Exercise and type 1 diabetes: overcoming the barriers

BSc, Mrsb Mark Greener

doi:10.1002/pdi.2136

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…It is important to recognize the range of psychosocial factors which may impact on the ability of a person with Type 1 diabetes to satisfactorily self‐manage, both from the perspective of clinical outcomes and individual well‐being. There are also many barriers for people with Type 1 diabetes to integrate their diabetes, specifically with regard to exercise, into their daily life .…”

Section: Discussionmentioning

confidence: 99%

Development of a group structured education programme to support safe exercise in people with Type 1 diabetes: the EXTOD education programme

Narendran

Greenfield

Troughton³

et al. 2019

Diabet. Med.

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Aim To develop a structured education programme for individuals with Type 1 diabetes who are engaging in regular exercise.Method A multidisciplinary team of experts in supporting exercise and physical activity for people with Type 1 diabetes, alongside researchers with experience of developing self-management education, developed an exercise programme using the Medical Research Council framework. The programme was informed by a review of the evidence relating to Type 1 diabetes and exercise, the behaviour change literature (including the behaviour change taxonomy), and qualitative interviews with stakeholders. The programme and supporting resources were refined using an iterative process of testing, delivery and collecting feedback from participants and the wider development team. ResultsThe outcome of the intervention development was the design of a feasible and acceptable intervention for people with Type 1 diabetes to support safe exercise. The pilot allowed refinement of the intervention prior to testing in a two-site feasibility randomized controlled trial. Key findings from the pilot informed minor restructuring of the timetable (timings and order) and adaptation of supporting educational materials (participant handbook and teaching materials). ConclusionThe 'EXercise in people with Type One Diabetes' (EXTOD) education programme has been developed using robust methodology for the generation of educational interventions. It now needs testing in a randomized controlled trial. Diabet. Med. 37, 945-952 (2020)

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Section: Discussionmentioning

confidence: 99%

Development of a group structured education programme to support safe exercise in people with Type 1 diabetes: the EXTOD education programme

Narendran

Greenfield

Troughton³

et al. 2019

Diabet. Med.

View full text Add to dashboard Cite

show abstract

“…Increasing numbers of people with diabetes are adopting exercise programmes . Evidence for the benefits of regular physical activity in many conditions including diabetes is well known, and has been found to be related to reduction in all‐cause mortality, improved cardiorespiratory and metabolic health, and reduction in risk of certain cancers . People who are moderately active are at a 35–50% lower risk of developing type 2 diabetes than those who are sedentary .…”

Section: Introductionmentioning

confidence: 99%

Establishing the multidisciplinary Imperial Physical Activity and Diabetes clinic

et al. 2018

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Increasing numbers of people with diabetes are adopting exercise programmes. Fear of hypoglycaemia, and hypoglycaemia itself, are major issues for many people with diabetes undertaking physical activity. The risk of hypoglycaemia is exacerbated by endurance exercise. In addition, soft tissue injuries are more common in people with diabetes. We have established a multidisciplinary physical activity and diabetes clinic with the aim of empowering, educating and enabling people with diabetes to enjoy sport and exercise without fear of hypoglycaemia or frustration at glycaemic variability or soft tissue injuries. The multidisciplinary team (MDT) includes a diabetologist, sports and exercise physician, radiologist, dietitian, diabetes specialist nurse, and psychologist. Between October 2015 and September 2017, we undertook 19 clinics and saw 66 patients (48 new and 18 follow‐up). Of the 48 new referrals (median age 35; range 20–72) 47 had type 1 diabetes and 27 (56%) used an insulin pump. Attendees had a median 18 years of diabetes (range 1–50). Diabetes distress was variable (median PAID score 18; range 0–64). Twenty‐five patients attended for glycaemic management, 15 for musculoskeletal issues and eight for both. Sixteen (33%) required physiotherapy and nine (19%) were referred for joint imaging. It is possible to establish a new service to support physical activity in diabetes. To meet demand and enhance the MDT, physiotherapy will be added. A means of assessing the effects of diabetes on physical activity and outcome measures that matter to people with diabetes must be developed. Copyright © 2018 John Wiley & Sons.

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“…Encouragingly, Riddell and Gallen indicate that greater effort is required to better understand and overcome the observed barriers to regular physical activity [4]. Likewise, Greener highlights what healthcare professionals can do to support people with Type 1 to be more active [7]. We particularly welcome Riddell and Gallen's suggestion that progress is being made through the use of innovative tools and strategies, including those from the behavioural sciences.…”

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confidence: 98%

Exercise and physical activity in people with Type 1 diabetes: The importance of behaviour change

Kime

Pringle

2018

Diabetes Research and Clinical Practice

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Exercise and type 1 diabetes: overcoming the barriers

Cited by 5 publications

References 7 publications

Development of a group structured education programme to support safe exercise in people with Type 1 diabetes: the EXTOD education programme

Development of a group structured education programme to support safe exercise in people with Type 1 diabetes: the EXTOD education programme

Establishing the multidisciplinary Imperial Physical Activity and Diabetes clinic

Exercise and physical activity in people with Type 1 diabetes: The importance of behaviour change

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