Frequency and Predisposing Factors to Hypoglycaemic Events: Experiences at a Diabetes Youth Camp in Sub-Saharan Africa
Background: Early detection and management of hypoglycaemia is an integral part of care in diabetes camps.
The objective of this report was to present the frequency of hypoglycaemic events and possible predisposing factors in a diabetes camp in Nigeria.
Methodology: The blood glucose recordings for twenty one children and adolescent aged 6 years to 19 years who attended aweekend diabetescamp were analyzed. Further information about subjects was retrieved from completed pre camp documents.
Results: Eight (38.1%) campers had hypoglycaemia and 7(43.8%) of the episodes occurred at 2am check. Hypoglycaemia was recorded in 17(7%) of 252 blood glucose recorded with a rate of 0.4 per camper/day. The mean insulin unit/kg/day was significantly higher in children with hypoglycaemia compared with those without (p= 0.03). 40% of campers with HBA1C less than 7.5 had hypoglycaemia and the mean HBA1C and BMI Z score of campers with hypoglycaemia was lower than in those without. This finding was however not statistically significant. Fifty percent of younger campers aged 6 to 12years had hypoglycaemia compared to 35% of older campers.
There was no statistically significant relationship between age, sex, duration of diabetes and occurrence of hypoglycaemia.
Conclusion: More than a quarter of campers had hypoglycaemia. Mean insulin dose was significantly higher in campers who experienced hypoglycaemi compared to those who did not. Frequency of hypoglycaemia was higher at 2 am check and following hiking before lunch.
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