Glycemic control in diabetic children and adolescents after attending diabetic camp

  • Erwin P. Soenggono Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Rara Purbasari Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Aman B. Pulungan Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Bambang Tridjaja Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
DOI: https://doi.org/10.14238/pi51.5.2011.294-7
Keywords: glycemic control, type 1 diabetes mellitus, diabetic camp, HbA1c, quality of life

Abstract

Background Type 1 diabetes mellitus (T1DM) is an emerging disease worldwide. Glycemic control in pediatric T1DM patients is a challenge in diabetes management. Attending diabetic camp has been associated with improved glycemic control in diabetic children and adolescents.
Objective To determine the effect of diabetic camp attendance on glycemic control in children and adolescents with T1DM
Methods A cross-sectional, non-experimental study was done in December 2010 at a diabetic camp held in Bogor, Indonesia. The two-day camp educated diabetics about T1DM, including insulin use, meal planning, exercise, monitoring and complications. The diabetic camp was attended by 28 children and adolescents, consisting of 5 boys and 23 girls, aged 7 – 18 years. Eighteen participants completed the requested data for our study. Glycosylated hemoglobin (HbA1c) was measured before and 3 months after subjects attended the camp. Participants also filled the Pediatric quality of life (PedsQL) questionnaire. We compared HbA1c levels before camp and 3 months after, by Stata 19.
Results Before camp, the mean HbA1c was 9.18% (SD 2.48) and 3 months after camp it was 8.67% (SD 1.62), a statistically significant improvement (P=0.004). The PedsQL revealed that none of the subjects had poor quality of life.
Conclusion Glycemic control in T1DM children and adolescents was significantly improved 3 months after attending diabetic camp compared to that before attending camp. According to subjects’ self-assessment by PedsQL questionnaire, no subjects indicated a poor quality of life for the duration of their illness. [Paediatr Indones. 2011;51:294-7].

References

1. Majaliwa ES, Elusiyan BEJ, Adesiyun OO, Laigong P, Adeniran AK, Kandi CM, et al. Type 1 diabetes mellitus in the African population: epidemiology and management challenges. Acta Biomed. 2008;79:255-9.
2. Dejkhamron P, Menon RK, Sperling MA. Childhood diabetes mellitus: recent advances & future prospects. Indian J Med Res. 2007;125:231-50.
3. The Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329:977-86.
4. Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, et al. National standards for diabetes self-management education. Diabetes Care. 2006;29:S78-85.
5. Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L, et al. Increasing diabetes self-management education in community settings: a systemic review. Am J Prev Med. 2002;22:39-66.
6. Batubara JRL, Tridjaja B, Pulungan A, Soenggoro EP, Susanto R, Yait NP, et al. Konsensus nasional pengelolaan diabetes mellitus tipe 1. Jakarta: Badan Penerbit IDAI; 2009. p. 7-9.
7. Kaufman F, Schatz D, Silverstein J. Management of diabetes at diabetes camps. Diabetes Care. 2005;28:s50-2.
8. Riddel MC. Type 1 diabetes and vigorous exercise applications of exercise physiology to patient management. Canadian J. Diab. 2006;30:63-71.
9. Bangstad HJ, Danne T, Deeb L, Jarosz-Chobot P, Urakami T, Hanas R. Insulin treatment in children and adolescents with diabetes. Pediatr Diabetes. 2009;10:82-99.
10. Craig ME, Hattersley A, Donaghue KC. Definition, epidemiology and classification of diabetes in children and adolescents. Pediatric Diabetes. 2009;10:3-12.
11. Robertson K, Adolfsson P, Riddell MC, Scheiner G, Hanas R. Exercise in children and adolescents with diabetes. Pediatric Diabetes. 2009;10:154-68.
12. Rewers M, Pihoker C, Donaghue K, Hanas R, Swift P, Klingensmith GJ. Assessment and monitoring of glycemic control in children and adolescents with diabetes. Pediatric Diabetes. 2009;10:71-81.
13. Mancuso M, Nicoletti CM. Summer camps and quality of life in children and adolescents with type 1 diabetes. Acta Biomed Ateneo Parmese. 2003;74:35-7.
14. Misuraca A, Di Gennaro M, Lioniello M, Duval M, Aloi G. Summer camps for diabetic children : an experience in Campania, Italy. Diabetes Res Clin Pract. 1996;32:91-6.
15. Semiz S, Bilgin UO, Bundak R, Bircan I. Summer camps for diabetic children: an experience in Antalya, Turkey. Acta Diabetol. 2000;37:197-200.
16. Smart C, Aslander-van Vliet E, Waldron S. Nutritional management in children and adolescents with diabetes. Pediatric Diabetes .2009;10:100-17.
17. Mercuri N, Caporale J, Moreno I, Balbi V, Rizzuti L, Arrechea V, et al. Changes induced by recreational and educational activities in children with diabetes. Diabetes Spectrum. 2009;22:231-7.
18. Post EM, Moore JD, Ihrke J, Aisenberg J. Fructosamine levels demonstrate improved glycemic control for some children attending a diabetes summer camp. Pediatric Diabetes. 2000;4:204-8.
19. Novanto T, Grossi SAA, Kimura M. Quality of life and self-esteem of adolescents with diabetes mellitus. Acta Paul Enferm. 2008;21:562-7.
20. Iscoe EK. Case study: “Diabetes Fits” sports and education camps putting research into action. Clinical Diabetes. 2010;28:124-6.
21. Anne DK. An assessment of self-efficacy and glucose control after attendance at summer camp for children and adolescents with diabetes [dissertation]. [Hattiesburg (MS)]: University of Southern Mississippi; 2005.
22. Wang YCA, Stewart S, Tuli E, White P. Improved glycemic control in adolescents with type 1 diabetes mellitus who attend diabetes camp. Pediatric Diabetes. 2008;9:29-34.
23. Ruzik L, Sporis G, Matkovic BR. High volume-low intensity exercise camp and glycemic control in diabetic children. J Paediatr and Child Health. 2008;44:122-8.
24. Wagner JA. Response shift and glycemic control in children with diabetes. Health and Quality of Life Outcomes. 2005;3:38-46.
Published
2011-10-31
How to Cite
1.
Soenggono E, Purbasari R, Pulungan A, Tridjaja B. Glycemic control in diabetic children and adolescents after attending diabetic camp. PI [Internet]. 31Oct.2011 [cited 24Nov.2024];51(5):294-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/713
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Vol 51 No 5 (2011): September 2011
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Articles

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Received 2016-09-27
Accepted 2016-09-27
Published 2011-10-31