Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp.
OBJECTIVE
The aim of this study was to evaluate the effectiveness of diabetes camp on glycemic control, knowledge, and psychosocial benefits among patients with type 1 diabetes (T1D). Glycemic control among patients with infrequent and frequent self-monitoring of blood glucose (SMBG) was also compared.


METHODS
During a 5-day camp, 60 patients were taught diabetes self-management education (DSME). After camp, patients were divided into two groups based on frequency of SMBG (<3 versus 3-4 times/day) and were followed up until 6-month post-camp. Patients' HbA1c levels and knowledge were assessed at baseline, 3- and 6-month post-camp. Patients' impressions towards camp were assessed.


RESULTS
In both SMBG groups, HbA1c levels decreased significantly at 3-month post-camp but did not sustain at 6-month monitoring. The patients with frequent SMBG had a lower mean HbA1c level. A significant improvement in knowledge was noted and sustained up to 6-month post-camp. The patients found diabetes camp of benefit and felt they could better cope with diabetes.


CONCLUSIONS
Although the effect of the diabetes camp on glycemic control was short-lived, an improvement in knowledge and a better attitude towards having diabetes were seen among participants.


CONCLUSIONS
The psychosocial benefits and knowledge gained by patients attending diabetes camp underline the importance of including a camp in a diabetes management plan. To improve patients' long-term glycemic control, a continuous education is required.
Santiprabhob
Jeerunda
J
Division of Endocrinology and Metabolism, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. sijst@mahidol.ac.th
Likitmaskul
Supawadee
S
Kiattisakthavee
Pornpimol
P
Weerakulwattana
Praewvarin
P
Chaichanwattanakul
Katharee
K
Nakavachara
Pairunyar
P
Peerapatdit
Thavatchai
T
Nitiyanant
Wannee
W
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D015190:Blood Glucose Self-Monitoring / Q000523:psychology; D002165:Camping; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism; D007722:Health Knowledge, Attitudes, Practice; D006294:Health Resorts; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D013785:Thailand
D006442:Glycated Hemoglobin