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糖尿病夏令营中 1 型糖尿病患儿及青少年的营养与血糖控制。

Nutrition and Glycemic Control in Children and Adolescents with Type 1 Diabetes Mellitus Attending Diabetes Camps.

机构信息

Endocrine Unit and Diabetes Centre, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, 115 28 Athens, Greece.

Department of Nutrition and Dietetics, School of Physical Education, Sport Science and Dietetics, University of Thessaly, 421 32 Trikala, Greece.

出版信息

Nutrients. 2024 Oct 1;16(19):3338. doi: 10.3390/nu16193338.

DOI:10.3390/nu16193338
PMID:39408305
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11479225/
Abstract

Diabetes camps for children and adolescents with Type 1 Diabetes mellitus (T1DM) offer the opportunity to have a camping experience in a safe and supportive environment where they can receive diabetes skills education, such as glucose self-monitoring, insulin injections, management of hypoglycemia/hyperglycemia, and nutritional recommendations, including meal planning and carbohydrate counting. The ultimate goal of diabetes camps is to educate children to manage their condition independently, without parental involvement. Additionally, attending a diabetes camp is an excellent opportunity to meet peers and share their experiences and concerns about their condition, enhancing their confidence and reducing diabetes-related emotional distress. The aim of this review was to assess whether the nutritional planning and education offered at diabetes camps has a favorable effect on the glycemic control of attending children and adolescents. A literature search in PubMed and Scopus databases was performed. Eligible for inclusion were studies evaluating the effect of nutritional education offered in diabetes camps on glycemic control of children and adolescents with T1DM. The majority of identified eligible studies supported the beneficial impact of the nutritional education offered in diabetes camps on glycemic control during and after the camp sessions. The favorable effect, though, seemed to be temporarily sustained (<6 months). Continuous nutritional education is required to prolong the duration of these beneficial outcomes. Further interventional studies are required to evaluate the direct effect of nutritional education provided at diabetes camps on glycemic control of children and adolescents with T1DM and the actual duration of favorable outcomes.

摘要

糖尿病夏令营为 1 型糖尿病(T1DM)患儿和青少年提供了在安全和支持性环境中体验露营的机会,他们可以在那里接受糖尿病技能教育,如血糖自我监测、胰岛素注射、低血糖/高血糖管理以及营养建议,包括膳食计划和碳水化合物计数。糖尿病夏令营的最终目标是教育儿童独立管理自己的病情,无需父母参与。此外,参加糖尿病夏令营是一个很好的机会,可以与同龄人会面,分享他们对自己病情的经验和担忧,增强他们的信心,减轻与糖尿病相关的情绪困扰。本综述的目的是评估糖尿病夏令营提供的营养计划和教育是否对参加夏令营的儿童和青少年的血糖控制有积极影响。在 PubMed 和 Scopus 数据库中进行了文献检索。纳入的研究评估了糖尿病夏令营中提供的营养教育对 T1DM 儿童和青少年血糖控制的影响。大多数确定的合格研究支持糖尿病夏令营中提供的营养教育对夏令营期间和之后血糖控制的有益影响。然而,这种有利影响似乎是暂时持续的(<6 个月)。需要持续的营养教育来延长这些有益结果的持续时间。需要进一步的干预研究来评估糖尿病夏令营提供的营养教育对 T1DM 儿童和青少年血糖控制的直接影响以及有利结果的实际持续时间。

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