NICE guidance and the Diabetes Delivery Plan for Wales recognise prompt diagnosis of Type 1 diabetes (T1D) in children as a priority. The National Paediatric Diabetes Audit (NPDA) also made recommendations regarding early diagnosis of T1D, to reduce the number of children and young people (CYP) in diabetic ketoacidosis (DKA) at the point of diagnosis (about 25%). Most CYP presenting for the first time with signs of T1D are seen in primary care. However, T1D remains a relatively uncommon diagnosis in this setting and delays can occur. A quality improvement (QI) project was initiated in the Cardiff & Vale University Health Board (CVUHB) with the Children and Young People’s Wales Diabetes Network (CYPWDN). Primary care healthcare professionals (HCPs) outlined the challenges they faced. A clinical referral pathway for the diagnosis of diabetes in CYP in CVUHB was established, backed by teaching programmes and reflective learning.
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