Frequency and Predisposing Factors to Hypoglycaemic Events: Experiences at a Diabetes Youth Camp in Sub-Saharan Africa

Jaja Tamunopriye, Ugo Nnenna Chikani, Ogugua Chinwe Flora, Ibekwe Maryann Ugochi

Abstract


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.




Keywords


Diabetes camp, hypoglycaemia, predisposing factors

References


Ly TT, Maahs DM, Rewers A, et al. ISPAD Clinical Practice Consensus Guidelines 2014. Assessment and management of hypoglycemia in children and adolescents with diabetes. Pediatr Diabetes. 2014, 15( Suppl 20):180-192

Childs BP, Clark NG, Cox DJ. Defining and reporting hypoglycemia in diabetes: a report from the American Diabetes Association Workgroup on Hypoglycemia. Diabetes Care. 2005, 28:1245-1249

Gunasekera H, Ambler G. Safety and efficacy of Blood Glucose management practices at the camp. J Paed and Child Health. 2006, 42(10): 643-648

Philip E Cryer. The Barrier of Hypoglycaemia Diabetes. Diabetes. 2008, 57(12): 3169-3176

The Diabetes Control and Complication Trial /Epidemiology of Diabetes Intervention and complications (DCCT/EDIC) study Research Group: Long term effect of diabetes and its treatment on cognitive function. N Engl J of Med. 2007, 356: 1842-1852

Seaquist ER, Anderson J, Childs B, et al. Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. Diabetes Care. 2013, 36:1384-1395

Metcalf KM, Singhvi A, Tsalikan E, Tansay MJ, Zimmerman MB, Esliger DW et al Effect of moderate to Vigorous intensity physical activity on overnight and next day hypoglycaemia in active adolescents with Type 1 DM. Diabetes Care. 2014, 37(5): 1272-1278

Dehayem MY, Takogue R, Choukem SP, Doufack OT, Katte JC, Sap S et al. Impact of a pioneer diabetes camp experience on glycaemic control among children and adolescents living with Type 1 Diabetes in Sub Saharan Africa. BMC Endocr Disord. 2016, 16:5

Koplatadze K, Koplatadze M, Kacharava L, Virsaladze D. Hypoglycaemia risk management of the Georgian Diabetes camp. Georgian Biomedical Journal. 2017, 1(2): 63-66

Cryer PE. Hypoglycaemia in Diabetes. Pathophysiology, Prevalence and Prevention. American Diabetes Association; Alexandria VA 2009

Davis EA, Keating B, Byrne GC, Russel M, Jones TW. Impact of improved glycaemic control on rates of hypoglycaemia in insulin dependent diabetes mellitus. Arch Dis Child. 1998, 78:111-115

Kimberly EL, Venkat SR, Rubina AH. Insight into Hypoglycaemia in Paediatric Type 1 Diabetes Mellitus. Int J of Paed Endocrinology. 2012 Doi: 10.1186/1687-9856-2012-19

Carlson KT, Carlson GW, Tolbert I, Demma I. Blood glucose levels in children with type 1 Diabetes camp: A 2 year review. Diabetic Medicine. 2013, 30:123-126

Kang N, Lee J, Park D, Lee S, Nan S, Lee S. et al. Blood Glucose control and Related factors at camp for Korean children and Adolescent with Type 1 Diabetes. Comprehensive Child and Adolescent Nursing 2017

American Diabetes Association. Diabetes Management at Camps for children with Diabetes. Diabetes Care. 2012, 35(1):72-75


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