Skip to main content
Erschienen in: Current Cardiology Reports 7/2022

07.05.2022 | Diabetes and Cardiovascular Disease (D Bruemmer, Section Editor)

Exercise and Self-Management in Adults with Type 1 Diabetes

verfasst von: Margaret McCarthy, Jeniece Ilkowitz, Yaguang Zheng, Victoria Vaughan Dickson

Erschienen in: Current Cardiology Reports | Ausgabe 7/2022

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The purpose of this review paper is to examine the most recent evidence of exercise-related self-management in adults with type 1 diabetes (T1D).

Recent Findings

This paper reviews the benefits and barriers to exercise, diabetes self-management education, the role of the healthcare provider in assessment and counseling, the use of technology, and concerns for special populations with T1D.

Summary

Adults with T1D may not exercise at sufficient levels. Assessing current levels of exercise, counseling during a clinical visit, and the use of technology may improve exercise in this population.
Literatur
5.
Zurück zum Zitat American Diabetes Association Professional Practice Committee, et al. 10 Cardiovascular disease and risk management: standards of medical care in diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S144–S174. https://doi.org/10.2337/dc22-S010. American Diabetes Association Professional Practice Committee, et al. 10 Cardiovascular disease and risk management: standards of medical care in diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S144–S174. https://​doi.​org/​10.​2337/​dc22-S010.
13.
Zurück zum Zitat American Diabetes Association Professional Practice Committee. 5 Facilitating behavior change and well-being to improve health outcomes: standards of medical care in diabetes—2022. Diabetes Care. 2021;45(Supplement_1):S60–S82. https://doi.org/10.2337/dc22-S005. American Diabetes Association Professional Practice Committee. 5 Facilitating behavior change and well-being to improve health outcomes: standards of medical care in diabetes—2022. Diabetes Care. 2021;45(Supplement_1):S60–S82. https://​doi.​org/​10.​2337/​dc22-S005.
15.
Zurück zum Zitat McCarthy MM, Funk M, Grey M. Cardiovascular health in adults with type 1 diabetes. Prev Med. 2016;91:138–143. McCarthy MM, Funk M, Grey M. Cardiovascular health in adults with type 1 diabetes. Prev Med. 2016;91:138–143.
16.
Zurück zum Zitat Lauer EE, Jackson AW, Martin SB, Morrow JR Jr. Meeting USDHHS physical activity guidelines and health outcomes. Int J Exerc Sci. 2017;10(1):121–7.PubMedPubMedCentral Lauer EE, Jackson AW, Martin SB, Morrow JR Jr. Meeting USDHHS physical activity guidelines and health outcomes. Int J Exerc Sci. 2017;10(1):121–7.PubMedPubMedCentral
24.
Zurück zum Zitat Kennedy A, Narendran P, Andrews RC, Daley A, Greenfield SM. 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. BMJ Open 2018;8(1). https://doi.org/10.1136/bmjopen-2017-017813. Kennedy A, Narendran P, Andrews RC, Daley A, Greenfield SM. 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. BMJ Open 2018;8(1). https://​doi.​org/​10.​1136/​bmjopen-2017-017813.
34.
Zurück zum Zitat American Diabetes Association Professional Practice Committee. 5 Facilitating behavior change and well-being to improve health outcomes: standards of medical care in diabetes—2022. Diabetes Care 2022;45(Supplement_1):S60–S82. https://doi.org/10.2337/dc22-S005. American Diabetes Association Professional Practice Committee. 5 Facilitating behavior change and well-being to improve health outcomes: standards of medical care in diabetes—2022. Diabetes Care 2022;45(Supplement_1):S60–S82. https://​doi.​org/​10.​2337/​dc22-S005.
39.
Zurück zum Zitat Moser O, et al. Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes: position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA). Pediatr Diabetes. 2020;21(8):1375–93. https://doi.org/10.1111/pedi.13105.CrossRefPubMedPubMedCentral Moser O, et al. Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes: position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA). Pediatr Diabetes. 2020;21(8):1375–93. https://​doi.​org/​10.​1111/​pedi.​13105.CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat • Sallis R. Exercise is medicine: a call to action for physicians to assess and prescribe exercise. Phys Sportsmed. 2015;43(1):22–26. https://doi.org/10.1080/00913847.2015.1001938. The goal of the Exercise is Medicine (EIM) initiative is to make physical activity assessment and exercise prescription a standard component of patient care. The EIM website contains an action guide for healthcare providers. • Sallis R. Exercise is medicine: a call to action for physicians to assess and prescribe exercise. Phys Sportsmed. 2015;43(1):22–26. https://​doi.​org/​10.​1080/​00913847.​2015.​1001938. The goal of the Exercise is Medicine (EIM) initiative is to make physical activity assessment and exercise prescription a standard component of patient care. The EIM website contains an action guide for healthcare providers.
51.
Zurück zum Zitat • Dicembrini I, Cosentino C, Monami M, Mannucci E, Pala L. Effects of real-time continuous glucose monitoring in type 1 diabetes: a meta-analysis of randomized controlled trials. Acta Diabetologica. 2021;58(4):401–410. https://doi.org/10.1007/s00592-020-01589-3. Findings from this systematic review indicated that patients with type 1 diabetes who use continuous glucose monitoring had a reduction in glucose control and severe hypoglycemia compared to those who use self-monitoring of blood glucose monitoring. • Dicembrini I, Cosentino C, Monami M, Mannucci E, Pala L. Effects of real-time continuous glucose monitoring in type 1 diabetes: a meta-analysis of randomized controlled trials. Acta Diabetologica. 2021;58(4):401–410. https://​doi.​org/​10.​1007/​s00592-020-01589-3. Findings from this systematic review indicated that patients with type 1 diabetes who use continuous glucose monitoring had a reduction in glucose control and severe hypoglycemia compared to those who use self-monitoring of blood glucose monitoring.
58.
Zurück zum Zitat Paldus B, et al. A Randomized crossover trial comparing glucose control during moderate-intensity, high-intensity, and resistance exercise with hybrid closed-loop insulin delivery while profiling potential additional signals in adults with type 1 diabetes. Diabetes Care. 2022;45(1):194–203. https://doi.org/10.2337/dc21-1593.CrossRefPubMed Paldus B, et al. A Randomized crossover trial comparing glucose control during moderate-intensity, high-intensity, and resistance exercise with hybrid closed-loop insulin delivery while profiling potential additional signals in adults with type 1 diabetes. Diabetes Care. 2022;45(1):194–203. https://​doi.​org/​10.​2337/​dc21-1593.CrossRefPubMed
60.
Zurück zum Zitat Tagougui S, et al. A single-blind, randomised, crossover study to reduce hypoglycaemia risk during postprandial exercise with closed-loop insulin delivery in adults with type 1 diabetes: announced (with or without bolus reduction) vs unannounced exercise strategies. Diabetologia. 2020;63(11):2282–91. https://doi.org/10.1007/s00125-020-05244-y.CrossRefPubMed Tagougui S, et al. A single-blind, randomised, crossover study to reduce hypoglycaemia risk during postprandial exercise with closed-loop insulin delivery in adults with type 1 diabetes: announced (with or without bolus reduction) vs unannounced exercise strategies. Diabetologia. 2020;63(11):2282–91. https://​doi.​org/​10.​1007/​s00125-020-05244-y.CrossRefPubMed
61.
Zurück zum Zitat Eckstein ML, et al. Time in range for closed-loop systems versus standard of care during physical exercise in people with type 1 diabetes: a systematic review and meta-analysis. J Clin Med 2021;10(11). https://doi.org/10.3390/jcm10112445. Eckstein ML, et al. Time in range for closed-loop systems versus standard of care during physical exercise in people with type 1 diabetes: a systematic review and meta-analysis. J Clin Med 2021;10(11). https://​doi.​org/​10.​3390/​jcm10112445.
68.
Zurück zum Zitat Riddell MC, et al. Exercise management in type 1 diabetes: a consensus statement. Lancet Diabetes Endocrinol. 2017;5(5):377–90.CrossRef Riddell MC, et al. Exercise management in type 1 diabetes: a consensus statement. Lancet Diabetes Endocrinol. 2017;5(5):377–90.CrossRef
77.
Zurück zum Zitat American Diabetes Association Professional Practice Committee, et al. 15 Management of diabetes in pregnancy: standards of medical care in diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S232–S243. https://doi.org/10.2337/dc22-S015. American Diabetes Association Professional Practice Committee, et al. 15 Management of diabetes in pregnancy: standards of medical care in diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S232–S243. https://​doi.​org/​10.​2337/​dc22-S015.
Metadaten
Titel
Exercise and Self-Management in Adults with Type 1 Diabetes
verfasst von
Margaret McCarthy
Jeniece Ilkowitz
Yaguang Zheng
Victoria Vaughan Dickson
Publikationsdatum
07.05.2022
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 7/2022
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-022-01707-3

Weitere Artikel der Ausgabe 7/2022

Current Cardiology Reports 7/2022 Zur Ausgabe

Nuclear Cardiology (V Dilsizian, Section Editor)

Alternative Nuclear Imaging Tools for Infection Imaging

Public Health Policy (SS Virani and D Mahtta, Section Editors)

COVID’s Impact on Non-communicable Diseases: What We Do Not Know May Hurt Us

Interventional Cardiology (SR Bailey and T Helmy, Section Editors)

Safety and Efficacy of Robotic-Assisted PCI

New Therapies for Cardiovascular Disease (AA Bavry and M Massoomi, Section Editors)

Pulsed Field Ablation: a Novel Therapeutic Tool for Catheter-Based Treatment of Atrial Fibrillation

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Adipositas-Medikament auch gegen Schlafapnoe wirksam

24.04.2024 Adipositas Nachrichten

Der als Antidiabetikum sowie zum Gewichtsmanagement zugelassene Wirkstoff Tirzepatid hat in Studien bei adipösen Patienten auch schlafbezogene Atmungsstörungen deutlich reduziert, informiert der Hersteller in einer Vorab-Meldung zum Studienausgang.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.