Losa, I; BMJ Case Reports 2013

Beau’s lines in postpartum period and hyperparathyroidism
BMJ Case Reports 2013; doi:10.1136/bcr-2013-201220
Dr Ignatius Losa, ignatius.losa@nhs.net
Department of Paediatrics, Macclesfield District Hospital, Macclesfield, UK
Apologies for the late posting of this published article by Dr Losa.

Description: A woman brought her baby for review 3 months after delivery. The patient reported that she developed transverse nail ridges-Beau’s lines (figure 1). During pregnancy, she was incidentally found to have a raised serum calcium of 3.89 mmol/L (adjusted 4.13). Her parathormone …

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Alsaffar H.; Whitby T.; Chandrasekaran S. Hormone Research in Paediatrics, October 2013

The effect of automated bolus calculators on HbA1c in children with type 1 diabetes in Macclesfield

Hormone Research in Paediatrics, October 2013, vol./is. 80/(413), 1663-2818

diabetesBackground: Previous studies have shown that using Automated bolus calculators (ABC) in type1 diabetic children showed noticeable reduction in HbA1C(1). Furthermore, it showed reduction in post prandial blood glucose level(2) and glucose variability(3) for those children treated with insulin pumps. Data from adults has already shown improvement in HbA1C following usage of ABC(4).

Objective: To confirm the effect of ABC on HbA1C in children with type1 diabetes who are on multiple daily insulin injection regimes in our unit.

Methods: This is a cross-sectional study. We have collected the data via Accu-check software and by reviewing the case notes. HbA1C was measured
before and after ABC use. Some of the patients were started immediately on ABC following their diagnosis with diabetes and others were started later after they showed poor glycaemic control.

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