Impact of a pioneer diabetes camp experience on glycemic control among children and adolescents living with type 1 diabetes in sub-Saharan Africa

摘要

The metabolic impact of participating in a diabetes camp is little known among children and adolescents living with type 1 diabetes in sub-Saharan Africa. We aimed to assess the changes in glycemic control and insulin doses in a group of children and adolescents living with type 1 diabetes in Cameroon during and after camp attendance. During a 5-day camp, we collected data on insulin doses, HbA1c, weight and blood glucose at least six times per day in a group of children and adolescents living with type 1 diabetes. We compared the evolution of these parameters 3 and 12?months after camp. Thirty-two campers completed the study. The mean age was 19?±?2?years and the median duration of diabetes was 2 [IQR: 1.8–5] years. The mean HbA1c was 7.9?±?2.2?% and the mean insulin dose was 49?±?20 units/day upon arrival at camp. HbA1c dropped by 0.6?% after 12?months (p?=?0.029). Despite the significant (p?=?0.04) reduction in insulin dose from 49?±?20 to 44?±?18 units/day at the end of camp, hypoglycemic episodes occurred in 26 campers. However, the mean number of hypoglycemic episodes reduced from 1.32 (range: 0–4) on the first day, to 0.54 (range: 0–2) on the last day of camp (p?=?0.006). Weight increased by 6?kg (p?=?0.028) between 3 and 12?months after camp, but insulin doses remained unchanged. Attending camp for children and adolescents living with diabetes is associated with a significant decrease in HbA1c twelve months after camp without changes in insulin doses. Including camps as an integral part of type 1 diabetes management in children and adolescents in sub-Saharan Africa may yield some benefits. ClinicalTrials.gov NCT02632032 . Registered 4 December 2015.