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If diagnosis of any of these symptoms is missed Diabetic Ketoacidosis (DKA) can develop very quickly.
Further information on the Four T's initiative can be found by clicking on the resource link below.
GPs need to also be aware that some children and adolescents present with less common symptoms such as:
International Society Paed & Adol Diabetes (ISPAD) guideline 2014
Finger prick blood tests to be carried out by GP.
Diagnosis confirmed if: random blood glucose is more than 11.1mmol/l
Refer immediately to Paediatric Assessment Unit (PAU) ON THE SAME DAY
In the event that a child is suspected with diabetes the GP must:
Check blood glucose and refer
If the GP is concerned about an unwell patient with diabetes they should contact the specialist team during the hours of 8am-5pm (0300 422 8473) or the Oncall Paediatric Consultant at the hospital via bleep no 1133 out of hours
All prescriptions will be sent to the GP on patient’s discharge. If the GP does not receive any information or has any questions or concerns they can contact the Paediatric Diabetes Nurses on their direct line: 03004 228473 or e-mail email@example.com. uk
If considering amending the patient’s prescription please liaise with the secondary care team.
Transition starts from the age of 11 years and the secondary care team start the child on the “Ready, Steady, Go” Programme when the child is in year 7 at school. http://www.uhs.nhs.uk/Ourservices/Childhealth/TransitiontoadultcareReadySteadyGo/Transitiontoadultcare.aspx
It is important that the transition process works well, so that patients continue to get the care they need. The Adult and Paediatric diabetes services should work together to make sure the Transition goes as smoothly as possible for the child, at an age that is right for them –. Children generally transfer to the Adult Service between the age of 16 – 18 years dependent on their individual need.
In January 2017, Diabetes UK published A Guide for Young People Moving into Adult Care
Details of adult secondary care specialist team contact:
Paediatric Diabetes Nurses;
GRH 0300 422 8473 8AM-5PM ( we do not work weekends or bank holidays)
e-mail: firstname.lastname@example.org (soon to change to nhs.net)
The adult diabetes phone numbers are:
Any other considerations of change to the management of the patient please liaise with secondary care team.