Meeting report

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20th July 2018, The Royal Society, London, UK

09:00–09:40Welcome – Prediction and prevention of type 1 diabetes in childrenFrancesco Chiarelli
09:40–10:40Practical insulin treatmentPeter Hindmarsh
10:40–11:00Coffee break 
11:00–12:30Advances in technology for diabetes treatmentPeter Hindmarsh
12:30–13:30Lunch break 
13:30–14:10Diabetic ketoacidosisJohn Gregory
14:10–14:50HypoglycaemiaRachel Besser
14:50–15:05Coffee break 
15:05–15:45Chronic complicationsFrancesco Chiarelli
15:45–16:00Closing remarksFrancesco Chiarelli

Learning objectives

Following this meeting, delegates will be able to:

  • Estimate the risk of, and understand how to predict and possibly prevent, type 1 diabetes in children and adolescents
  • Assess the risks of, and effectively manage, acute and chronic complications of type 1 diabetes
  • Discuss the best treatment options, including new insulins and advanced technologies, for maintaining optimal glucose control


This activity has been approved by the Federation of the Royal Colleges of Physicians of the United Kingdom for 5 category 1 (external) CPD credit(s).
RCPCH has approved this activity for CPD in accordance with the current RCPCH CPD Guidelines.


The Royal Society 6-9 Carlton House Terrace, London, SW1Y 5AG
Nearest stations: Charing Cross (Bakerloo & Northern lines) and Piccadilly Circus (Bakerloo and Piccadilly lines)


Professor and Head of Paediatrics University of Chieti, Italy

Francesco Chiarelli is Professor and Head of Paediatrics at the Department of Paediatrics, University of Chieti in Chieti, Italy. He is also Head of Research Labs for Experimental Medicine in Pediatrics and Child Health. He received his undergraduate education at the University of Siena, Italy. His research interests include the molecular and cellular biology of diabetic macroangiopathy; insulin resistance in children; early detection of diabetic microangiopathy in children; obesity and type 2 diabetes in children, growth and puberty disorders.

Professor Chiarelli is on the Editorial Board of Journal of Pediatric Endocrinology and Metabolism, Pediatric Diabetes, Hormone Research, Diabetes, Nutrition and Metabolism. He is a member of several professional organizations, including the European Society of Paediatric Endocrinology (ESPE), the International Society for Pediatric and Adolescent Diabetes (ISPAD) (Member of the Advisory Council 1990-1993, Chair of Scientific Committee 2001-2004), the American Diabetes Association (ADA), the International Pediatric Association (IPA), the Italian Society for Pediatric Endocrinology and Diabetology (ISPED)(Member of the Advisory Council 1990-1996).

Professor Chiarelli as ESPE Secretary General (2004-2011) and ESPE President (2008-2009 and 2012-2013). He was President of the Italian Society for Paediatric Research (ISPR)(2012-2015) and Member of the WHO Task Force for Childhood Diabetes. He is currently a Consultant of the European Commission and of the WHO for Non-Communicable Diseases (NCD) in Children.

Professor of Paediatric Endocrinology and Divisional Clinical Director for Paediatrics, Adolescents and Young People
University College London, UK

Peter Hindmarsh is Professor of Paediatric Endocrinology at University College London and Consultant in Paediatric Endocrinology and Diabetes at University College London Hospitals and Great Ormond Street Hospital for Children. Currently he is applying Chronic Care Models to Diabetes Care Delivery. His research interests are in long term complication in diabetes and the mathematical modelling of data sets. He is currently Divisional Clinical Director for Paediatrics at University College London Hospitals.

Professor in Paediatric Endocrinology
Cardiff University, UK

John Gregory graduated from Dundee University and trained in paediatric diabetes in Sheffield, Dundee and Newcastle upon Tyne. He provides a diabetes service for approximately 235 children with diabetes living in Cardiff and leads a research programme investigating delivery of clinical care to children with diabetes. He has completed research studies evaluating communication skills training for healthcare professionals, transition to adult services, how children make choices about healthcare, models of care for children at diagnosis and pumps. He is also leading a programme of work using anonymised data linkage of The Brecon Cohort of children with newly diagnosed diabetes in Wales (1995-present) to evaluate long-term outcomes of childhood onset diabetes.

Professor Gregory has a longstanding interest in training in Paediatric Endocrinology and on behalf of the European Society for Paediatric Endocrinology (ESPE) in the past has led the Paediatric Endocrine Training Centres for Africa in Nairobi and Lagos. He now leads the annual ESPE Winter School targeting trainees in Eastern Europe. He is Principal Regional Examiner for the Middle-East for the MRCPCH exam for The Royal College of Paediatric sand Child Health. He has published over 100 papers in peer-reviewed journals and is co-author of Practical Endocrinology and Diabetes in Children, now being revised for its fourth edition.

Consultant in Paediatric Diabetes and Endocrinology and Clinical Lead in Paediatric Diabetes
John Radcliffe Hospital, Oxford, UK

Rachel Besser BSc MBBS (Hons) MRCPCH PhD is a consultant paediatric diabetologist at Oxford Children’s Hospital, and Honorary senior clinical lecturer at the University of Oxford, having taken up the post in 2016. Dr Besser trained at Guy’s and St. Thomas’ medical school, London, graduating in 2000. She trained in paediatrics in London and Bristol (2001-2009), with higher specialist training in paediatric endocrinology (2012-2016) in Southampton General Hospital, Great Ormond Street Hospitals for Children and University College Hospital, London.

Dr Besser moved to Exeter in 2009-2012 to train with Professor Andrew Hattersley, at the Peninsula Medical School, gaining a PhD in the use of urinary C-peptide as a non-invasive measure of endogenous insulin secretion, funded by Diabetes UK. She is a paediatrician, and a researcher at the Oxford NIHR Biomedical Research Centre and is interested in the natural history of type 1 diabetes, interventions to preserve C-peptide, and identification of non-type 1 diabetes in childhood.

Educational grant

This programme is made possible thanks to an independent educational grant from Novo Nordisk A/S.


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