Paediatric diabetes operational 1745.pdf - East Cheshire NHS Trust

Flow chart for management of new referrals where diabetes is suspectedDiagnosis of Diabetes suspectedeither from Primary Care or A+EUrgent referral to Paed Dept via On‐callteam or MDTDiagnosis confirmedInitial treatment plan discussed with Dr Chandrasekaranor Nicola Birtwistle (on‐ call consultant if out of hours)Admission to children’s wardfor initiation of treatmentIf child well without signs of DKA, followtreatment of well child with newlydiagnosed diabetes protocol. Commencetreatment with MDI insulin regimeIf child unwell with signs of DKA,follow BSPED DKA guidelinesChild reviewed within 24 hours by Consultant and PDSNfrom MDT. Further treatment decision made by MDT andeducation commenced at appropriate time for family.Dietetic review on the ward prior to discharge.Decisions on timing of discharge made by MDT inconjunction with family. Follow‐up arrangements madeprior to dischargeChildren’s Diabetes MDT Operational Policy May 23, 2012 5