Department of Medicine/Psychosocial, T1Diams NGO, Quatre Bornes, Mauritius
*Corresponding author: Pravesh Kumar Guness, Department of Medicine/Psychosocial, T1Diams NGO, Quatre Bornes, Mauritius
Submission: April 04, 2018; Published: April 11, 2018
ISSN 2637-8019Volume1 Issue5
Introduction: Diabetic camps have become an integral part in the life of people with Type1 diabetes. The aim of this study is to prospectively evaluate the impact of a winter camp on the metabolic control of patients with Type 1 diabetes.
Methods: In Mauritius Island, a seven-day residential camp was organised by non-governmental organisation, T1Diams, in 2014 for 27 diabetic members aged above 12 years. Blood glucose levels were compiled on Microsoft Excel® and analysed on IBM Statistical Package for the Social Science (SPSS) ®. The relationship of sex, age, Body Mass Index (BMI), duration of diabetes, ratio of total dose of insulin per day to weight (iU/kg) and insulin regimen on hypoglycaemia (blood glucose<3.3mmol/l) and hyperglycaemia (blood glucose>11.1mmol/l) frequency were determined. The managing committee of the organisation gave the approval to carry out this study.
Results: Two patients left the camp on the eve of departure. 339 blood glucose readings were reported. The average total dose of insulin per day for each patient was 49.9+13.4(iU). Mean blood glucose levels were 8.23mmol/L before breakfast, 8.32mmol/l before lunch, 7.89mmol/l before dinner and 13.0mmol/L at bedtime. Pre-prandial mean blood glucose decreased by 33.3% before breakfast and 20.9% before dinner by the last day of camp relative to the first day. Two cases of severe hypoglycaemia were noted requiring administration of intravenous 30% glucose solution. No case of ketoacidosis was reported. 18 (5.3%) cases of hypoglycaemia and 134 (39.5%) readings were above 11.1mmol/L. There was a negligible increase of 0.25 + 1.35 % (p> 0.05) of glycosylated haemoglobin (HbA1c) after the camp. The relationship between frequency of hypoglycaemia and sex was statistically significant (p<0.05) and for the other variables no relationship was found (p>0.05).The frequency of hyperglycaemia was not associated with sex, age, BMI, duration of diagnosis, ratio of total dose of insulin per day to weight and insulin regimen (p>0.05).
Conclusion: It is the first time that this study has been carried out in Mauritius. Attending T1Diams winter residential diabetic camp is associated with improved glycaemic control and stabilisation of HbA1c. Our study showed that frequency of hypoglycaemia depends on sex whereas frequency of comparison among T1Diams camps. In any case, present day camping experiences are essential.
Keywords: Type 1 diabetes; Diabetic camp; T1Diams; Mauritius Island; Therapeutic education; Nongovernmental organisation; Winter diabetic camp management; Hypoglycaemia; Hyperglycemias