Endocrine Abstracts

Introduction and objectives of the study: Every year the Diabetes Association of Granada (AGRADI), organizes a summer camp for children with Diabetes Mellitus type 1 with the aim of combining leisure activities and facilitating learning and developing autonomy in their pathology. The presence of health professionals is essential to ensure the monitoring and safety of children and a good diabetological education. The aim of this study is to evaluate the clinical characteristics and compare different parameters of the diabetic control of the participants before and during the activity.

Material and methods: Retrospective descriptive observational study that analyzes the participants in two camps for children with DM1 in the years 2022 and 2023. Clinical, glucometric and pharmacological variables were measured. The analysis was performed with SPSS 25.0.

Results: Sixty-five subjects aged 7 to 16 years were included, being 33 males and 32 females. The time of evolution of DM was 5±2.8 years with a mean HbA1c of 7.07±0.6%. Of these, 31 were continuous insulin pump infusion (CIIP) users and 34 used multiple doses of insulin (MDI). With respect to insulin dose, a significant reduction in total insulin dose was found overall and in both groups. The reduction occurred in slow insulin doses in users with MDI (21.6 Units (U) vs 14.9 U) and bolus in the case of CIIP (30.7 U vs 25.8 U), both significant. A significant increase in the sensitivity factor was also observed in global terms and in the ISCI group. Regarding glucometry, there was an improvement in mean glucose with an increase in time in range with no significant difference in time below range, during the camp, compared to previous weeks. In addition, there was no significant difference in the use of glucose sensors and the number of glucose sensor readings compared to the pre-camp discharge.

Conclusions: In conclusion, an improvement in metabolic control was observed during the summer camp. Time in range improved without a significant increase in the number of hypoglycemia. The insulin dose was reduced without requiring a greater number of controls during the camp. Diabetic education, therefore, is key to correct metabolic control.