Advances in Exercise and Nutrition as Therapy in Diabetes.

14 Kennedy A, Narendran P, Andrews RC, Daley A, Greenfield SM, Group E. Attitudes and barriers to exercise in adults with a recent diagnosis of type 1 diabetes: a qualitative study of participants in the exercise for type 1 diabetes (extod) study. Conclusion The hybrid regimen of using a proportion of basal insulin (i.e., 50%) via an ultra-long-acting insulin (degludec) once-daily injection, while maintaining a modified CSII basal insulin delivery (i.e., 50%), except for pump removal during exercise, appears to be safe and effective for glycemic control in adults with type 1 diabetes who exercise regularly. Prediction of hypoglycemia during aerobic exercise in adults with type 1 diabetes I Reddy R SP 1 sp , Resalat N SP 1 sp , Wilson LM SP 2 sp , Castle JR SP 2 sp , El Youssef J SP 1,2 sp , Jacobs PG SP 1 sp i I SP 1 sp Department of Biomedical Engineering, Oregon Health & Science University, Portland, OR; SP 2 sp Department of Medicine, Division of Endocrinology, Harold Schnitzer Diabetes Health Center Oregon, Health & Science University, Portland, OR i I J Diabetes Sci Technol 2019; i B I 13 i b I : 919-927 i Background Although guidelines strongly recommend regular physical activity for individuals with type 1 diabetes (2,7), a primary barrier to exercise is the fear of hypoglycemia ([14],[15]). The greater risk for hypoglycemia in the hours after exercise is likely related to the increase in insulin sensitivity in the body that can last for several hours ([4]), thereby potentially reducing dinner bolus insulin needs ([5]). [Extracted from the article]