Type 1 diabetes is one of the most common long term diseases in childhood and it is increasing in numbers and complexity. Following diagnosis, patients and their families are seen a minimum of four times per year, as an outpatient at PMH or other centre, until a transition to adult health services.
PMH also works with a number of community support services, schools, researchers and community healthcare providers to provide essential support for children, adolescents and their families.
Type 2 diabetes in children and adolescents is increasing along with childhood obesity. In WA, a number of children with type 2 diabetes live in rural and remote locations and many are Indigenous. Weight loss and reducing insulin resistance are considered the first steps. The care process provided by PMH is similar to a child with type 1 diabetes.
The Endocrinology service at PMH provides a consult and educational service for children and adolescents referred. Services are mostly provided by a multidisciplinary team based in the hospital outpatient service. Care may also occur in the community, with more basic endocrine conditions being dealt with in private practice.
The CLASP Programme is an outpatient family based lifestyle education and weight management programme for children and adolescents with complicated and/or significant obesity.
The CLASP service is provided by a specialised and comprehensive multidisciplinary team. This team assesses and diagnoses the physiological and psychological consequences of the child’s obesity as well as response to treatment and intervention.