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Diabetes Services

Referral Pathway to The Childrens Diabetes Service: Newly Diagnosed Children - What to Expect

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Any child or young person under the age of 16, suspected of having any form of diabetes should be referred to the children’s admissions unit on the same day, including weekends and Bank holidays. Referrals should be made by GPs or A&E to the on-call Registrar or on-call Paediatric Consultant.
 

Newly Diagnosed Children

 

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Newly diagnosed chilren should be  referred to Leicester Royal Infirmary (LRI) - Admissions Unit for assessment and to initiate their individual “Care Package”.
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Regular Reviews are then arranged for each child/young person in an out-patient (clinic) venue. 
  • Most children/young adults require 2-3 monthly appointments.
 

Assesment 


  • Each child/young adult  is assessed with a Paediatric Diabetes Consultants. If the child or young person is well they are commenced on subcutaneous insulin and if they are unwell the guideline for management of diabetic ketoacidosis (DKA) is followed.
     
  • All new patients are reviewed by a Paediatric Diabetes Consultant and PDSN within one working day and will be seen by a Paediatric Dietitian prior to discharge.
     
  • All new patients are allocated a named PDSN
     
  • Their GP is contacted via the standard discharge letter to inform them of the diagnosis
     
  • The ward medical orders, follow up arrangements as well as the repeat prescription
    requirements are included in the electronic discharge summary that is emailed through directly on through to the GP via system one at discharge
     

Inpatient stay
 

  • Children requiring an inpatient stay will be cared for, wherever possible, on Ward 28 at Leicester Royal Infirmary, where they are looked after by trained paediatric nurses.(Privacy and dignity of the child or young person is respected at all times.)

 

  • The Children and young people presenting with Diabetes Ketoacidosis (DKA) will be nursed on WARD 28 or WARD 12 (HDU) or on the Paediatric Intensive Care Unit as appropriate with full monitoring.
     
  • Young people presenting with diabetic ketoacidosis will be nursed on ward 12 the HDU or on the Paediatric Intensive Care Unit as appropriate with full monitoring and one to one nursing care.
     

New patients 


  • New patients are seen in outpatients at Leicester royal infirmary within 2 weeks of discharge
     
  • Regular contact is made by PDSN over the phone or through community visits as required
     
  • Follow-up is spaced out to 3 monthly appointments according to the needs of the child and young person and their family. The MDT will discuss new patients at their first outpatient appointment or sooner, if required.