Impact of insulin reduction on glycemic control in children attending a residential diabetes camp

• DOI: 10.1111/pedi.12912
• Publication Date: 2019-08-28T05:33:12Z
• Authors: Huay‐Lin Lo; Soumya Adhikari; Perrin C. White; Ellen K. Grishman; Olga T. Gupta
• Keywords: Blood Glucose; Male; 03 medical and health sciences; Diabetes Mellitus, Type 1; 0302 clinical medicine; Adolescent; Humans; Hypoglycemic Agents; Insulin; Female; Residential Treatment

Children attending diabetes camp are more active, increasing the risk of hypoglycemia. Decreasing initial insulin doses may reduce this risk. The objectives our study were to compare glycemic control between campers receiving multiple daily injections (MDI) and continuous subcutaneous infusion (CSII), analyze impact decreasing basal by 10%.We analyzed 849 sessions (599 children, 5-19 years old) from Camp Sweeney's 2016/2017 summers. Campers separated into groups year route (MDI_2016, MDI_2017, CSII_2016, CSII_2017). MDI_2016 group had decreased 10%, while CSII_2017 did not. Time spent in blood glucose ranges area under curve (AUC) compared using ANOVA. We also performed repeated measures ANOVA who attended both years.No significant differences time any range could be attributed 10% decrease, including on paired analysis. MDI_2017 decreases than other groups. CSII higher AUC hyperglycemia MDI campers.Campers benefit insulin, either at beginning or during first week. Future research is needed optimize setting.