Plasma glucose response to recreational diving in novice teenage divers with insulin-requiring diabetes mellitus.

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Plasma glucose response to recreational diving in novice teenage divers with insulin-requiring diabetes mellitus.

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dc.contributor.author Pollock, NW
dc.contributor.author Uguccioni, DM
dc.contributor.author Dear, GdeL
dc.contributor.author Bates, S
dc.contributor.author Albushies, TM
dc.contributor.author Prosterman, SA
dc.date.accessioned 2007-12-04T18:33:00Z
dc.date.available 2007-12-04T18:33:00Z
dc.date.issued 2006
dc.identifier.citation Undersea Hyperb Med. 2006 Mar-Apr;33(2):125-33. en
dc.identifier.other 16716063
dc.identifier.uri http://archive.rubicon-foundation.org/5037
dc.description Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc. en
dc.description.abstract A growing number of individuals with insulin-requiring diabetes mellitus (IRDM) dive, but data on plasma glucose (PG) response to diving are limited, particularly for adolescents. We report on seven 16-17 year old novice divers with IRDM participating in a tropical diving camp who had recent at least moderate PG control (HbA1c 7.3 +/- 1.1%) (mean +/- SD). PG was measured at 60, 30 and 10 min pre-dive and immediately following 42 dives. Maximum depth (17 +/- 6 msw) and total underwater times (44 +/- 14 min) were not extreme. Pre-dive PG exceeded 16.7 mmol x L(-1) (300 mg x dL(-1)) in 22% of dives. Males had significantly higher pre-dive levels (15.4 +/- 5.6 mmol x L(-1) [277 +/- 100 mg x dL(-1)] vs. 12.8 +/- 2.9 mmol x L(-1) [230 +/- 52 mg x dL(-1)], respectively) and greater pre-post-dive changes (-4.3 +/- 4.4 mmol x L(-1) [-78 +/- 79 mg x dL(-1)] vs. -0.5 +/- 4.3 mmol x L(-1) [-9 +/- 77 mg x dL(-1)], respectively). Post-dive PG was < 4.4 mmol x L(-1) [< 80 mg x dL(-1)] in two dives by two different males (3.4 and 3.9 mmol x L(-1) [61 and 70 mg x dL(-1)]). No symptoms or complications of hypoglycemia were reported. These data show that in a closely monitored situation, and with benign diving conditions, some diabetic adolescents with good control and no secondary complications may be able to dive safely. The impact of purposeful elevation of PG to protect against hypoglycemia during diving remains to be determined. en
dc.format.extent 375320 bytes
dc.format.mimetype application/pdf
dc.language.iso en en
dc.publisher Undersea and Hyperbaric Medical Society, Inc. en
dc.subject DIVERS en
dc.subject adolescent en
dc.subject pediatric en
dc.subject Diabetes Mellitus, Type 2 en
dc.subject diabetes mellitus en
dc.subject insulin-requiring diabetes mellitus en
dc.subject plasma glucose en
dc.subject hypoglycemia en
dc.subject diving en
dc.subject Humans en
dc.subject.mesh Adolescent Blood Glucose/analysis* Diabetes Mellitus, Type 1/blood* Diabetes Mellitus, Type 1/drug therapy Diving/physiology* Female Humans Hypoglycemia/blood Hypoglycemic Agents/therapeutic use Insulin/therapeutic use Ketones/urine Male Sex Factors Time Factors Substances: Blood Glucose Hypoglycemic Agents Ketones Insulin en
dc.title Plasma glucose response to recreational diving in novice teenage divers with insulin-requiring diabetes mellitus. en
dc.type Article en

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