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Diabetologia

Erschienen in:

07.01.2021 | Letter

Glucose management for exercise using continuous glucose monitoring: should sex and prandial state be additional considerations?

verfasst von: Jane E. Yardley, Ronald J. Sigal

Erschienen in: Diabetologia | Ausgabe 4/2021

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Excerpt

To the Editor: In a recent position statement on glucose management for exercise using continuous glucose monitoring (CGM) in type 1 diabetes, Moser et al. reviewed exercise-related literature and suggested insulin dosage adjustments and carbohydrate intake [1]. We commend the authors for their work, especially considering the lack of strong evidence in the area. Indeed, many suggestions are labelled ‘(D)’, meaning that they originate from expert committee reports and/or expert opinions/clinical experience of respected authorities, or are extrapolated recommendations from stronger evidence. …

Moser O, Riddell MC, Eckstein ML et al (2020) 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). Diabetologia 63:2501–2520. https://doi.org/10.1007/s00125-020-05263-9CrossRefPubMed

Bohn B, Herbst A, Pfeifer M et al (2015) Impact of physical activity on glycemic control and prevalence of cardiovascular risk factors in adults with type 1 diabetes: A cross-sectional multicenter study of 18,028 patients. Diabetes Care 38(8):1536–1543. https://doi.org/10.2337/dc15-0030CrossRefPubMed

Al Khalifah RA, Suppere C, Haidar A, Rabasa-Lhoret R, Ladouceur M, Legault L (2016) Association of aerobic fitness level with exercise-induced hypoglycaemia in type 1 diabetes. Diabet Med 33(12):1686–1690. https://doi.org/10.1111/dme.13070CrossRefPubMed

Metcalf KM, Singhvi A, Tsalikian E et al (2014) Effects of moderate-to-vigorous intensity physical activity on overnight and next-day hypoglycemia in active adolescents with type 1 diabetes. Diabetes Care 37(5):1272–1278. https://doi.org/10.2337/dc13-1973CrossRefPubMedPubMedCentral

Brockman NK, Sigal RJ, Kenny GP, Riddell MC, Perkins BA, Yardley JE (2020) Sex-related differences in blood glucose responses to resistance exercise in adults with type 1 diabetes: A secondary data analysis. Can J Diabetes 44(3):267–273. https://doi.org/10.1016/j.jcjd.2019.08.006CrossRefPubMed

Scott SN, Cocks M, Andrews RC et al (2019) Fasted high-intensity interval and moderate-intensity exercise do not Lead to detrimental 24-hour blood glucose profiles. J Clin Endocrinol Metab 104(1):111–117. https://doi.org/10.1210/jc.2018-01308CrossRefPubMed

Riddell MC, Pooni R, Yavelberg L et al (2019) Reproducibility in the cardiometabolic responses to high-intensity interval exercise in adults with type 1 diabetes. Diabetes Res Clin Pract 148:137–143. https://doi.org/10.1016/j.diabres.2019.01.003CrossRefPubMed

Harmer AR, Chisholm DJ, McKenna MJ et al (2007) High-intensity training improves plasma glucose and acid-base regulation during intermittent maximal exercise in type 1 diabetes. Diabetes Care 30(5):1269–1271. https://doi.org/10.2337/dc06-1790CrossRefPubMed

Farinha JB, Boff W, Dos Santos GC et al (2019) Acute glycemic responses along 10-week high-intensity training protocols in type 1 diabetes patients. Diabetes Res Clin Pract 153:111–113. https://doi.org/10.1016/j.diabres.2019.06.001CrossRefPubMed

10.

Guelfi KJ, Jones TW, Fournier PA (2005) The decline in blood glucose levels is less with intermittent high-intensity compared with moderate exercise in individuals with type 1 diabetes. Diabetes Care 28(6):1289–1294. https://doi.org/10.2337/diacare.28.6.1289CrossRefPubMed

11.

Maran A, Pavan P, Bonsembiante B et al (2010) Continuous glucose monitoring reveals delayed nocturnal hypoglycemia after intermittent high-intensity exercise in nontrained patients with type 1 diabetes. Diabetes Technol Ther 12(10):763–768. https://doi.org/10.1089/dia.2010.0038CrossRefPubMed

12.

Campbell MD, West DJ, Bain SC et al (2015) Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients. Scand J Med Sci Sports 25(2):216–222. https://doi.org/10.1111/sms.12192CrossRefPubMed

13.

Iscoe KE, Riddell MC (2011) Continuous moderate-intensity exercise with or without intermittent high-intensity work: Effects on acute and late glycaemia in athletes with type 1 diabetes mellitus. Diabet Med 28(7):824–832. https://doi.org/10.1111/j.1464-5491.2011.03274.xCrossRefPubMed

14.

Tonoli C, Heyman E, Roelands B et al (2015) BDNF, IGF-I, glucose and insulin during continuous and interval exercise in type 1 diabetes. Int J Sports Med 36(12):955–959. https://doi.org/10.1055/s-0035-1548886CrossRefPubMed

15.

Yardley JE (2020) Fasting may alter blood glucose responses to high intensity interval exercise in adults with type 1 diabetes: A randomized acute crossover study. Can J Diabetes 44(8):727–733. https://doi.org/10.1016/j.jcjd.2020.09.007CrossRefPubMed

16.

Turner D, Gray BJ, Luzio S et al (2016) Similar magnitude of post-exercise hyperglycemia despite manipulating resistance exercise intensity in type 1 diabetes individuals. Scand J Med Sci Sports 26(4):404–412. https://doi.org/10.1111/sms.12472CrossRefPubMed

17.

Yardley JE, Kenny GP, Perkins BA et al (2013) Resistance versus aerobic exercise: Acute effects on glycemia in type 1 diabetes. Diabetes Care 36(3):537–542. https://doi.org/10.2337/dc12-0963CrossRefPubMedPubMedCentral

18.

Toghi-Eshghi SR, Yardley JE (2019) Morning (fasting) vs afternoon resistance exercise in individuals with type 1 diabetes: A randomized crossover study. J Clin Endocrinol Metab 104(11):5217–5224. https://doi.org/10.1210/jc.2018-02384CrossRefPubMed

19.

Yardley JE, Brockman NK, Bracken RM (2018) Could age, sex and physical fitness affect blood glucose responses to exercise in type 1 diabetes? Front Endocrinol 9:674. https://doi.org/10.3389/fendo.2018.00674CrossRef

Titel: Glucose management for exercise using continuous glucose monitoring: should sex and prandial state be additional considerations?
verfasst von: Jane E. Yardley
Ronald J. Sigal
Publikationsdatum: 07.01.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Diabetologia / Ausgabe 4/2021
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI: https://doi.org/10.1007/s00125-020-05373-4

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