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


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.
Wang
Yu-Chi A
YC
Division of Pediatric Endocrinology, University of Texas Southwestern Medical Center, Dallas, TX, USA. annie.wang@childrens.com
Stewart
Sunita
S
Tuli
Ekta
E
White
Perrin
P
D000293:Adolescent; D001786:Blood Glucose / Q000378:metabolism*; D002165:Camping; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000523:psychology / Q000534:rehabilitation*; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D010290:Parents / Q000523:psychology; D010353:Patient Education as Topic; D011788:Quality of Life; D012189:Retrospective Studies; D012648:Self Care; D013781:Texas
D001786:Blood Glucose; D006442:Glycated Hemoglobin