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13.10.2020 | Position statement

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)

verfasst von: Othmar Moser, Michael C. Riddell, Max L. Eckstein, Peter Adolfsson, Rémi Rabasa-Lhoret, Louisa van den Boom, Pieter Gillard, Kirsten Nørgaard, Nick S. Oliver, Dessi P. Zaharieva, Tadej Battelino, Carine de Beaufort, Richard M. Bergenstal, Bruce Buckingham, Eda Cengiz, Asma Deeb, Tim Heise, Simon Heller, Aaron J. Kowalski, Lalantha Leelarathna, Chantal Mathieu, Christoph Stettler, Martin Tauschmann, Hood Thabit, Emma G. Wilmot, Harald Sourij, Carmel E. Smart, Peter G. Jacobs, Richard M. Bracken, Julia K. Mader

Erschienen in: Diabetologia | Ausgabe 12/2020

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Abstract

Physical exercise is an important component in the management of type 1 diabetes across the lifespan. Yet, acute exercise increases the risk of dysglycaemia, and the direction of glycaemic excursions depends, to some extent, on the intensity and duration of the type of exercise. Understandably, fear of hypoglycaemia is one of the strongest barriers to incorporating exercise into daily life. Risk of hypoglycaemia during and after exercise can be lowered when insulin-dose adjustments are made and/or additional carbohydrates are consumed. Glycaemic management during exercise has been made easier with continuous glucose monitoring (CGM) and intermittently scanned continuous glucose monitoring (isCGM) systems; however, because of the complexity of CGM and isCGM systems, both individuals with type 1 diabetes and their healthcare professionals may struggle with the interpretation of given information to maximise the technological potential for effective use around exercise (i.e. before, during and after). This position statement highlights the recent advancements in CGM and isCGM technology, with a focus on the evidence base for their efficacy to sense glucose around exercise and adaptations in the use of these emerging tools, and updates the guidance for exercise in adults, children and adolescents with type 1 diabetes.

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Titel: 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)
verfasst von: Othmar Moser
Michael C. Riddell
Max L. Eckstein
Peter Adolfsson
Rémi Rabasa-Lhoret
Louisa van den Boom
Pieter Gillard
Kirsten Nørgaard
Nick S. Oliver
Dessi P. Zaharieva
Tadej Battelino
Carine de Beaufort
Richard M. Bergenstal
Bruce Buckingham
Eda Cengiz
Asma Deeb
Tim Heise
Simon Heller
Aaron J. Kowalski
Lalantha Leelarathna
Chantal Mathieu
Christoph Stettler
Martin Tauschmann
Hood Thabit
Emma G. Wilmot
Harald Sourij
Carmel E. Smart
Peter G. Jacobs
Richard M. Bracken
Julia K. Mader
Publikationsdatum: 13.10.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Diabetologia / Ausgabe 12/2020
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI: https://doi.org/10.1007/s00125-020-05263-9

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