The Daily Management of Athletes with Diabetes

MacKnight, John M.; Mistry, Dilaawar J.; Pastors, Joyce Green; Holmes, Viola; Rynders, Corey A.

doi:10.1016/j.csm.2009.02.005

Cited by 23 publications

(57 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An athlete’s blood glucose during exercise has the potential to increase/decrease rapidly and can be difficult to monitor. The interference of self-monitoring of blood glucose, or finger stick, testing during intense training or competition may disturb an athletes’ performance [6,20]. For individuals with diabetes, hypo- and hyperglycemia are common after strenuous endurance events, lasting up to 24 h [3,7].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to those performing regular physical activity, an increased number of individuals with diabetes are participating in endurance events [2]. Prolonged or strenuous exercise may increase the risk for hypoglycemia for up to 24 h after exercise; often requiring more extensive blood glucose monitoring to prevent nighttime hypoglycemia [3,4,5,6,7]. …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Glucose Monitoring Methods during Steady-State Exercise in Women

et al. 2012

View full text Add to dashboard Cite

Data from Continuous Glucose Monitoring (CGM) systems may help improve overall daily glycemia; however, the accuracy of CGM during exercise remains questionable. The objective of this single group experimental study was to compare CGM-estimated values to venous plasma glucose (VPG) and capillary plasma glucose (CPG) during steady-state exercise. Twelve recreationally active females without diabetes (aged 21.8 ± 2.4 years), from Central Washington University completed the study. CGM is used by individuals with diabetes, however the purpose of this study was to first validate the use of this device during exercise for anyone. Data were collected between November 2009 and April 2010. Participants performed two identical 45-min steady-state cycling trials (~60% Pmax) on non-consecutive days. Glucose concentrations (CGM-estimated, VPG, and CPG values) were measured every 5 min. Two carbohydrate gel supplements along with 360 mL of water were consumed 15 min into exercise. A product-moment correlation was used to assess the relationship and a Bland-Altman analysis determined error between the three glucose measurement methods. It was found that the CGM system overestimated mean VPG (mean absolute difference 17.4 mg/dL (0.97 mmol/L)) and mean CPG (mean absolute difference 15.5 mg/dL (0.86 mmol/L)). Bland-Altman analysis displayed wide limits of agreement (95% confidence interval) of 44.3 mg/dL (2.46 mmol/L) (VPG compared with CGM) and 41.2 mg/dL (2.29 mmol/L) (CPG compared with CGM). Results from the current study support that data from CGM did not meet accuracy standards from the 15197 International Organization for Standardization (ISO).

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Glucose Monitoring Methods during Steady-State Exercise in Women

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Hypoglycemia not only occurs during physical exercise, but also in the subsequent hours. Hypoglycemia after short activity results mostly from the decrease in glycogen stores and relative high in-sulin level [18]. High-intensity exercise is highly dependent on glucose as a fuel, derived from either hepatic or muscle glycogenolysis.…”

Section: Introductionmentioning

confidence: 99%

High-intensity Exercise in Men with Type 1 Diabetes and Mode of Insulin Therapy

et al. 2017

View full text Add to dashboard Cite

The purpose of this study was to evaluate the impact of high intensity exercise on glucose levels and risk of metabolic decompensation in males with type 1 diabetes (T1D), depending on the method of insulin administration. The study comprised 29 males (aged 25.3±5.1 years; duration of diabetes 10.3±3.2 years) treated with continuous subcutaneous insulin infusion (CSII) or multiple daily insulin injections (MDI). Treadmill exercise test was performed twice in each patient until subjective exhaustion as maximum according to the Borg scale. All the patients achieved ≥85% of the maximal heart rate. Distance during the test was 4 500±1 400 m and 4 473±1 559 m in the MDI and CSII groups, respectively, which was achieved in 31±8 min. During the test and in the 6 h after, no clinically significant episodes of hypoglycemia occurred. Mean glucose levels did not exceed 10 mmol/L in most patients. The risk of the composite endpoint (hypoglycemia<3.8 mmol/L, hyperglycemia≥16.6 mmol/L, ketones≥0.6 mmol/L, and lactate>2.2 mmol/L) was higher in patients treated with MDI than CSII (OR3.75, 95%CI:1.22-11.52, p=0.02). In conclusion, planned high intensity physical effort in men with well-controlled T1D is metabolically safe. CSII shows greater metabolic advantage over MDI during and after high intensity exercise in men with T1D.

show abstract

“…Whilst it has been reported that any type of competition can increase the risk of metabolic decompensation in T1DM patients (Sigal et al 2013, Murillo et al 2010, Macknight et al 2009, Jimenez et al 2007), combat sports may be especially challenging in these patients. Combat sports are quite unpredictable as far as physiological responses are concerned (Chaabène et al 2014, Bridge et al 2009).…”

Section: Resultsmentioning

confidence: 99%

Metabolic control in type 1 diabetes patients practicing combat sports: at least two-year follow-up study

Benbenek-Klupa¹,

Matejko

Klupa

2015

SpringerPlus

View full text Add to dashboard Cite

BackgroundIt is well recognized that physical activity should be an integral part of the management of diabetes. It remains controversial, however, whether combat sports, often preferred by young individuals type 1 diabetes mellitus (T1DM), may be performed without high risk of metabolic decompensation. The aim of this observational study was to summarize a two-year follow-up period of five young male patients with T1DM practicing combat sports under the care of a physical-activity oriented specialist diabetes outpatient clinic. Of the five patients, three mixed martial arts and two kick-boxing competitors were included in the study. To control glucose in each patient, an individual approach was used that took into consideration the type of training, the sequence of the exercises, and the relative proportion of different forms of exercise.FindingsDuring the follow-up, glycemic control was improved and maintained in all individuals. Neither an episode of hospitalization-requiring diabetic ketoacidosis nor severe hypoglycemia occurred in these patients during the follow-up.ConclusionsIn conclusion, an individual approach for T1DM patients practicing combat sports may result in achieving and maintaining satisfactory glycemic control without increased risk of metabolic decompensation.

show abstract

The Daily Management of Athletes with Diabetes

Cited by 23 publications

References 56 publications

Comparison of Glucose Monitoring Methods during Steady-State Exercise in Women

Comparison of Glucose Monitoring Methods during Steady-State Exercise in Women

High-intensity Exercise in Men with Type 1 Diabetes and Mode of Insulin Therapy

Metabolic control in type 1 diabetes patients practicing combat sports: at least two-year follow-up study

Contact Info

Product

Resources

About