The Trust

Paediatric Diabetes Service

The East Cheshire Paediatric Diabetes Service is part of the Families and Wellbeing Business Group and provides diabetes advice, support and education to all families/carers on their caseload.

Children playing

The service incorporates any child from birth until transfer to adult services. Transfer of children usually occurs from 18 years of age. This is a planned and phased process which is discussed with the young person and their family from the age of 13.

The service provides an individualised flexible and friendly approach to meet the individual needs of the child with diabetes and their family. The team believe the key to achieving good outcomes is to support, engage and empower the individual child or young person and their family within a proactive, organised system that results in positive interactions and outcomes.

Our departmental objectives

  1. The overall goal of managing diabetes in children and young people is to enable the child or young person to lead a life as free as possible from the clinical and psychosocial complications of the disease.
  2. To provide a specialist service to children and young people and their families working as part of a multidisciplinary paediatric diabetes care team offering ongoing integrated packages of care.
  3. To reduce the length of inpatient stay and readmission numbers. To prevent hospital admission where possible
  4. To provide support, education and act as a resource for all concerned with the care of children with diabetes

Our services

We offer the following services:

  • Specialist clinics are held every Monday afternoon with all team members present. Each year an annual review is undertaken. All data is collected and recorded in line with Nice Clinical Guideline 15:  Diagnosis and Management of Type 1 Diabetes in Children and Young People.
  • Following each clinic appointment a letter with a copy of all data recorded and the agreed management plan is sent out to families. A copy of this is also sent to the GP. 
  • All non-attendees are followed up
  • Insulin pump therapy is offered and supported by the team in line with NICE guidance. There are currently over 40 children on pumps cared for by the team.
  • Continuous blood glucose monitoring is under taken on children where more detailed profiles of blood glucose readings are required.
  • Schools are supported by the team and individual health care plans are written for each child.
  • The Paediatric Diabetes Specialist Nurse offers nurse led clinic appointments, telephone contact, email and texting contact, home visits where necessary and school visits for education, support and problem solving.
  • Each child has open access to the Children’s Ward (up to the age of 16) so they can bypass their GP and A & E if they have urgent issues relating to their diabetes.
  • Carbohydrate counting courses are run as required
  • There is an active local Diabetes UK paediatric support group K.I.D.S. that is fully supported by the children’s diabetes team.
  • Blood glucose meters, insulin pens, written literature and other equipment are available and given to patients as required.
  • At around the age 16 children are transferred to the adult physician however the Paediatric Diabetes Specialist Nurse continues to be involved until transfer tothe  adult service after the age of 18.

How do I refer/access the service?

Newly diagnosed children

  • GPs refer newly diagnosed children directly to the Children’s Ward; the child is seen the same day.
  • There are clear guidelines on how to manage newly diagnosed families available children are offered home management if they are well enough, if the children’s community team are available to do home visits at the appropriate times and if the family want this.
  • Children who are in Diabetic Keto-acidosois are managed according to NICE guidelines.

Close contact, at least daily, including weekends, is made with families by the team. Out of hours, families can contact the children’s ward for advice if required

How to find us

We are located on the Children Ward, ground floor of Macclesfield District General Hospital.

 

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