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Objectives There are currently 36,000 under 19-year-olds with Diabetes in the UK1 We carried out an audit to check our compliance with guidelines produced by NICE and the Children/Young People's Yorkshire Diabetes Network. We assessed whether we met all the standards as per the newly-diagnosed T1DM pathway including did all patients meet the appropriate members of the MDT and whether we carried out the standard investigations required on diagnosis.2 We carried out this audit to improve our care for Diabetic patients and highlight any missed standards in order to rectify them. We checked for any missed/delayed appointments in order to ensure our patients were being followed up on time. Methods We gathered data retrospectively for all newly diagnosed diabetic patients from April 2021-November 2022 via electronic records. 19 patients fit the inclusion criteria with ages ranging between 3–18, average age of 12. From admission, we recorded if a patient met a PDSN, doctor, psychologist, dietician and whether they followed-up post discharge. We checked if finger checking competency and competency injecting was documented and whether each child had TFTs, coeliac-screen and diabetes antibodies tested. Data was later analysed and presented at the departmental meeting. Results 47% presented in DKA with an average admission of 5.6 days. 100% were seen by PDSN, doctor and dietician (except psychologist). 82% were followed-up daily for 1- week. 12% received home visits, 88% had dietician follow-up within 1-week. 71% were followed-up within 2–4 weeks. 100% had coeliac-screen, 18% didn't have initial TFTs. Since Nov 2021, 100% had daily follow-up for 1 week after discharge alongside dietician and school plans within 1 week. Since February 2022, 100% have had their 1st clinic appointment. Since June 2022, 100% have had all diabetes antibodies checked. Conclusion There were areas of good practice and room for improvement. No meet the team leaflet was produced but has since been recommended. Psychologist follow-up was not possible due to funding issues. Clinic timings did not meet the recommendations for 2nd and 3rd follow-up. Only 12% had home visits, likely due to covid19. We recommended to review HBA1C before and after treatment. References Natarajan, A. (no date) Network-Agreed pathways and targets for a child or young person diagnosed with type 1 diabetes, NHS choices. Available at: https://www.cypdiabetesnetwork.nhs.uk/yorkshire-and-humber/ (Accessed: 12 August 2023). National Paediatric Diabetes Audit (NPDA) (no date) RCPCH. Available at: https://www.rcpch.ac.uk/work-we-do/clinical-audits/npda (Accessed: 12 August 2023).
Rehman et al. (Tue,) studied this question.