Ivana Rabbone, Italy
Center of Pediatric Diabetology Department of PediatricsPresenter of 3 Presentations
FREQUENCIES OF SKIN REACTIONS IN CHILDREN AND ADOLESCENTS WITH TYPE 1 DIABETES USING A WEB-BASED SURVEY
USING TREND ARROW-PROTOCOL IN ADOLESCENTS WITH TYPE 1 DIABETES IN CONTINUOUS GLUCOSE MONITORING MINIMIZES THE RISK OF HYPOGLYCEMIA DURING A SPORT-SCHOOL CAMP
- Davide Tinti, Italy
- Riccardo Bonfanti, Italy
- Federico Abate daga, Italy
- Alessandro Cavallo, Italy
- Davide Cravero, Italy
- Massimiliano Gollin, Italy
- Michela Trada, Italy
- Valeria De donno, Italy
- Giulia Bracciolini, Italy
- Chiara Mossetto, Italy
- Sara Giorda, Italy
- Stefano Arlotto, Italy
- Giulia Porta, Italy
- Margherita Maresca, Italy
- Isaac Giraudo, Italy
- Andrea Rigamonti, Italy
- Ivana Rabbone, Italy
Abstract
Background and Aims
Insulin therapy needs adaptation in adolescents with type 1 diabetes (T1D) while exercising. Hypoglycemia is the major issue and while insulin reduction is recommended, carbohydrate supplementation is also needed.
We conducted a study to evaluate carbohydrate supplementation to prevent hypoglycemia in T1D adolescents during a sport-school camp.
Methods
27 adolescents with T1D >1 year, treated with multiple injections, without co-morbidities, were enrolled in a 4-day sport-school camp with different session of physical activity.
During camp, participants reduced their basal insulin by 20% and pre-meal insulins up to 50%, as recommended by international guidelines. Patients wore a glucose sensor (Dexcom ® G6) to monitor their glucose to prevent hypoglycemia (< 70 mg/dL). All corrections, made with glucose, were decided using glucose value corrected for the trend, with a protocol showed in the figure. Time spent in range 70-180 mg/dL (TIR), below (TBR), above (TAR) and coefficient of variation (CV) were compared with values 3 days before camp.
Results
No severe hypoglycemia and ketoacidosis were observed. Mean glucose and SD resulted similar during and before camp (177±56 and 170±59 mg/dL, p=0.38). TBR was lower during camp (1% vs. 2,7%, p=0,04), and time spent with glucose < 54 mg/dL was 0.03% (before was 0.9%, p=0.008).
TIR was comparable (54.3 vs. 59.8%, p=0.25), as well as TAR (44.8 vs. 37.5%, p=0.14) and CV (34.6 vs. 32.2, p = 0.18).
Conclusions
Correction with glucose using sensor value adjusted for trend were helpful in strongly reducing values below 70 and 54 mg/dL, without increasing TAR in T1D adolescents while exercising.