Abstract

The UK has the highest number of children and young people with diagnosed Type 1 diabetes mellitus (T1DM) in Europe, but the lowest numbers attaining good diabetes control (1, 2). Novel strategies and incorporation of digital strategies were identified in the team for development to improve overall patient care and outcomes in our population of children and young people with T1DM.

Within a dual-site integrated care organisation, 3 digital initiatives were proposed from 2012-2013 to 1) establish Facebook communications with parents/patients, 2) to implement an electronic diabetes information management system (using Twinkle.Net) and 3) to undertake routine uploading of blood glucose meters and insulin pumps (using DIASEND®) with the aim to improve outcomes in paediatric diabetes care. Key objectives for the three initiatives were aimed to optimise the following outcomes:

• Reduce HbA1c levels

• Decrease emergency admissions, reduce diabetes-related complications and minimise the length of hospital stays

• Improve patient satisfaction and communication

• Improve efficiencies with mandatory audit submissions

• Empower patients, parents, and the multidisciplicnary team with accurate, real-time information.

These digital initiatives showed effective use of technology and social media in achieving significant improvements in all the outcomes within the objectives.