Risk factors of hypoglycaemia in type 1 diabetes individuals during intensive sport exercise—Data from the SPORTGIVECHANCE event

Hohendorff, Jerzy; Ucieklak, Damian; Skupień, Jan; Matejko, Bartłomiej; Giacomo, Angelica Di; Małecki, Maciej T.; Klupa, Tomasz

doi:10.1111/ijcp.13411

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…It is widely accepted that individuals with type 1 diabetes mellitus using intensive insulin therapy can practice almost all types of physical activity, even extreme types, such as very high mountain climbing, ultramarathons and combat sports 6 , 7 , 8 , 9 . Practicing sports by individuals with type 1 diabetes mellitus, however, might be challenging because of possible difficulties in maintaining glucose control, including the risk of hypoglycemic events.…”

Section: Introductionmentioning

confidence: 99%

Predictors of the maximal oxygen consumption in adult patients with type 1 diabetes treated with personal insulin pumps

Matejko

Tota

Mrozińska

et al. 2021

J of Diabetes Invest

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Aims/Introduction Regular physical activity for adults with type 1 diabetes mellitus improves cardiorespiratory fitness (CF) and quality of life. The aim of our study was to evaluate clinical and biochemical features that might be associated with CF in a homogenous group of adults with type 1 diabetes mellitus who are all treated with a personal insulin pump (continuous subcutaneous insulin infusion). Materials and Methods We assessed CF in 62 patients (74.2% of whom were men) who fulfilled the eligibility criteria. To determine maximal oxygen consumption, the march‐running test on the treadmill was carried out. Two hours before the test, the patients consumed a defined meal covered by a dose of rapid acting insulin analog that was reduced by 25% from their regular dose. Basal insulin infusion was reduced by 50% for an hour. Additionally, the Perceived Stress Scale‐10 questionnaire was used to measure the perception of stress. Results There was no episode of severe hypoglycemia during or after the test. In the final model, independent predictors of maximal oxygen consumption were sex, body fat percentage, lactate at 20 min after CF test and Perceived Stress Scale‐10 score. Of interest, neither short‐term (continuous glucose monitoring) nor long‐term (glycosylated hemoglobin) metabolic control parameters were predictors of CF. Conclusions In our selected homogenous group of patients with type 1 diabetes mellitus treated with personal insulin pumps, higher CF was associated with a lower percentage of body fat, male sex, higher lactate level after the CF test and the Perceived Stress Scale‐10 score. The proposed protocol in our cohort proved to be safe with regard to glycemic control.

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Section: Introductionmentioning

confidence: 99%

Predictors of the maximal oxygen consumption in adult patients with type 1 diabetes treated with personal insulin pumps

Matejko

Tota

Mrozińska

et al. 2021

J of Diabetes Invest

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“…Intense physical activities put type 1 diabetic patients at risk of hypoglycemia. Therefore, continuous or flash glucose monitoring systems may help alleviate this risk [66]. During exercise, it is important to balance insulin dosages with carbohydrate intake to avoid hypoglycemia [67].…”

Section: Challenges and Considerationsmentioning

confidence: 99%

Sports and Exercise Therapy in Holistic Strategy for Treating Chronic Diseases – literature review

Bieńko,

Rutkowska,

Król

et al. 2024

J Educ Health Sport

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Introduction The convergence of sports and health is a developing area, focusing on the therapeutic potential of physical activities in numerous chronic disease management strategies as a necessary part of a holistic strategy. Acknowledging sports as a therapeutic tool emphasizes the necessity for a comprehensive understanding of how sports engagement contributes to innovative healthcare interventions. Purpose This research aims to investigate the therapeutic potential of prescribing sports and physical exercise in treating primary chronic diseases, exploring its integration into healthcare practices with a focus on efficacy and implications for disease management. State of Knowledge Physical activity is recommended for treating diabetes, chronic obstructive pulmonary disease, asthma, and rheumatoid arthritis. It reduces the risk of cardiovascular disease and death, lowers blood pressure, ads prevents and manages atherosclerosis and osteoporosis. Non-physical sports like chess and board games also promise protection against dementia, depression, and Alzheimer's. Conclusions Incorporating sports into healthcare policies and prescribing personalized exercise are essential components of holistic chronic disease management and show widespread benefits. Professional guidance and clear recommendations, aligned with disease-specific guidelines, play a crucial role in ensuring safe and effective physical activity for patients. Potential risks in specific populations, particularly injury risks, can be minimized through proper preventive measures, adjusting the character of exercises, and heightened patient awareness. To ensure good compliance, exercise prescriptions should offer clear and precise guidelines.

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“…For teenagers with T1DM this is another challenge. To date, some studies describing glycemic changes in the T1DM population during sports competitions have been published [16][17][18]. However, there is limited data regarding the relationship between glycemia during physical activity and nighttime glycemia in the context of a real-life large sports tournament.…”

Section: Introductionmentioning

confidence: 99%

Nighttime Hypoglycemia in Children with Type 1 Diabetes after one Day of Football Tournament

et al. 2020

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AbstractThe aim of the study was to investigate factors related to the occurrence of nighttime hypoglycemia after a football tournament in children with type 1 diabetes mellitus. The multicenter study (GoalDiab study) included 189 children and adolescents with type 1 diabetes mellitus, from 11 diabetes care centers in Poland. Hypoglycemia was defined according to the International Hypoglycemia Study Group Statement. We analyzed the data of 95 participants with completed protocols with regards to nighttime hypoglycemia (82% male), aged 11.6 (9.8–14.2) years, diabetes duration 5.0 (2.0–8.0) years. There were 47 episodes of nighttime Level 1 hypoglycemia (≤3.9 mmol/L). Occurrence of clinically important Level 2 hypoglycemia (<3.0 mmol/L) during a game period was positively associated with nighttime hypoglycemia (≤3.9 mmol/L) incident (Odds Ratio=10.7; 95% Confidence Interval: 1.1–100.2; p=0.04). Using Continuous Glucose Monitoring was negatively associated with the occurrence of nighttime hypoglycemia (≤3.9 mmol/L) compared with using glucose meters or Flash Glucose Monitoring (Odds Ratio=0.31; 95% Confidence Interval: 0.12–0.83; p=0.02). The occurrence of clinically important hypoglycemia related to physical activity is associated with the occurrence of hypoglycemia during the night. Continuous Glucose Monitoring is negatively associated with nighttime hypoglycemia after a day of competition.

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Risk factors of hypoglycaemia in type 1 diabetes individuals during intensive sport exercise—Data from the SPORTGIVECHANCE event

Cited by 5 publications

References 18 publications

Predictors of the maximal oxygen consumption in adult patients with type 1 diabetes treated with personal insulin pumps

Predictors of the maximal oxygen consumption in adult patients with type 1 diabetes treated with personal insulin pumps

Sports and Exercise Therapy in Holistic Strategy for Treating Chronic Diseases – literature review

Nighttime Hypoglycemia in Children with Type 1 Diabetes after one Day of Football Tournament

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