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Techniques for Exercise Preparation and Management in Adults with Type 1 Diabetes
- Source :
- Canadian Journal of Diabetes. 40:503-508
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- People with type 1 diabetes are at risk for early- and late-onset hypoglycemia following exercise. Reducing this risk may be possible with strategic modifications in carbohydrate intake and insulin use. We examined the exercise preparations and management techniques used by individuals with type 1 diabetes before and after physical activity and sought to determine whether use of differing diabetes technologies affects these health-related behaviours.We studied 502 adults from the Type 1 Diabetes Exchange's online patient community, Glu, who had completed an online survey focused on diabetes self-management and exercise.Many respondents reported increasing carbohydrate intake before (79%) and after (66%) exercise as well as decreasing their meal boluses before (53%) and after (46%) exercise. Most reported adhering to a target glucose level before starting exercise (77%). Despite these accommodations, the majority reported low blood glucose (BG) levels after exercise (70%). The majority of users of both insulin pump therapy (CSII) and continuous glucose monitoring (CGM) (Combined) reported reducing basal insulin around exercise (55%), with fewer participants adjusting basal insulin when using other devices (SMBG only = 20%; CGM = 34%; CSII = 42%; p0.001). However, CSII and Combined users reported that exercise makes their BG levels harder to control (p0.05) and makes them feel less able to predict their BG levels while exercising (p0.001); they show agreement that fear of low BG levels keeps them from exercising (p0.01).These findings highlight the need for exercise-management strategies tailored to individuals' overall diabetes management, for despite making exercise-specific adjustments for care, many people with type 1 diabetes still report significant difficulties with BG control when it comes to exercise.
- Subjects :
- Adult
Blood Glucose
Male
Insulin pump
medicine.medical_specialty
Adolescent
Endocrinology, Diabetes and Metabolism
030209 endocrinology & metabolism
Hypoglycemia
Young Adult
03 medical and health sciences
0302 clinical medicine
Endocrinology
Quality of life
Diabetes management
Diabetes mellitus
Blood Glucose Self-Monitoring
Internal Medicine
medicine
Humans
030212 general & internal medicine
Young adult
Exercise
Aged
Aged, 80 and over
Type 1 diabetes
business.industry
Disease Management
General Medicine
Middle Aged
Prognosis
medicine.disease
Self Care
Diabetes Mellitus, Type 1
Quality of Life
Physical therapy
Female
business
Biomarkers
Follow-Up Studies
Subjects
Details
- ISSN :
- 14992671
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Canadian Journal of Diabetes
- Accession number :
- edsair.doi.dedup.....ad78b7976229322380638562c9f629a0
- Full Text :
- https://doi.org/10.1016/j.jcjd.2016.04.010