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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 )
Author(s) -
Moser Othmar,
Riddell Michael C.,
Eckstein Max L.,
Adolfsson Peter,
RabasaLhoret Rémi,
Boom Louisa,
Gillard Pieter,
Nørgaard Kirsten,
Oliver Nick S.,
Zaharieva Dessi P.,
Battelino Tadej,
Beaufort Carine,
Bergenstal Richard M.,
Buckingham Bruce,
Cengiz Eda,
Deeb Asma,
Heise Tim,
Heller Simon,
Kowalski Aaron J.,
Leelarathna Lalantha,
Mathieu Chantal,
Stettler Christoph,
Tauschmann Martin,
Thabit Hood,
Wilmot Emma G.,
Sourij Harald,
Smart Carmel E.,
Jacobs Peter G.,
Bracken Richard M.,
Mader Julia K.
Publication year - 2020
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/pedi.13105
Subject(s) - medicine , continuous glucose monitoring , position statement , diabetes mellitus , type 1 diabetes , type 2 diabetes , diabetes management , type 2 diabetes mellitus , blood glucose self monitoring , physical exercise , health professionals , intensive care medicine , physical therapy , endocrinology , health care , family medicine , economic growth , economics
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 (ie, 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.