P-85: Diabetes camp for adolescents with type 1 diabetes in Uzbekistan
N Ibragimova, M AtadjanovaAbstract
Introduction
In Uzbekistan, there is insufficient compensation for type 1 diabetes in children and adolescents.
Objectives
The summer health program “Diacamp” aims to provide medical, social, and psychological support to adolescents with type 1 diabetes from low-income families.
Methods
In 2025, with the support of the World Diabetes Foundation and the Charitable Public Association of People with Disabilities and Diabetes “UMID”, Diacamp was organized for the first time in Uzbekistan. It was attended by 120 adolescents aged 9-14.
Results
It was found that only 25% of children regularly self-monitored their glucose levels; 45% self-monitored based on how they felt; and 30% did not monitor their glycemia at all. The average HbA1c level was 11.2% (8.3-14.7). At the camp, teenagers began monitoring their blood sugar levels 5-6 times a day, received self-monitoring training, had their insulin therapy adjusted, and had their first conversations with a psychologist. Most teenagers had a poor understanding of their condition, experienced anxiety, and were confused about self-care.The effectiveness of the summer camp was assessed based on the following criteria: overall well-being, weight change, blood glucose levels, knowledge before and after training, and the absence of hypoglycemic episodes. Fasting blood glucose levels decreased on average from 9.5 to 6.8 mmol/L (p < 0.01), postprandial from 12.7 to 9.2 mmol/L (p < 0.01), and nighttime blood glucose decreased from 10.2 to 7.1 mmol/L (p < 0.01), indicating good diabetes control.
After self-monitoring training, knowledge levels were 86%, compared to 47% before the camp. Among adolescents with type 1 diabetes who attended the camp, the number of hospitalizations for diabetes decompensation decreased by 3.8 times.
Conclusions
The survey confirm the need for further summer camps for children and adolescents with type 1 diabetes in Uzbekistan to achieve diabetes management, psychological comfort, increase knowledge about the disease, and adaptation to life with diabetes.