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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