hrp0098p3-78 | Diabetes and Insulin | ESPE2024

Severe case of Obesity and Type 2 Diabetes – where to go when nothing seems to help?

Crawley Eleanor , Matei Cristina

Background: There has been in recent years a significant increase of incidence of obesity and Type 2 diabetes (T2D) in children and young people (CYP). Most therapeutics research for T2D has been done in adults. There is increasing concern of high risk patients that are very slow to respond to our standard approach, especially as youth with T2D have greater degree of insulin resistance, more rapid beta cell failure and prevalence of complications compared with...

hrp0098p3-62 | Diabetes and Insulin | ESPE2024

Severe hypertriglyceridaemia and lipaemia retinalis in a child presenting with diabetic ketoacidosis

Kimber Kathryn , Crawley Eleanor , Jones Stephanie

Presentation: A 15-year-old girl presented to Paediatric A&E with lethargy, polyuria, polydipsia and blurred vision. Initial blood gas showed a pH of 7.28, blood glucose unrecordable and ketones of 4mmol/L. The patient was started on IV fluids and insulin, according to the diabetic ketoacidosis (DKA) protocol, and a new diagnosis of type 1 diabetes mellitus was made.Investigations: Finger-prick capillary sampling pro...