During surgery or other procedures under sedation or anaesthesia, the aim is to maintain normal glycaemic control with optimal hydration while preventing hypoglycaemia. These guidelines are based on the International Society of Paediatric and Adolescent Diabetes (ISPAD) clinical practice consensus guidelines. Modifications have been made in the light of recently published adult guidelines and from the guidelines published in the anaesthetic literature. They aim to ensure quality of patient care is standardised but individual units may make adjustments to fit with local practice.

Norfolk and Norwich University Hospitals NHS Foundation Trust have produced a guideline for the management of insulin pump therapy for children with Type 1 diabetes that covers the following: the process by which suitability for CSII will be determined; the responsibilities of the diabetes team and families, to facilitate effective management of CSII; criteria for discontinuing CSII where its use has not been effective in improving diabetes control and/or quality of life; guidance on management of sick day rules for patients on CSII; insulin pump failure 

East Lancashire Hospitals NHS Trust have developed a referral form and criteria for the use of Continuous Subcutaneous Insulin Infusion (CSII) for adult patients.

Published in Practical Diabetes Vol.31 No.2

A Practical Diabetes International publication which provides some practical guidance on the approach to the patient on CSII therapy.

As part of the ABCD Renal Association clinical specialty work programme we have now finalised our guidelines on managing hyperglycaemia in kidney disease . A summary of the full guidelines with audit standards and issues for future research will be appearing this month in the British Journal of Diabetes

Download summary guide

Tags

• hyperglycaemia
• Renal
• kidney disease

• A recent systematic review of clinical trials for type 2 diabetes found that no single outcome was measured in all trials. HERE

• A new EU HORIZON 2020 funded study wants to find out what the most important results of treatment for Type 2 diabetes are, to establish a set of minimum core outcomes that should always be measured in Type 2 diabetes research.

• The findings of a nationwide survey of the diabetes education and training needs of midwives in the UK is now available in full on the ABCD website. HERE

The care of 16-18 year olds presenting with DKA is fraught with difficulty. Whilst they may have their outpatient care in the children and young persons department, if they are admitted to hospital, their care maybe delivered by a  number of different teams – adult or paediatrics, who may or may not have a specialist interest in diabetes.