Blood Glucose Control and Related Factors at a Camp for Korean Children and Adolescents with Type 1 Diabetes

Compr Child Adolesc Nurs. 2018 Mar;41(1):58-70. doi: 10.1080/24694193.2017.1316792. Epub 2017 May 30.

Abstract

Data about Asian children and adolescents with type 1 diabetes are sparse. This study's objectives were to describe blood glucose (BG) levels and related factors at a camp for Korean children and adolescents with type 1 diabetes. This descriptive study was conducted January 8-10, 2015. The participants, 24 children and adolescents, were recruited for a 3-day residential diabetes camp. Data on 24 campers were analyzed. Their mean age was 13.4 (± 1.7) years; 44.4% were boys, and mean HgbA1c was 8.5% (± 1.4%). Results revealed that BG levels were maintained safely: The mean BG level during the 3-day stay was 171.1 (± 33.3) mg/dl. Multiple regression analysis showed that insulin adjustment for hyperglycemia (standardized β = .426; t = 2.431; p = .030) and snacks for hypoglycemia (standardized β = -.719; t = -3.723; p = .003) at the camp were the only independent contributors to mean BG levels during the 3-day study period. No demographic or clinical factor was found to be associated with the mean BG level. This is the first study of its kind to be conducted in an Asian population, presumably because the prevalence of type 1 diabetes in Asia is low and diabetes camps are a novel concept. Further research is recommended to assess the characteristics of campers (e.g., diet, activity levels, and cultural background) and to determine how the health outcomes of children and adolescents with type 1 diabetes are affected by camp programs.

Keywords: Blood glucose; Children; Diabetes camp; Korean; Type 1 diabetes mellitus.

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Blood Glucose / analysis*
  • Camping / statistics & numerical data
  • Camping / trends*
  • Child
  • Delivery of Health Care / methods
  • Delivery of Health Care / standards
  • Delivery of Health Care / statistics & numerical data
  • Diabetes Mellitus, Type 1 / drug therapy*
  • Diabetes Mellitus, Type 1 / psychology*
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Hypoglycemia / drug therapy
  • Hypoglycemic Agents / therapeutic use
  • Insulin / therapeutic use
  • Male
  • Republic of Korea

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Hypoglycemic Agents
  • Insulin
  • hemoglobin A1c protein, human