Abstract
Following a successful first British Diabetic Association/Outward Bound Mountain Course in 1981, biannual courses were established for insulin-treated diabetic patients. These mentally and physically demanding courses are intended to encourage young diabetic patients to take active exercise whilst learning how to manage their diabetes under varied conditions. Careful medical supervision and expert instruction with minute attention to safety and constant alertness for hypoglycaemia is essential. This paper details the experience gained during the first three courses.

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