Diet and Nutritional Strategies during Sport and Exercise in Type 1 Diabetes

Hibbert‐Jones, Elaine; Regan, Gill

doi:10.1002/0470022086.ch3

Cited by 2 publications

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“…Hypoglycaemia, during or after exercise, is a major concern for individuals with type 1 diabetes (Brazeau, Rabasa-Lhoret, Strychar, & Mircescu, 2008). Current strategies to help combat the heightened risk of hypoglycaemia, associated with exercise, focus on reductions in insulin dose (De Feo et al, 2006;Rabasa-Lhoret, Borque, Ducros, & Chiasson, 2001;West, Morton, Bain, Stephens, & Bracken, 2010) as well as pre-exercise carbohydrate consumption (De Feo et al, 2006;Hibbert-Jones & Regan, 2005) and high-intensity exercise (Guelfi, Jones, & Fournier, 2005).…”

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A combined insulin reduction and carbohydrate feeding strategy 30 min before running best preserves blood glucose concentration after exercise through improved fuel oxidation in type 1 diabetes mellitus

West

Stephens

Bain

et al. 2011

Journal of Sports Sciences

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In this study, we examined the glycaemic and fuel oxidation responses to alterations in the timing of a low glycaemic index carbohydrate and 75% reduced insulin dose, prior to running, in type 1 diabetes individuals. After carbohydrate (75 g isomaltulose) and insulin administration, the seven participants rested for 30 min, 60 min, 90 min or 120 min (conditions 30MIN, 60MIN, 90MIN, and 120MIN, respectively) before completing 45 min of running at 70% peak oxygen uptake. Carbohydrate and lipid oxidation rates were monitored during exercise and blood glucose and insulin were measured before and for 3 h after exercise. Data were analysed using repeated-measures analysis of variance. Pre-exercise blood glucose concentrations were lower for 30MIN compared with 120MIN (P < 0.05), but insulin concentrations were similar. Exercising carbohydrate and lipid oxidation rates were lower and greater, respectively, for 30MIN compared with 120MIN (P < 0.05). The drop in blood glucose during exercise was less for 30MIN (3.7 mmol · l(-1), s(x) = 0.4) compared with 120MIN (6.4 mmol · l(-1), s(x) = 0.3) (P = 0.02). For 60 min post-exercise, blood glucose concentrations were higher for 30MIN compared with 120MIN (P < 0.05). There were no cases of hypoglycaemia in the 30MIN condition, one case in the 60MIN condition, two in the 90MIN condition, and five in the 120MIN condition. In conclusion, a low glycaemic index carbohydrate and reduced insulin dose administered 30 min before running improves pre- and post-exercise blood glucose responses in type 1 diabetes.

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confidence: 99%

A combined insulin reduction and carbohydrate feeding strategy 30 min before running best preserves blood glucose concentration after exercise through improved fuel oxidation in type 1 diabetes mellitus

West

Stephens

Bain

et al. 2011

Journal of Sports Sciences

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“…The provision of carbohydrate proved to be best source of energy in performing duties in hot climate. It is Suggested that intake of carbohydrate be met via beverages providing 4-8 g carbohydrate per 100 mL (An isotonic drink to human body) as it provides extra carbohydrate along with better absorption through intestines (Hibbert-Jones & Regan, 2005). To provide customized ration to every soldier according to his specific requirement as per environment, body stature and nature of duty, United States army is planning to 3D print food for every soldier till 2025 (Kruger, 2017).…”

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confidence: 99%

Revision of ration scale for Pakistani servicemen according to geographical deployment and physical activity level

Khan¹,

Sohaib

Iqbal

et al. 2022

Food Sci. Technol

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Optimum nutritional status is important to derive maximum benefits of training the forces and it can affect health status and wellbeing of the servicemen. The present study was conducted to explicate the nutritional composition of different food items in the standard ration as well as device ration of servicemen considering geographical deployment location and physical activity level of servicemen keeping in view food guidelines standards of nutrients. Accordingly, food items of the selected rations were collected from different suppliers and were analyzed using food analysis techniques by AOAC. Results indicated carbohydrates content of 722.11 + 26.4 g (71.37%), fats 164.19 + 14.5 g (16.22%) and proteins 125.36 + 11.2 g (12.39%) as well as total caloric contents of 4867.59+ 205 Kcal/soldier/day. Further, Soldiers deployed at higher altitude i.e., at 15000 feet above sea level supplied with extra rations to cope up extra caloric requirement and replacement of fresh fruits and vegetables. Suggested caloric plan was advised for 4045.85 ± 114 kcals and macronutrients distribution of carbohydrates (68%), fats (17.5%) and proteins (14.5%) were recommended. Conclusively, calorie density of existing ration scale was higher which needs to be rationalization and nutrition awareness programs should be conducted to increase the knowledge of servicemen for better health and nutrition status.

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Diet and Nutritional Strategies during Sport and Exercise in Type 1 Diabetes

Cited by 2 publications

References 0 publications

A combined insulin reduction and carbohydrate feeding strategy 30 min before running best preserves blood glucose concentration after exercise through improved fuel oxidation in type 1 diabetes mellitus

A combined insulin reduction and carbohydrate feeding strategy 30 min before running best preserves blood glucose concentration after exercise through improved fuel oxidation in type 1 diabetes mellitus

Revision of ration scale for Pakistani servicemen according to geographical deployment and physical activity level

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