Glucagon injection for type 1 diabetes in children
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Glucagon injection for type 1 diabetes in children

Diana Yardley Primary care nurse, SSAFA, British Forces Germany, Heatherwood and Wexham Park NHS Foundation Trust, Berkshire
Anne Lyddall Paediatric diabetes nurse specialist, Ashford and St Peter’s NHS Foundation Trust, Surrey
Julie Richardson Paediatric diabetes nurse specialist, Frimley Park NHS Foundation Trust, Surrey
Helen Timms Advanced nurse practitioner, Heatherwood and Wexham Park NHS Foundation Trust, Berkshire
Jane Edwards Paediatric diabetes nurse specialist, West Middlesex University Hospital NHS Trust, Berkshire
Kay Grint Paediatric diabetes nurse specialist, Royal Berkshire NHS Foundation Trust, Reading
Andrea Jones Children’s nurse, Royal Berkshire NHS Foundation Trust, Reading

Diana Yardley and colleagues examine routine practices used in treating patients newly diagnosed with type 1 diabetes. Responses from carers and families are also discussed

Glucagon has been prescribed routinely on diagnosis of paediatric type 1 diabetes. A forum of paediatric diabetes specialist nurses sought to examine whether this practice is evidence based. Forum members audited their own caseloads, including the families and carers, their professional practices and those of other teams nationally. It was found that the prescription of glucagon varies and its use is often limited by lack of confidence. They found little evidence to support routine prescription on diagnosis and recommend that individual case assessment of risk and of the needs and preferences of families and carers would be more cost effective. Families and carers who do acquire a glucagon injection kit should receive regular training in its use.

Nursing Children and Young People. 23, 9, 12-18. doi: 10.7748/ncyp2011.11.23.9.12.c8790

Correspondence

diana.yardley@nhs.net

Conflict of interest

The forum was supported by Jo Greenfield, diabetes representative and event organiser, Eli Lilly & Co Ltd

Peer review

This article has been subject to open peer review

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