Improved glycemic control in adolescents with type 1 diabetes mellitus who attend diabetes camp

Yu Chi A Wang, Sunita Stewart, Ekta Tuli, Perrin White

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

Objective: Diabetes camp has become a common part of medical practice worldwide. Although patients' knowledge and self-management of diabetes may improve after camp, improved glycated hemoglobin A1c (HbA1c) levels have not been consistently demonstrated. Research Design and Methods: We performed a retrospective study of medical records at the Children's Medical Center Dallas Endocrinology Center for adolescents with type 1 diabetes aged 12-18 yr. We compared patients who did (n = 77) or did not (n = 106) attend Camp Sweeney, a regional 20-d diabetes camp. Some patients (n = 82) and their parents also completed measures of adherence, depression, and quality of life. Results: HbA1c decreased over time in patients who attended diabetes camp {mean [±standard deviation (SD)] at baseline, (T1) = 8.6% (±1.8%) and at follow-up, (T2)=8.3% (±1.6%)}, whereas it increased in those who did not attend [mean (±SD) at T1 = 8.4% (±2.1%) and at T2 = 8.9% (±2.3%)] (p < 0.005). Seven months after camp (T3), there were still significant differences in HbA1c between the camp and control groups (p = 0.04), with the difference because of persistent improvement for girls but not for boys. Patients' adherence (p < 0.05) and adjustment (p < 0.05) improved by parental report in those who attended camp; parents of patients who did not attend did not report the change. Conclusions: Attending Camp Sweeney is associated with improved glycemic control and parent-reported adherence and adjustment in adolescents with type 1 diabetes. Additional studies are needed to determine whether these findings can be generalized to other diabetes camps.

Original languageEnglish (US)
Pages (from-to)29-34
Number of pages6
JournalPediatric Diabetes
Volume9
Issue number1
DOIs
StatePublished - Feb 1 2008

Keywords

  • Adherence
  • Adolescence
  • Summer camp
  • Type 1 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism

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