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Improving diabetes carbohydrate counting educational resources for Somali families
  1. James E Hambidge1,
  2. Linda Hunt2,
  3. Elizabeth Crowne1,
  4. Mohamed Hassan1,
  5. Anna Walker1,
  6. Julian P H Shield1,2
  1. 1 Department of Paediatric Endocrinology and Diabetes, Bristol Royal Hospital for Children, Bristol, UK
  2. 2 NIHR Bristol Biomedical Research Centre, Bristol, UK
  1. Correspondence to Dr Anna Walker, Department of Paediatric Endocrinology and Diabetes, Bristol Royal Hospital for Children, Bristol GL1 3NN, UK; Anna.Walker{at}

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Evidence suggests children of Somali heritage with type 1 diabetes often do worse in terms of adherence and management leading to increased risk of later diabetes-related complications.1–3 We reviewed our Bristol population and compared children of Somali heritage to those non-Somalis with type 1 diabetes examining: antibody status at diagnosis, glucose management in the first 2 years after diagnosis and possible service provision that may influence adherence and management.

Using the local paediatric diabetes database, we identified all Somali patients within the Bristol paediatric diabetes population (currently 8% of cohort, concentrated in one inner-city clinic). The search identified 23 patients who were then randomly matched to non-Somali patients with a year and age of diagnosis within 100 days: due to incomplete …

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  • Contributors EC and JPHS developed the idea for the study. JEH collected relevant data and produced the first draft. LH provided the statistical analysis of the data. AW and MH were involved in the creation of the interventions described.

  • Funding This study was supported by the NIHR Biomedical Research Centre at University Hospitals Bristol and Weston NHS Foundation Trust and the University of Bristol.

  • Disclaimer The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.

  • Competing interests None declared.

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