Guidelines

BSPED Guidelines (guidelines produced for the BSPED)

The guidelines included on this page have been commissioned and endorsed by the BSPED and reflect the Society's views on best practice for the majority of patients with that condition. However, each patient should be considered as an individual in the context of their condition and other medication and therefore the readers' discretion is required in the application of their use. Every effort has been made to ensure the factual accuracy of the contents but no liability can be accepted for any litigation, claims or complaints arising from the use of the guidelines.

BSPED Endorsed Guidelines

These guidelines are produced by accredited national bodies (e.g. NICE, RCPCH, SIGN), of which BSPED are stakeholders. BSPED may have been involved in the development of these guidelines but are not the original authors of these guidelines.

Please review the BSPED Clinical Guideline Endorsement document for the process. 

Paediatric Endocrine Guidelines

Category Guideline Type Source Date of document Review date
Bone

Vitamin D: supplement use in specific population groups                                                                            

Endorsed NICE Nov 2014 2020
DSD UK Guidance on the Initial Evaluation of an Infant or an Adolescent with a Suspected Disorder of Sex Development Endorsed Society for Endocrinology Aug 2015 May 2020
Growth Human growth hormone (somatropin) for the treatment of growth failure in children Endorsed NICE May 2010 May 2020
Growth Shared care guidelines: Paediatric use of Recombinant Human Growth Hormone (r-hGH) BSPED BSPED Aug 2015 May 2020
Puberty / Gonads Hormone Supplementation for Pubertal Induction in Girls BSPED BSPED Oct 2016 Aug 2019
Puberty / Gonads Testosterone Replacement Therapy BSPED BSPED Nov 2016 Aug 2019
Puberty / Gonads Shared care guidelines: Use of Gonadotrophin Releasing Hormone (GnRH) Agonists BSPED BSPED Aug 2015 May 2018
Metabolic / Obesity

Obesity in children and young people: prevention and lifestyle weight management programmes

Endorsed NICE July 2015 2019
Metabolic / Obesity

Diagnosis and Management of Lipodystrophy Syndrome

Endorsed ESPE/International Consensus 2016 Dec 2020
Oncology Paediatric Rare Endocrine Tumours Endorsed BSPED/ UKCCSG Oct 2005 In progress
Oncology late effects Long Term Follow Up of Survivors of Childhood Cancer Endorsed SIGN 2013  
Thyroid A Laboratory Guide to Newborn Screening in the UK for Congenital Hypothyroidism Endorsed NHS Newborn screening programme Feb 2014 2017
Turner Syndrome Clinical Practice Guidelines for the Care of Girls and Women with Turner Syndrome Endorsed ESPE/International Consensus 2017 2021
Vitamin D and Bone Health Vitamin D and Bone Health: A Practical Clinical Guideline for Patient Management in Children and Young People Endorsed National Osteoporosis Society December 2018 December 2021

 

                                                   

Paediatric Diabetes Guidelines

Guideline Type Source Date of document /last updated Review date

BSPED Recommended Guideline for the Management of Children and Young People under the age of 18 years with Diabetic Ketoacidosis 2015

BSPED  BSPED  Aug 2015   May 2018

DKA Flowchart

BSPED BSPED Aug 2015 May 2018

DKA Calculator *

BSPED BSPED Aug 2015 May 2018

Care of the Well Child-Newly Diagnosed with Type 1 Diabetes 

Endorsed ACDC/BSPED July 2016 2019

Sick day guideline executive summary v4

Endorsed ACDC/BSPED Feb 2018 2021

Sick day guideline Main V4 

Endorsed ACDC/BSPED Feb 2018 2021

Management of Hypoglycaemia in Children and Young People with Type 1 Diabetes

Endorsed ACDC/BSPED Sep 2016 2019

A Practical Approach to the Management of Continuous Glucose Monitoring (CGM) / Real-Time Flash Glucose Scanning (FGS) in Type 1 Diabetes Mellitus in Children and Young People Under 18 years

Endorsed ACDC/BSPED Oct 2018 2021

Dexcom G4 CGM Training Leaflet for Healthcare Professionals and Patients

Endorsed ACDC/BSPED Feb 2017 Feb 2020

Dexcom G5 CGM Training Leaflet for Healthcare Professionals and Patients

Endorsed ACDC/BSPED Feb 2017 Feb 2020

Libre FGS Training Leaflet for Healthcare Professionals and Patients 

Endorsed ACDC/BSPED Feb 2017 Feb 2020

Care of children under 18 years with Diabetes Mellitus undergoing Surgery

Endorsed ACDC/BSPED Aug 2017 Aug 2020

Executive Summary: A Practical Approach to the Management of Continuous Glucose Monitoring (CGM) / Real-Time Flash Glucose Scanning (FGS) in Type 1 Diabetes Mellitus in Children and Young People Under 18 years 

Endorsed ACDC/BSPED Oct 2018 2021

Practical Management of Hyperglycaemic Hyperosmolar State (HHS) in children

Endorsed ACDC/BSPED July 2017 2020

Diabetes (type 1 and type 2) in children and young people: diagnosis and management

Endorsed NICE Aug 2015 Aug 2019

 

*BSPED Position Statement 2017 on weight limits and the DKA Calculator: Disclaimer
The DKA Calculator 2015 does not yet have official approval by the MHRA as a medical device. Pending formal MHRA approval, clinicians need to be aware that they use this calculator at their own risk and that they are aware that DKA calculator does not have a weight limit. Adjustment to 50th centile weight for age or inserting a weight limit of 70 kg should be considered in obese type 1 children presenting with DKA

 

Local Trust Endocrine Guidelines

These guidelines are local trust endocrine guidelines which have been made available to BSPED members. The BSPED have not been involved in the development of these guidelines and take no responsibility for the content. Please note local guidelines may vary between Trusts.

 If a local trust wishes to publish their guidelines on the BSPED website, please email the BSPED Office (bsped@endocrinology.org) and we will put you in touch with our Clinical Guideline Officer, Dr May Ng. 

Category Guideline Type Source Date of document
Adrenal

The Investigation of suspected Paediatric Cushing’s Syndrome

Supported Barts and the London School of Medicine May 2018
Growth

Recombinant IGF-1 Therapy in Children with Severe Primary IGF-1 Deficiency                                                                      

Supported Barts and the London School of Medicine May 2018
Growth Growth Monitoring for Children with Chronic Kidney Disease Supported Bristol Royal Hospital for Children July 2016