AIMS: To establish the incidence and timing of hypoglycemia at a week-long residential diabetes camp for children. We hypothesized that hypoglycemia would occur more frequently during the first two days of camp and following evening all-camp games.
METHODS: 225 children (mean age 12.0 ± 2.3 years, 56% female, mean hemoglobin A1c 8.4% [71.6 mmol/mol]) had blood glucose (BG) levels obtained before meals, at bedtime, and as needed to detect hypoglycemia. Insulin adjustments were made by medical staff according to camp protocol and at the discretion of medical staff during camper check-in.
RESULTS: Mild hypoglycemia (BG 50-69 mg/dL [3.9 mmol/L]) occurred ≥ 1 time in 90% of campers while 43% had ≥ 1 episode of BG < 50 mg/dL (2.8 mmol/L). No episodes of hypoglycemia requiring glucagon occurred. More campers experienced ≥ 1 overnight hypoglycemia event during the first 48 hours of camp compared to later in the week (p = 0.01). Evening all-camp games did not impact hypoglycemia rates overnight.
CONCLUSIONS: Nocturnal hypoglycemia occurred more frequently during the first two nights, establishing this period as high risk and supporting implementation of a standard protocol to lower insulin doses. Rates of hypoglycemia were unaffected by all-camp games, indicating current practices are effective at minimizing hypoglycemia.
|Original language||English (US)|
|Number of pages||6|
|Journal||Diabetes Research and Clinical Practice|
|State||Published - May 2019|
Bibliographical noteFunding Information:
This work was supported by the Biostatistical Design and Analysis center, part of the University of Minnesota Clinical and Translational Science Institute, and funded by a National Institutes of Health Clinical and Translational Science Award ( UL1TR002494 ).
The authors would like to acknowledge Carol Holten, associate manager at the American Diabetes Association of Minneapolis-St. Paul for her assistance at Camp Needlepoint and in gathering camper records. This work was supported by the Biostatistical Design and Analysis center, part of the University of Minnesota Clinical and Translational Science Institute, and funded by a National Institutes of Health Clinical and Translational Science Award (UL1TR002494).
© 2019 Elsevier B.V.
- Diabetes camp
- Quality improvement
- Type 1 diabetes mellitus
- Time Factors
PubMed: MeSH publication types
- Journal Article