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| Diabetes and Children |
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What to do if you think a child or young person has diabetes |
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Diabetes in children and young people aged 18 or under is almost always type 1, which means they cannot make enough insulin. As a result, they can become seriously unwell very quickly. If a child or young person starts to drink a lot more and pass more urine than normal (eg getting up at night to go to the toilet, wetting the bed again after having been dry), they need to be seen THE SAME DAY to have a urine tested for glucose or a finger prick blood test done. If the blood glucose level is above 11 or there is glucose in the urine, they MUST be referred THE SAME DAY to the general paediatric team on call for further assessment.
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General Information |
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All paediatric diabetes services are now based at Nottingham Children's Hospital. Inpatient care is provided at QMC, with outpatient clinics held at QMC, NCH (Dundee House) and Newark. All children are started on basal bolus regimens from diagnosis, with only a small number of patients with established diagnoses remaining on bd or tds regimens.
There are currently over 40 children and young people on insulin pumps, with numbers increasing annually.
The DSNs facilitate close liaison with families, General Practitioners, nurseries and schools and work to promote education and self-care.
Transition arrangements are made to the geographically appropriate adult team.
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Emergencies |
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Families are encouraged to seek prompt medical or specialist nurse advice in order to anticipate and prevent problems of hypoglycaemia, illness induced ketoacidosis and persistent poor control.
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Outpatient Clinics |
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Patients have at least 3 or 4 clinic reviews per year, more often if necessary. HbA1C is checked every clinic. An annual review incorporates retinal examination, blood pressure measurement and screening for microalbuminuria, coexistent autoimmune thyroid disease and coeliac disease. The erratic nature of diabetes in the young is such that there is considerable additional home visiting, school visiting and telephone contact.
Dr T Randell, Dr L Denvir and Dr J Drew
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| QMC |
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Friday am (1st and 3rd + occasional 5th) |
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Over 10 yrs old |
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| QMC |
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Thursday am (1st) |
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Under 10 yrs old |
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| Newark |
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Weds pm (2nd) |
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Southwell, Newark and Grantham area |
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| QMC |
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Friday pm (2nd) |
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Nurse led |
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| QMC (clinic 2) |
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Thursday am (3rd) - 4 times a year |
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Transition clinic with Dr Seevaratnam |
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| Dr T Randell and Dr J Drew (all held at Dundee House) |
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| NCH |
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Monday pm (1st, 2nd, 4th + occasional 5th) |
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Age banded 8-16 yr |
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| NCH |
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Monday pm (3rd ) - 4 times/yr |
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Transition clinic 16-18yr |
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| NCH |
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Monday pm (3rd) |
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Age banded 0-7 yrs |
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| NCH |
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Friday pm (4th) |
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Nurse led/Drop in |
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Contact Numbers |
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University Hospital
Dr T Randell, Dr L Denvir and Dr J Drew secretary
Tel: 0115 9249924 Ext 62331/62336
Fax: 0115 9709419
Newark Hospital
Dr T Randell secretary
Tel: 01636 685719
Paediatric DSN
Vreni Verhoeven - 0115 9249924 - Ext 61731
Glyn Feerick - 0115 9249924 - Ext 62208
Karen Cuttell - 0115 9691169 - Ext 57515
Messages can be left.
Emergency Pager - FOR URGENT MEDICAL ADVICE ONLY
8.00am - 6.00pm
Telelphone 0765 913 2445 - Leave a short message including name and number. (If no answer after 15 mins please try again). Monday - Friday only.
6.00 pm - 8.00 am and weekends and bank holidays, call QMC switchboard (0115 9249924) and ask to speak to the paediatric medical registrar on call.
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