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Services for children with diabetes.

T Savage1, A Clarke, C Costigan

  • 1Department of Endocrinology & Diabetes, Our Lady's Children's Hospital, Crumlin, Dublin.

Irish Medical Journal
|March 29, 2008
PubMed
Summary
This summary is machine-generated.

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This study reveals significant gaps in care for children with Type 1 Diabetes in Ireland, particularly concerning support staff like dietitians and psychologists. Urgent resource improvements are needed to prevent long-term complications.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Public Health

Background:

  • Type 1 Diabetes affects children and adolescents globally.
  • Effective management requires multidisciplinary support teams.
  • Previous assessments of pediatric diabetes care services in Ireland were lacking.

Purpose of the Study:

  • To assess the availability and quality of services for children and adolescents with Type 1 Diabetes in the Republic of Ireland.
  • To identify deficiencies in current care provision compared to international standards.
  • To highlight areas for improvement in pediatric diabetes services.

Main Methods:

  • A national survey was conducted in 2006.
  • Questionnaires were distributed to 19 centers providing pediatric diabetes care.

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  • Data were collected from all responding centers.

    • Main Results:

    • 29 consultants cared for 2040 patients across 19 centers.
    • Most pediatricians had a special interest in diabetes and held dedicated clinics.
    • Significant challenges were identified: high caseloads for Diabetes Nurse Specialists (162 patients/WTE) and Dietitians (416 patients/WTE).
    • 70% of centers lacked access to Psychology services.

    Conclusions:

    • Current pediatric diabetes services in Ireland exhibit notable deficiencies, especially in essential support staff.
    • International recommendations for care are not consistently met.
    • Urgent local and national interventions are required to enhance resources and mitigate long-term diabetes complications.