Effect of Diabetic Camp towards Level of Glycemic among Children and Adolescent with Diabetes Mellitus Type 1
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Abstract
Background: The majority of children and adolescents with type 1 diabetes (T1D) could not achieve satisfactory glycemic control. The diabetes camp setting is the ideal place for teaching diabetes self-management skills to improve glycemic outcome.
Objective: To evaluate the effectiveness of diabetes camp by comparing HbA1c levels at baseline and at 3 and 6 months after camp.
Methodology: The Prospective cohort study of children and adolescents with T1D, aged 2-18 years, who were participated in diabetes camp during 2007 – 2018 were enrolled. Demographic and diabetes-related data were collected from medical records including gender, age, age of onset, duration of T1D, insulin regimen and pubertal status. HbA1c levels were compared at baseline and 3 and 6 months after participate in camping by using paired t test or Wilcoxon signed rank test.
Results: Fifty three T1D patients, mean age (years) 11.57 ± 4.15, mean duration of T1D (years) 3.10 ± 2.39, mean baseline HbA1c 10.48 % ± 2.82, were enrolled. The mean levels of HbA1c at 3 and 6 months post-camp were 10.23 % ± 2.79 and 10.57 % ± 2.96, respectively. Three months after camping, Thirty T1D patients had lower HbA1c but twenty-one had higher HbA1c. HbA1c levels at 3 months after camping showed slightly decreased from baseline. However, there was no statistic significantly among HbA1c from baseline to 3 months (mean difference 0.24, p-value 0.36) and to 6 months (mean difference -0.09, p-value 0.49).
Conclusions: There were no differences between pre-camp and post-camp mean HbA1c levels.
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