BEHAVIOR, DIET AND GLUCOSURIA OF DIABETIC CHILDREN IN A SUMMER CAMP
Observations were made on 13 pre-adolescent diabetic boys at a summer camp. Glucosuria, hypoglycemia, dietary intake with self-regulated and prescribed diets, emotional adjustment and measures of group structure were recorded and correlated to determine the relationship between psychologic-sociologic factors and metabolic changes in the diabetic state. Average values for glucosuria for the entire group indicated that during the period of a prescribed diet, the per cent glucose in the urine was not statistically different during any of the three periods of the 24 hours. With the self-regulated diet there was a significantly greater per cent glucose in the urine during the day and evening periods than during the night period. The type of diet the boys had received at home did not affect their performance during the two dietary programs. There was less hypoglycemia and a higher per cent glucose in the urine during the day with the self-regulated diet than with the prescribed diet. These differences were significant, with a P value of less than .025. There was no difference in glucosuria during the night collection with the two dietary programs. Well adjusted boys had less of an increase in glucosuria when they went from a prescribed diet to a self-regulated one than did the poorly adjusted boys. The differences in glucosuria were partially correlated with the differences in caloric consumption, the poor adjustors having a greater increase in calories consumed than the good adjustors. These changes did not reach the .05 level of significance. Eating as a preferred activity increased in prominence during the course of the study. Group structure did not become well defined with these boys because of the lack of a cabin-oriented program in the camp, so no correlation could be made between group position and change in glucosuria.