Performance of a safety protocol for scuba diving in people with type 1 diabetes: 20 years of “Diabete Sommerso®” experience
Authors' conclusion
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.
Study context
- Population
- People with T1D trained in DS camps; median age 32 years (IQR 22 yrs), diabetes duration 18 years (IQR 16 yrs), HbA1c 7 % (IQR 1 %); 34 on insulin pumps, 43 on CGMdata for 68
- Participants
- 74 people
- Outcome
- Performance of the protocol in avoiding metabolic complications (hypoglycemia)
Methodological detailssingle-group, 20 years of data, Glycemic data collected since 2004 from dives with DS or independently by its members
- Single-group
- 20 years of data
- Glycemic data collected since 2004 from dives with DS or independently by its members
Main finding
As reported in the abstract
- Median reduction in glycemia during dives (IQR 92 mg/dl, p < 0.0001)
- −38 mg/dl
- Post-dive hypoglycemia, cases
- 23
- Share of hypoglycemia cases involving protocol non-adherence
- 45 %
- Hypoglycemia prevalence when protocol followed
- 1.7 %
- Severe hypoglycemic episodes during/after diving
- 0
Observational data: associations, not effects.
Safety
Hypoglycemia · during/after diving
- Post-dive hypoglycemia, cases
- 23
- Severe hypoglycemic episodes
- 0
Original publication
Performance of a safety protocol for scuba diving in people with type 1 diabetes: 20 years of “Diabete Sommerso®” experience. Diabetes Res Clin Pract. Published 6 December 2024. doi:10.
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