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[教育夏令营期间儿童及青少年糖尿病患者的血糖控制]

[Blood sugar control in children and young diabetics during an educational summer camp].

作者信息

Böhm P, Ceschel S, Calipa M T, Cattin L, Pocecco M

机构信息

Clinica Pediatrica, IRCCS Burlo Garofolo, Trieste, Italia.

出版信息

Pediatr Med Chir. 1997 Nov-Dec;19(6):447-9.

PMID:9595583
Abstract

UNLABELLED

The aim of the study was to evaluate the impact of educative summer camp on the glycemic control in two different age-groups of young diabetic patients.

METHODS

54 patients (36 M, 18 F, age 10-27 years, duration of diabetes 2-19 years), treated with 0.81 +/- 0.2 UI/kg/day of insulin and with HbA1c mean levels of 8.25 +/- 1.35 g% were followed by an equip of 8 medical doctors, 4 nurses and 1 dietician for a week during an educative summer camp.

RESULTS

34 children, group 1 (20 M, 14 F, 10-14 years aged, mean duration of the disease 4.52 years, range 2-12 years) and 20 young adults, group 2 (16 M, 4 F, age 16-27 years, mean duration 10.21 years, range 2-19 years) were evaluated. Insulin doses and HbA1c levels were 0.82 +/- 0.21 UI/kg/day vs 0.80 +/- 0.22 U/kg/day and 9.54 +/- 1.5% vs 7.6 +/- 0.6%, p < 0.02 in group 1 and 2 respectively. Glycemic levels at 8 a.m. and 11 p.m. were significantly higher in group 1 than in group 2 (180 +/- 87 mg% vs 219 +/- 77 mg%, p < 0.05 and 164 +/- 84 mg% vs 201 +/- 81 mg%, p < 0.05). Hypoglycemic/patient/episodes were 1.82 vs 0.72, p < 0.05 in group 1 and group 2 respectively.

CONCLUSIONS

  1. Glycemic control was unsatisfactory in both groups and it was significantly worse in the group of youngs, though in this group HbA1c level was significantly lower. 2. The risk of hypoglycemia was significantly higher in group 1, though in this group insulin doses were significantly decreased.
摘要

未标注

本研究的目的是评估教育夏令营对两个不同年龄组的年轻糖尿病患者血糖控制的影响。

方法

54例患者(36例男性,18例女性,年龄10 - 27岁,糖尿病病程2 - 19年),接受0.81±0.2 UI/kg/天的胰岛素治疗,糖化血红蛋白平均水平为8.25±1.35 g%,在一个教育夏令营期间由8名医生、4名护士和1名营养师组成的团队跟踪一周。

结果

评估了34名儿童,第1组(20例男性,14例女性,年龄10 - 14岁,疾病平均病程4.52年,范围2 - 12年)和20名年轻成年人,第2组(16例男性,4例女性,年龄16 - 27岁,平均病程10.21年,范围2 - 19年)。胰岛素剂量和糖化血红蛋白水平分别为0.82±0.21 UI/kg/天对0.80±0.22 U/kg/天以及9.54±1.5%对7.6±0.6%,第1组和第2组的p值均<0.02。上午8点和晚上11点的血糖水平在第1组显著高于第2组(180±87 mg%对219±了77 mg%,p<0.05以及164±84 mg%对±81 mg%,p<0.05)。低血糖/患者/发作次数在第1组和第2组分别为1.82对0.72,p<0.05。

结论

  1. 两组的血糖控制均不令人满意,在年轻人组中更差,尽管该组糖化血红蛋白水平显著更低。2. 第1组低血糖风险显著更高,尽管该组胰岛素剂量显著降低。

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