Glycemic trends and reduced insulin requirements in adolescents with type 1 diabetes during a therapeutic recreational camp: Insights from continuous glucose monitoring
Pubblicato online: 06 ago 2025
Pagine: 169 - 176
Ricevuto: 07 apr 2025
Accettato: 25 mag 2025
DOI: https://doi.org/10.2478/rrlm-2025-0020
Parole chiave
© 2025 Boglárka Varga et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Background
Appropriate management of glycemic control in type 1 diabetes mellitus (T1DM) is challenging. Severe hypoglycemia represents a feared acute complication. Diabetes camps provide ideal settings for implementation of Continuous Glucose Monitoring (CGM) technologies.
Methods
A prospective interventional study was conducted on 41 T1DM adolescents between August 28 - September 2, 2023 in a therapeutic recreational camp in Șăulia, Romania. Key features: use of Dexcom One sensor with a receiver, six scheduled meals per day, standardized hypoglycemia protocol, therapeutic activities with physical exercise. Demographic data, information regarding insulin types, doses, carbohydrate intake, CGM data were collected in the first (D1) and last (D5) days of the camp.
Results
Mean age of participants was 14.9 years±1.25 (SD), 61% were females, 71% from urban areas. Of all participants, 42% had continuous subcutaneous insulin infusion (CSII) therapy and 71% previously used CGM devices. Time in range (TIR) levels increased (D1: 59.7% vs. D5: 65.4%,
Conclusions
Improved glycemic control was observed along with a decline in insulin requirements during the study. A strictly controlled environment, adapted diet and modern tehnology contribute to the achievement of better metabolic control in T1DM.