“It changed everything we do”: A mixed methods study of youth and parent experiences with a pilot exercise education intervention following new diagnosis of type 1 diabetes

Tanenbaum, Molly L.; Addala, Ananta; Hanes, Sarah; Ritter, Victor; Bishop, Franziska K.; Cortes, Ana L.; Pang, Erica; Hood, Korey K.; Maahs, David M.; Zaharieva, Dessi P.

doi:10.1016/j.jdiacomp.2023.108651

Journal of Diabetes and its Complications

2024

DOI: 10.1016/j.jdiacomp.2023.108651

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“It changed everything we do”: A mixed methods study of youth and parent experiences with a pilot exercise education intervention following new diagnosis of type 1 diabetes

Molly L. Tanenbaum,

Ananta Addala,

Sarah Hanes

et al.

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Applying technologies to simplify strategies for exercise in type 1 diabetes

Perkins,

Turner,

Riddell

2024

Diabetologia

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Applying technologies to simplify strategies for exercise in type 1 diabetes

Perkins,

Turner,

Riddell

2024

Diabetologia

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Fear of hypoglycemia relates to glycemic levels during and after real‐world physical activity in adolescents with type 1 diabetes

Patton,

Bergford,

Gal

et al. 2024

Diabet Med

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BackgroundWe explore the association between hypoglycaemia fear (FH) and glycaemia during and after exercise sessions in a large sample of physically active youth with type 1 diabetes (T1D).MethodsWe used data from the Type 1 Diabetes Exercise Initiative Paediatric (T1DEXIP) Study. Youth self‐reported on FH using the Hypoglycaemia Fear Survey‐Child (HFS‐C). They used a smart phone application to self‐report food intake and insulin dosing (multiple daily injection only). We collected pump and continuous glucose monitoring data directly from the device.ResultsOur sample included n = 251 youth (mean age: 14 ± 2 years, 55% closed loop pump; 42% women). Youth reporting higher HFS‐C Total and Helplessness/Worry scores (HFS‐C subscale) had slightly fewer competitive and fewer high intensity exercise events compared to youth with lower HFS‐C Total and Helplessness/Worry scores. Youth reporting the highest Maintain High Blood Glucose scores (HFS‐C subscale) had the lowest percent glucose time in range, higher mean glucose levels, and higher percent time above range during exercise. Youth reporting the highest Maintain High Blood Glucose scores also tended to have higher mean glucose levels post‐exercise and a smaller drop in glucose during exercise.ConclusionFH relates to glycaemia during and after exercise in adolescents with T1D and may signal an inclination for some youth to engage in avoidance behaviours to reduce their vulnerability to exercise‐induced hypoglycaemia.

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“It changed everything we do”: A mixed methods study of youth and parent experiences with a pilot exercise education intervention following new diagnosis of type 1 diabetes

Cited by 2 publications

References 37 publications

Applying technologies to simplify strategies for exercise in type 1 diabetes

Applying technologies to simplify strategies for exercise in type 1 diabetes

Fear of hypoglycemia relates to glycemic levels during and after real‐world physical activity in adolescents with type 1 diabetes

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