In the pump group, median HbA1C in last 3, 6 & 12months in children on closed loop system were 55,54 and 54 and those on pump without closed loop system were 63, 59.5 and 67.Around 55.5% of children on MDI have normal BMI centiles(2 nd to 91 st centile) and 37% fall into overweight(91 st to 98 th centile) and obese category(greater than 98 th centile) compared to 77% in pump are normal BMI centiles and only 19.2% are overweight/obese.Looking at admissions to hospital in last 1 year with diabetic ketoacidosis, 2 children on MDI and 1 on pump were admitted. There were 8 admissions in MDI and 5 in pump group with high blood glucose and ketones. With regards to admission with hypoglycaemia, 1 in MDI and 5 admissions in pump, out of which 2 are hypoglycaemic seizures. The average length of stay in hospital was less than 72 hours in both groups but 4 children in MDI and 1 child on pump had between 4 to 7 days of hospital stay. Conclusion Our results reflects glycaemic control is better in children on pump compared to MDI. Better BMI control noted on children in pump in contrast to MDI could be a contributing factor for better HbA1c. In the pump group, median HbA1c was better in children on closed loop system. The incidence of hyperglycaemia and ketoacidosis are more in MDI group and hypoglycaemic episodes are more in children on pump.But we cannot oversee the fact that our audit had a small sample size with varying age groups which makes it hard to achieve accurate comparisons.We are planning on ongoing education including the families in consultation, primary care and schools for achieving better glycaemic control as per national standards and then reaudit in few months time.
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