (WICKED)
Project
SMR Gillani and BM Singh
Wolverhampton Diabetes Centre, Royal Wolverhampton NHS Trust,
Wolverhampton, UK
DIABETICMedicine
P465
The introduction of patient centric, patient
driven, care planning consultations in
specialist hospital clinics: the
Wolverhampton Interface Care
Knowledge Empowered Diabetes (WICKED)
Project
BM Singh and SMR Gillani
Wolverhampton Diabetes Centre, Royal Wolverhampton NHS Trust,
Wolverhampton, UK
167
DIABETICMedicine
P466
Review of HbA1c results >120mmol/mol as
patients may require urgent assessment of
request for diagnosis of Type 2 diabetes
RP Dowd1, RA Round2, CL Mason2, PG Nightingale3,
SG Ghosh1, W Hanif1, J Webber1, R Cramb2,4 and SE Manley2,4
1
Diabetes Centre, University Hospitals Birmingham NHS Foundation Trust,
Birmingham, UK, 2Clinical Laboratory Services, University Hospitals
Birmingham NHS Foundation Trust, Birmingham, UK, 3Wellcome Trust
Clinical Research Facility, University Hospitals Birmingham NHS Foundation
Trust, Birmingham, UK, 4Division of Medical Sciences, University of
Birmingham, Birmingham, UK
P467
Diabetes care for vulnerable older patients:
the views of professionals working in care
homes and domiciliary care using a focus
group format
CJ Fox1, CR Gillespie2, A Kilvert1 and AJ Sinclair3
1
Research and Development Unit, Northampton General Hospital,
Northampton, UK, 2Diabetes Centre, Royal Derby Hospital, Derby, UK,
3
Institute of Diabetes for Older People, Beds and Herts Postgraduate Medical
School, Luton, UK
168
P468
Using the UK Diabetes Attitudes, Wishes and
Needs (DAWN2TM) data to help guide
consultations between healthcare
professionals and people with diabetes
R Brice1 and RIG Holt2
1
Whitstable Health Centre, NHS Canterbury and Coastal, Coastal Clinical
Commissioning Group, Canterbury, UK, 2Faculty of Medicine, University of
Southampton, Southampton, UK
Clinical care and other categories posters: structure/systems of care and healthcare delivery
P469
Reduction in prescribing costs for diabetes:
the 3 year results of First Diabetes, an
integrated diabetes care organisation in
Derby
RD Rea1,2, K Farrell1,3 and S Fitton4
1
First Diabetes, Derby, UK, 2Diabetes and Endocrinology, Derby Hospitals NHS
Foundation Trust, Derby, UK, 3Willington Surgery, Derby, UK, 4Medicines
Management, Southern Derbyshire Clinical Commissioning Group, Derby, UK
P470
Interactions between people with diabetes
and healthcare professionals in the UK:
results from the Diabetes Attitudes, Wishes
and Needs (DAWN2TM) study
N Kanumilli1, R Brice2, G Hall3 and RIG Holt4
1
South Manchester Clinical Commissioning Group, Northenden Group
Practice, Northenden, UK, 2NHS Canterbury and Coastal Clinical
Commissioning Group, Whitstable Health Centre, Whitstable, UK, 4Faculty of
Medicine, University of Southampton, Southampton, UK
DIABETICMedicine
P471
A stepwise approach to releasing capacity in
diabetes outpatient clinics: right care, right
time, right place
SL Woodman, KE Fayers, J Murphy and C Atkinson
West Hampshire Community Diabetes Service, Southern Health NHS
Foundation Trust, Lyndhurst, UK
169
DIABETICMedicine
P472
Reduction in acute hospital admissions for
patients with diabetes: the 4 year results of
First Diabetes, an integrated diabetes care
organisation in Derby
B Eaglesfield1,2, R Butterfield3, K Farrell1,4 and RD Rea1,2
1
First Diabetes, Derby, UK, 2Department of Diabetes and Endocrinology,
Derby Hospitals NHS Foundation Trust, Derby, UK, 3Department of
Information, Derby Hospitals NHS Foundation Trust, Derby, UK, 4Willington
Surgery, Derby, UK
P473
Review of prescribing patterns for two
clinical commissioning groups diabetes
population with an HbA1c greater than
64mmol/mol in primary care
RC Dallmeyer1, A Hodgkinson2, D Sennik3 and L Briant1
1
Diabetes Modernisation Initiative, Guys and St Thomas NHS Foundation
Trust, London, UK, 2Medicines Management, NHS Lambeth Clinical
Commissioning Group, London, UK, 3Medicines Management, NHS
Southwark Clinical Commissioning Group, London, UK
170
P474
Use of a structured situationbackground
assessmentrecommendation (SBAR)
approach to clinic letter dictation to
improve communication between primary
and secondary care
J King1 and A Robinson1,2
1
Diabetes and Endocrinology, Royal Bolton Hospital, Bolton, UK, 2Bolton
Diabetes Centre, Royal Bolton Hospital, Bolton, UK
Clinical care and other categories posters: structure/systems of care and healthcare delivery
P475
Non-elective readmissions to an acute
hospital in people with diabetes: causes and
the potential for avoidance: the
Wolverhampton Interface Care Knowledge
Empowered Diabetes (WICKED) Project
U Aziz, SMR Gillani, D Blundell, R Nithyananda and BM Singh
Wolverhampton Diabetes Centre, Royal Wolverhampton NHS Trust,
Wolverhampton, UK
P476
The Royal Free Continuous Subcutaneous
Insulin Infusion (CSII) Service: a comparison
of patch pump vs traditional pump showing
different population demographics,
increased patch pump uptake in pregnancy
and equal efficacy at reducing HbA1c
N Gostelow1,2, L Williamson1,2, J Holland1, M Vanderpump1
and M Rosenthal1
1
DIABETICMedicine
P477
Specialist community diabetes services
make significant improvements to patient
clinical outcomes in Lambeth and
Southwark
H Ward1, J Sharpe2, M Chamley3 and J Collins1
1
Diabetes Modernisation Initiative, Guys and St Thomass NHS Foundation
Trust, London, UK, 2Southwark Community Diabetes Service, Guys and St
Thomass NHS Foundation Trust, London, UK, 3Lambeth Diabetes
Intermediate Care Team, Crowndale Medical Centre, London, UK
171
DIABETICMedicine
P478
Diabetes services in Lambeth and
Southwark have worked together to reduce
hospital diabetes outpatient caseloads by
ensuring patients are cared for in the most
appropriate setting
H Ward1, J Sharpe2, M Chamley3, C Gayle4, S Thomas5 and
J Collins1
1
Diabetes Modernisation Initiative, Guys and St Thomass NHS Foundation
Trust, London, UK, 2Southwark Community Diabetes Service, Guys and St
Thomass NHS Foundation Trust, London, UK, 3Lambeth Diabetes
Intermediate Care Team, Crowndale Medical Centre, London, UK, 4Diabetes
and Endocrinology, Kings College Hospital NHS Foundation Trust, London,
UK, 5Diabetes and Endocrinology, Guys and St Thomass NHS Foundation
Trust, London, UK
P479
Creating improvements in foot health and
increasing foot assessments in Southwark
and Lambeth
M Ferdinand1, C Gayle2, J Doherty3 and J Collins1
1
Diabetes Modernisation Initiative, Guys and St Thomas Charity, London,
UK, 2Diabetes, Kings College Hospital, London, UK, 3General Practice,
Southwark, London, UK
172
P480
SCI-Diabetes: a population-based shared
electronic record for diabetes
SG Cunningham1, RG Morris2, C Flach2, WM Urquhart2,
A Taylor2, I Dickson3, J Walker4 and A Emslie-Smith5
1
Clinical care and other categories posters: structure/systems of care and healthcare delivery
P481
Lambeth and Southwark community
diabetes services have worked to enable
primary care clinicians to better manage
patients with diabetes
J Collins1, M Chamley2, J Sharpe3 and H Ward1
1
Diabetes Modernisation Initiative, Guys and St Thomass NHS Foundation
Trust, London, UK, 2Southwark Community Diabetes Service, Guys and St
Thomass NHS Foundation Trust, London, UK, 3Lambeth Diabetes
Intermediate Care Team, Crowndale Medical Centre, London, UK
P482
A sustainable model of integrated
community care: 2 year outcome data
KE Fayers, S Woodman, C Atkinson and J Murphy
West Hampshire Community Diabetes Service, Southern Health NHS
Foundation Trust, Southampton, UK
DIABETICMedicine
P483
The effectiveness of telephone consultation
in patients with diabetes
P Joseph, K Leong, M Banerjee and KS Leong
Diabetes Department, Wirral University NHS Foundation Trust, Bebington, UK
173
DIABETICMedicine
P484
Impact of UK guidelines on clinical
prescribing in patients with Type 2 diabetes:
a comparative effectiveness analysis of
liraglutide vs sitagliptin in the UK
P McEwan1, ML Evans2, ME Nyeland3, R Skovgaard3,
A Richards3, EQ Bergan3, D Demuth4, L Garcia Alvarez4,
A Muthutantri4 and UJ Ploug3
1
P486
Comparative achievements in
treatment-related Quality and Outcomes
Framework targets for Type 2 diabetes
patients receiving dual therapy with either
a sodium glucose co-transporter-2 inhibitor,
a dipeptidyl peptidase-4 inhibitor or a
sulfonylurea in dual therapy
L Stein1, G Thompson2, J Diels3, P Thilakarathne3 and I Girod2
1
Medical Affairs, Janssen-Cilag Ltd, High Wycombe, UK, 2Outcomes
Research, Janssen-Cilag Ltd, High Wycombe, UK, 3HEMAR EMEA, Janssen,
Beerse, Belgium
174
P485
Are the nine care processes for diabetes
being received by people with diabetes in
the boroughs of Lambeth and Southwark
and does this impact on glycaemic control at
a population level?
RC Dallmeyer, L Briant, A Manya and J Collins
Diabetes Modernisation Initiative, Guys and St Thomas NHS Foundation
Trust, London, UK
Clinical care and other categories posters: structure/systems of care and healthcare delivery
P487
Tracking achievement in diabetes-related
local policy targets supporting the Outcome
Framework using the diabetes management
information tool (DMIT)
G Thompson1, L Stein2, S Williamson3 and I Girod1
1
Outcomes Research, Janssen-Cilag Ltd, High Wycombe, UK, 2Medical
Affairs, Janssen-Cilag Ltd, High Wycombe, UK, 3External Affairs,
Janssen-Cilag Ltd, High Wycombe, UK
P488
Impact of the Integrated Care Pilot on
HbA1c, cholesterol and systolic blood
pressure levels in patients with diabetes
DIABETICMedicine
P489
Teleconsultation is an effective method of
supporting diabetes care in a remote and
rural setting
S Philip1, N Milne2, C Page2, C McCallum2, A Kelday2,
T Gilmour2, J Onubi3 and M Safdar3
1
NHS Grampian, Aberdeen, UK, 2NHS Orkney, Kirkwall, UK, 3University of
Aberdeen, Aberdeen, UK
175
DIABETICMedicine
P490
Understanding equity of management of
diabetes using primary care data in an inner
city borough
H Dodhia1, S Thomas2 and M Chamley2
1
P491
Improving management of patients with
steroid related hyperglycaemia by
introduction of a management protocol:
results of a prospective audit
EJ McCracken, IR Wallace, T Allen, C Megaw, C Norcross and
AG Nugent
Diabetes Education Unit, Belfast City Hospital, Belfast, UK
176
P492
The use of electronic prescribing to reduce
insulin prescribing errors: audit on
fast-acting insulin prescribed at bedtime at
Kings College Hospital
DCD Hope1, V Austin2, B Fidler3 and OG Mustafa1
1
Kings Insulin Safety Group; Department of Diabetes, Kings College
Hospital, London, UK, 2Kings Insulin Safety Group; Pharmacy, Kings College
Hospital, London, UK, 3Kings Insulin Safety Group; Information Technology,
Kings College Hospital, London, UK
DIABETICMedicine
P495
Greater postprandial glucose control across all
three daily meals with liraglutide compared
with placebo when added to metformin and
rosiglitazone in patients with Type 2 diabetes:
posthoc analysis of Liraglutide Effect and
Action on Diabetes (LEAD)4
SC Bain1, M Shomali2, L Blonde3, CB Svendsen4, H Thomsen4
and B Zinman5
1
Diabetes, Singleton Hospital, Swansea, UK, 2MedStar Union Memorial
Hospital, Baltimore, Maryland, USA, 3Ochsner Medical Center, New Orleans,
Louisiana, USA, 4Liraglutide Diabetes Medical Affairs, Novo Nordisk A/S,
Sborg, Denmark, 5Leadership Sinai Centre for Diabetes, University of
Toronto, Toronto, Canada
177
DIABETICMedicine
P496
The effect of glucagon-like peptide 1
agonist therapy on weight and HbA1c: how
important is dietetic input?
R Booth
Nutrition and Dietetics, University Hospital Southampton NHS Foundation
Trust, Southampton, UK
P497
An investigation into the efficacy of
glucagon-like peptide 1 (GLP-1) analogues in
obese patients with Type 1 diabetes
MK Shah, M Danjuma, T Saeed, and EG Khan
Diabetes Centre, Nobles Hospital, Douglas, Isle of Man, UK
178
P498
Liraglutide add-on to metformin improves
postprandial glucose control compared with
metformin monotherapy in patients with
Type 2 diabetes: posthoc analysis of the
Liraglutide Effect and Action in Diabetes
(LEAD)2 study
JW Stephens1, G Fulcher2, DR Matthews3, MA Nauck4,
CB Svendsen5, M Donsmark5 and A Garber6
1
P499
Dipeptidyl peptidase-4 inhibitor
(DPP-4i) prescribing in persons with Type 2
diabetes with and without renal
impairment from the Clinical Practice
Research Datalink (CPRD)
DIABETICMedicine
P500
179
DIABETICMedicine
P502
Atrial fibrillation, heart failure and
ischaemic heart disease in elderly people
with Type 1 diabetes
M Srikantharajah1, MJ Chapman1 and K Nirantharakumar2,3
1
School of Clinical and Experimental Medicine, University of Birmingham,
Birmingham, UK, 2School of Health and Population Sciences, University of
Birmingham, Birmingham, UK, 3Institute of Digital Healthcare, University of
Warwick, Warwick, UK
Aim: People with Type 1 diabetes are living longer than previous
decades. However, many live with multiple comorbidities. Limited
data exist on cardiac comorbidities in the elderly with Type 1
diabetes. Here we look at the burden of cardiac comorbidities and
their association with risk factors in this population.
Methods: We did a cross-sectional analysis of a UK based general
practice database (the Health Improvement Network) for the year
2008. We used descriptive statistics (percentages) and logistic
regression [reporting odds ratio (OR) and 95% confidence
intervals (95%CI)] to study associations with risk factors such as
smoking, age, gender, hypertension, duration of diabetes and
glycaemic control (HbA1c).
Results: There were 997 elderly people with Type 1 diabetes
identified in the database. 42 (4.2%) had atrial fibrillation (AF),
263 (26.4%) had ischaemic heart disease (IHD) and 60 (6%) had
heart failure (HF). AF was significantly associated with age (OR
1.08, 95%CI 1.02 1.14) and HF (OR 3.32, 95%CI 1.29 8.54);
heart failure was significantly associated with male gender (OR
1.93, 95%CI 1.02 3.68) and IHD (OR 13.61, 95%CI
6.80 27.23); and ischaemic heart disease was significantly
associated with smoking (OR 1.52, 95%CI 1.09 2.13) and
duration of diabetes (OR1.02, 95%CI 1.01 1.03).
Conclusion: There is a high burden of cardiac morbidities in
elderly people with Type 1 diabetes. The benefit of optimising
therapy in an elderly population with Type 1 diabetes with the aim
of reducing adverse cardiac outcomes needs to be further studied
and recommendations implemented.
P503
Factors associated with glycaemic control in
adult patients with Type 1 diabetes treated
with insulin pump therapy
1,2, M T Maecki1,2 and T Klupa1,2
B Matejko1, J Skupien
1
Department of Metabolic Diseases, Jagiellonian University Medical College,
Krakow, Poland, 2University Hospital, Jagiellonian University, Krakow, Poland
180
P504
Factors associated with insulin requirement
in adult patients with Type 1 diabetes
treated with personal insulin pumps
B Matejko1, MT Maecki1,2 and T Klupa1,2
1
Department of Metabolic Diseases, Jagiellonian University Medical College,
Krakow, Poland, 2University Hospital, Jagiellonian University, Krakow, Poland
P505
Changes in age at diagnosis and prevalence
of positive family history in patients with
Type 1 diabetes over five decades
AP Brooks and JSW Chong
Diabetes Specialist Service, Hampshire Hospitals NHS Foundation Trust,
Winchester, UK
DIABETICMedicine
IDF (2005) criteria. The UKPDS risk engine was used to calculate
the cardiovascular risk.
Results: 100 patients with Type 1 and 100 with Type 2 diabetes
were reviewed. 70% of patients with Type 1 diabetes and 94% of
patients with Type 2 diabetes had MetS by all three criteria. This
shows that MetS is more common in Type 2 (p < 0.05) but also
highly prevalent in Type 1 diabetes. Comparing no criterion for
MetS vs three criteria, the cardiovascular risks were Type 2
diabetes 9.20% vs 19.02% (p = 0.05), Type 1 diabetes 3.23% vs
13.17% (p < 0.01).
Conclusions: MetS is highly prevalent in Type 1 diabetes and
therefore screening for MetS should be routine practice. Metformin
has been shown to be insulin sparing, improve glycaemic control
and promote weight loss. Our data support more proactive
screening for MetS and use of aggressive lifestyle and therapeutic
measures to optimise cardiovascular risk in these patients.
P507
A 6 year retrospective observational study:
autoantibodies to glutamic acid
decarboxylase (GAD) and insulinoma
antigen 2 (IA-2) in patients newly diagnosed
with adult diabetes presenting with
diabetic ketoacidosis
I Wallace1,2, S Chan1, M Naidu1, B Secret2, G Braatvedt1,2,3 and
M Khanolkar1,2
1
181
P506
Type 1 diabetes + metabolic syndrome: need
for a different management paradigm?
N Othonos1, V Patel1,2 and P Saravanan1,2
1
Academic Department of Diabetes and Endocrinology, George Eliot
Hospital, Nuneaton, UK, 2Division of Metabolic and Vascular Health, Warwick
Medical School, University of Warwick, Coventry, UK
DIABETICMedicine
P510
Impact of linagliptin therapy in patients
with Type 2 diabetes and suboptimal
glycaemic control
AL Holland, S Gururaj and I Lawrence
Department of Diabetes and Endocrinology, Leicester Royal Infirmary,
Leicester, UK
182
P509
Comparative achievement of treatment
targets for patients with Type 2 diabetes
receiving triple therapy with the sodium
glucose co-transporter-2 inhibitor
canagliflozin and the dipeptidyl peptidase-4
inhibitor sitagliptin in combination with
metformin and a sulfonylurea
L Stein1, G Thompson2, J Diels3, P Thilakarathne3 and I Girod2
1
Medical Affairs, Janssen-Cilag Ltd, High Wycombe, UK, 2Outcomes
Research, Janssen-Cilag Ltd, High Wycombe, UK, 3HEMAR EMEA, Janssen,
Beerse, Belgium
P511
Risk assessment tools for detecting those at
high risk of Type 2 diabetes: a systematic
review
SR Barber1, MJ Davies2, K Khunti2 and LJ Gray1
1
2
DIABETICMedicine
183