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Association between attendance at an American diabetes camp and improvements in glycaemic control and treatment satisfaction

机译:在美国糖尿病阵营的出席与血糖控制和治疗满意度的改善

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Introduction Few studies have evaluated glycaemic control using continuous glucose monitoring (CGM) in individuals before and after attendance at a diabetes camp or by comparing control groups at home to control groups at camp. Methods Youth (6–17?years) with T1D and receiving insulin therapy were enrolled at a week-long diabetes camp. They participated in three clinic visits: at the start of a week at home, by initiating a Dexcom G6 CGM system; at the start of a week at camp, where the home week G6 was removed and a camp week G6 was inserted; and after camp, where the camp week G6 was removed. We administered Problem Areas in Diabetes (PAID) surveys at the second and third visits. Participants with 80% CGM data coverage or who did not complete all PAID surveys were excluded from analysis. We compared glycaemic control and PAID scores between the week at home and week at camp. Results Of 76 enrolled campers, 69 completed the study and 52 had results that qualified for analysis. The mean participant age was 12.5?±?2.2?years. Camp was associated with significantly improved treatment satisfaction, time in desired glucose range and insulin sensitivity. Time in hyperglycaemia and basal insulin requirements decreased significantly. Conclusions Diabetes camp is associated with significant improvements in diabetes treatment satisfaction and glycaemic control compared to home care.
机译:引言少数研究在出席糖尿病阵营之前和之后的个体中使用连续葡萄糖监测(CGM)或通过将对对照组在营地控制群体中的对照组来评估血糖控制。方法使用T1D和接受胰岛素治疗的青少年(6-17岁)征集一周的糖尿病营。他们参加了三次诊所访问:通过启动DEXCOM G6 CGM系统,在家的一周开始;在营地的一周开始,删除了家庭周G6,插入了营地周G6;营地后,营地周G6被删除。我们在第二和第三次访问中管理糖尿病(已付费)调查的问题区域。与&lt中的参与者或未完成所​​有付费调查的80%CGM数据覆盖范围。我们将血糖控制和在营地周和周的一周之间进行了付费分数。结果76名营业营地,69次完成该研究,52种有资格分析的结果。平均参与者年龄为12.5?±2.2?年。营地与治疗满意度显着改善,所需葡萄糖范围和胰岛素敏感性的时间有关。高血糖和基础胰岛素需求的时间显着下降。结论与家庭护理相比,糖尿病阵营与糖尿病治疗满意度和血糖控制的显着改善有关。

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