Premium
International Society for Pediatric and Adolescent Diabetes (ISPAD)
Author(s) -
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,
E Carmel,
Smart,
Peter G Jacobs,
Richard M Bracken,
Julia K Mader
Publication year - 2006
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/j.1399-543x.2006.00148.x
Subject(s) - medicine , citation , adolescent medicine , family medicine , pediatrics , library science , computer science
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 incorporate exercise in 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 (CGM) and intermittently scanned glucose monitoring (isCGM) systems; however, because of the complexity of CGM and isCGM systems, both individuals with type 1 diabetes and their health care professionals may struggle with the interpretation of given information to maximise the technological potential for effective use around exercise. This position statement highlights the recent advancements in CGM and isCGM technology, with focus on the evidence base for their efficacy to sense glucose around exercise, adaptations in the use of these emerging tools, and updates the guidance for exercise in adults, children and adolescents with type 1 diabetes.