Dietary carbohydrate deficits and hypoglycaemia in the young diabetic on holiday.
On two British Diabetic Association Educational Holidays, 67 children aged 6-9 years had their diabetic management analysed and hypoglycaemic episodes recorded. The average pre-camp carbohydrate prescription of the children was found to be 44 g below minimal recommended values. Hypoglycaemic episodes were more frequent in those with greater carbohydrate deficits and morning insulin doses in excess of 0.7 U/kg. The management of the young diabetic at camp should include a pre-camp analysis with appropriate adjustment of diet and insulin to minimize hypoglycaemic crises. Guideline figures are proposed for average age-related carbohydrate intake.
D001786:Blood Glucose / Q000032:analysis; D002241:Carbohydrates / Q000172:deficiency*; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D003927:Diet, Diabetic; D005260:Female; D006029:Glycosuria / Q000175:diagnosis; D006801:Humans; D007003:Hypoglycemia / Q000453:epidemiology*; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D008991:Monitoring, Physiologic; D010353:Patient Education as Topic / Q000379:methods*
D001786:Blood Glucose; D002241:Carbohydrates; D007328:Insulin