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Paediatric Diabetes Services—evidence that expanding the workforce allows intensification of insulin regimens and improves glycaemic control
  1. J J Spinks,
  2. J Haest,
  3. K Ross,
  4. R London,
  5. J A Edge
  1. Department Paediatric Endocrinology and Diabetes, Level 2 Children’s Hospital Oxford, John Radcliffe Hospital, Oxford, UK
  1. Dr J J Spinks, Department Paediatric Endocrinology and Diabetes, Level 2 Children’s Hospital Oxford, John Radcliffe Hospital, Oxford OX3 9DU, UK; jspinks{at}doctors.org.uk

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The UK has a high prevalence of children and young people with type 1 diabetes, yet few children achieve good control.1 2 NICE guidelines suggest aiming for an HbA1c <7.5% to reduce the risk of long-term complications,3 but nationwide only 17.9% children achieve this target.2 Children and their families require constant support and education in order to optimise control of their blood glucose and promote their psychological, educational and social development.4 However, many Paediatric Diabetes Services across the country have suffered from chronic lack of investment in sufficiently trained staff to deliver this crucial service.5 In particular, only 39% clinics have a paediatric diabetes specialist nurse/patient ratio less than 1:100 …

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