title: Glucagon injection for type 1 diabetes in children.
abstract: 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.
authors.affiliation: Heatherwood and Wexham Park NHS Foundation Trust, Berkshire. diana.yardley@nhs.net
authors.forename: Diana
authors.initials: D
authors.lastname: Yardley
authors.forename: Anne
authors.initials: A
authors.lastname: Lyddall
authors.forename: Julie
authors.initials: J
authors.lastname: Richardson
authors.forename: Helen
authors.initials: H
authors.lastname: Timms
authors.forename: Jane
authors.initials: J
authors.lastname: Edwards
authors.forename: Kay
authors.initials: K
authors.lastname: Grint
authors.forename: Andrea
authors.initials: A
authors.lastname: Jones
mesh_terms: D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D004363:Drug Utilization; D004630:Emergencies; D005765:Gastrointestinal Agents / Q000009:adverse effects / Q000627:therapeutic use*; D005934:Glucagon / Q000009:adverse effects / Q000627:therapeutic use*; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006801:Humans; D007267:Injections; D009731:Nursing Audit; D057184:Practice Patterns, Nurses'; D006113:United Kingdom
chemical_list: D005765:Gastrointestinal Agents; D005934:Glucagon