Diabetes In the Young

Learning Outcomes

Subject Specific Practical Skills

Having successfully completed this module you will be able to:

• Develop a good knowledge around quality improvement strategies and how to implement these to ensure optimal diabetes care.
• Appraise and apply the principles and practice of carbohydrate counting in the context of healthy eating.
• Recommend and implement a structured education programme for children and young people with clear understanding of specific outcome measures.

Knowledge and Understanding

Having successfully completed this module, you will be able to demonstrate knowledge and understanding of:

• Discussion of the pubertal stages of development, impact of acute illness and impact of stress and associated changes required to insulin in children and young people with Type 1 diabetes.
• Discussion of the physiological effects of insulin and insulin deficiency.
• Critical review of the need to prevent or minimise the progression of micro and macro-vascular disease in children and young people.
• Comparison of the genetics, immunology, epidemiology and aetiology of type 1 and type 2 (including rare diabetes) in children and young people.
• Discussion of the theories of development for child and young people and the impact of family dynamics following a diagnosis of diabetes.
• Development of practical insight in to advancing technologies in paediatrics; their use, appropriateness, evaluation and continued advancement.

Learning Outcomes

Having successfully completed this module you will be able to:

• Critically review the factors associated with transition from paediatric to adult services in the care of young people with diabetes and their families, including loss to follow up and hard to reach groups.
• Select evidence-based approaches to treatment decisions, risk stratification and care planning for individuals with diabetes in different settings (including cultural diversity).
• Appraise the literature supporting structured diabetes education and appreciate the differences in applying this to children, young people and their families.

1. Theories of development and family dynamics following diagnosis of diabetes

2. Genetics, immunology, epidemiology and aetiology of type 1 and type 2 diabetes in children and young people

3. Physiology effects of insulin and insulin deficiency

4. Case discussions: supporting optimal self-management including appropriate use of new technologies

5. Preventing micro and macro-vascular complications in children and young people

6. Carbohydrate counting and insulin dosing

7. Transition from paediatric to adult services and provision of consistent and appropriate healthcare

8. Evidence-based approaches to treatment decisions and care planning

9. Cultural diversity and adaptations to management (Ramadan, etc)

10. Structured diabetes education and its relevance at different stages of development

Teaching and learning methods

The understanding of the processes involved in management of diabetes in children and young people including history taking, diagnosis, management of a patient and building diabetes teams, is acquired through lectures, workshops, group work, patient based learning, peer teaching, problem-solving approaches and coursework. The use of medical devices, such as the insulin pump, appropriate to diabetes are learned through a combination of workshops and practical sessions.

Self directed learning- students will be encouraged to undertake extensive self directed studies, to improve both breadth and depth of their knowledge. This time will partly be preparation for assessments.

The taught components for this module are generally: 60% lectures, 20% workshops, 10% group work, and 10% patient based learning.

Teaching may be delivered face-to-face, or online using both live online teaching and pre-recorded sessions, or may be a blended combination of all three methods of delivery.

Resources & Reading list

General Resources

Virtual Learning Environment: Blackboard.soton.ac.uk module site.

Internet Resources

Paediatric Best Practice Tariff Criteria.

National Children and Young People’s Diabetes Network.

ISPAD Guidelines – Chapter 1-21 (inclusive). .

NICE Guidelines (NG18) - Diabetes (type 1 and type 2) in children and young people: diagnosis and management.

National QI Collaborative.

A-c-d-c Guidance.

Diabetes Transition Service Specification (2016). .

Assessment strategy

The assessment for the module provides you with the opportunity to demonstrate achievement of the module learning outcomes. There will be 2 assessment components: written assignment and oral presentation. The pass mark for assessments is 50%. Compensation is allowed between summative assessments and can be carried forward to the final mark if the qualifying mark of 40% is reached.

If you have failed the module, you will have the opportunity to submit work at the next referral (re-sit) opportunity for all components where you have not achieved the pass mark. Marks for components which were passed will be carried forward. You must achieve the pass mark in all referred components. On passing your referrals, your final module mark will be capped at 50%.

Summative

This is how we’ll formally assess what you have learned in this module.

Referral

This is how we’ll assess you if you don’t meet the criteria to pass this module.

Repeat Information

Repeat type: Internal & External