Performance of a safety protocol for scuba diving in people with type 1 diabetes: 20 years of "Diabete Sommerso®" experience.

IF 6.1 3区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Elena Gamarra, Pierpaolo Trimboli, Giovanni Careddu, Andrea Fazi, Valentina Turra, Ambra Morelli, Elena Cimino, Paolo Di Bartolo, Umberto Valentini, Matteo Bonomo
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引用次数: 0

Abstract

Background and aims: Scuba diving for people with diabetes was discouraged due to hypoglycemia risks. However, evolving guidelines now enable safe diving for people with diabetes. Among them, the Diabete Sommerso® safety protocol. This study aims to describe data from 20 years of DS activities and evaluate the performance of the protocol in avoiding metabolic complications.

Research design and methods: During DS camps, participants are trained to monitor glycemia before and immediately after diving, aiming for stable levels between 150-250 mg/dl. Since 2004, glycemic data from dives conducted with DS/independently by its members have been collected.

Results: DS issued diving licenses to 74 type 1 diabetic people. Data are available for 68: median age was 32 years (IQR 22 yrs), diabetes duration 18 years (IQR 16 yrs), HbA1c 7 % (IQR 1 %). 34 used insulin pumps, 43 continuous glucose monitoring. A total of 1179 dives were analyzed, showing a median reduction in glycemia of -38 mg/dl during dives (IQR 92 mg/dl, p < 0.0001). Post-dive hypoglycemia occurred in 23 cases, 45 % of which involved protocol non-adherence. Hypoglycemia prevalence was 1.7 % when the protocol was followed. No severe hypoglycemic episodes occoured during/after diving.

Conclusions: Data from 1179 dives indicate that, with adherence to the safety protocol, scuba diving is safe and poses no risk of severe hypoglycemia for people with type 1 diabetes.

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来源期刊
Diabetes research and clinical practice
Diabetes research and clinical practice 医学-内分泌学与代谢
CiteScore
10.30
自引率
3.90%
发文量
862
审稿时长
32 days
期刊介绍: Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.
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