Improving the Care Pathway for Newly Diagnosed Children with T1DM


Evaluation of newly-diagnosed patients from 2018 at Royal United Hospital NHS Foundation Trust demonstrated glycaemic outcomes deteriorated significantly between three months and one year post diagnosis. The team joined Wave 3 of the Royal College of Paediatrics and Child Health (RCPCH) National Diabetes Quality Improvement Collaborative in November 2018 and focused on improving median and mean HbA1c in this period post diagnosis in newly-diagnosed children with Type 1 diabetes. The new care pathway emphasised intensive management and consistency of team message from all staff involved. Carbohydrate counting and Expert meters were introduced on the ward at diagnosis and patients home downloaded. Initial results showed improvement in average blood glucose (BG) levels at 28 days post diagnosis and HbA1c at three months. Patient feedback was positive and all patients were downloading BG meters regularly at home.

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QiC Diabetes Finalist 2019
Type 1 Specialist Service – Children, Young People and Emerging Adults
Improving the Care Pathway for Newly Diagnosed Children with T1DM
by Royal United Hospital Bath NHS Foundation Trust


Quality In Care Diabetes

  • 2020 KEY DATES
  • Open for entry: Wednesday 18 March 2020
  • Entry deadline: Monday 20 July 2020
  • Judging day: Thursday 10 September 2020
  • Awards ceremony: Thursday 15 October 2020
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