IL CAMPO EDUCATIVO E SEMPRE UTILE PER IL GIOVANE CON DIABETE MELLITO INSULINO-DIPENDENTE? VANTAGGI E SVANTAGGI

Translated title of the contribution: Does educational camp always benefit young patients with insulin-dependent diabetes mellitus?

A. Scaramuzza, G. D'Annunzio, L. Cortona, L. Vitali, R. Lorini

Research output: Contribution to journalArticle

Abstract

Educational camps may be useful for patients with insulin-dependent diabetes mellitus (IDDM) to receive tuition on selfmonitoring practices and so improve their control of the disease. The aim of our study was to evaluate the long-term impact of educational camps on metabolic control in children and adolescents with IDDM. We studied 72 subjects (25 females and 47 males), aged 8-17 years (mean: 13.2 ± 2.2 years), with an IDDM duration of 4.5 ± 3.7 years. All subjects took part in one of six camps, held between July 1990 and July 1992. There were 12 patients per camp, with a patient/physician ratio of 3:1. During the camps all patients were instructed about the most important self-control practices. Metabolic control, evaluated as glycated haemoglobin Alc (HbAlc), total cholesterol and tryglycerides, was expressed as mean values of results obtained during the previous year's camp and those of the following year. No difference was observed between HbAlc values of the previous year and those of the following year (8.08 ± 1.3 vs 8.44 ± 1.69%, p NS). When all patients were divided into two groups (Group I: prepubertal subjects and Group II: pubertal subjects), we did not observe any difference in the metabolic control of Group I (7.95 ± 1.39 vs 7.59 ± 1.2%, p NS), while in Group II HbAlc mean values were significantly higher in the year following the camp (8.15 ± 1.4 vs 8.71 ± 1.8%, p <0.05). Moreover, while HbAlc mean values of results of the previous year's camp did not show any difference between the two groups, the following year they were significantly higher in Group II than in Group I (8.71 ± 1.8 vs 7.59 ± 1.2%, p <0.05). No difference was observed for total cholesterol and tryglycerides. Insulin requirement was higher only in Group I (0.69 ± 0.21 vs 0.79 ± 2.25 U/kg/die, p <0.02), but not in Group II (0.82 ± 0.27 vs 0.85 ± 0.27 U/kg/die, p NS). Our data suggest that educational camps, in many cases, did not lead to better control in diabetic adolescents.

Translated title of the contributionDoes educational camp always benefit young patients with insulin-dependent diabetes mellitus?
Original languageItalian
Pages (from-to)180-184
Number of pages5
JournalRivista Italiana di Pediatria
Volume21
Issue number2
Publication statusPublished - 1995

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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