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).

Adolescent Adult Blood Glucose Blood Glucose Self-Monitoring Child Diabetes Mellitus, Type 1 / drug therapy Exercise Glycemic Control / methods Humans Hypoglycemic Agents / administration & dosage Insulin / administration & dosage
Adolescents Adults CGM Children Continuous glucose monitoring Exercise Physical activity Position statement Type 1 diabetes

Journal

Pediatric diabetes
ISSN: 1399-5448
Titre abrégé: Pediatr Diabetes
Pays: Denmark
ID NLM: 100939345

Informations de publication

Date de publication:
12 2020
Historique:
pubmed: 14 10 2020
medline: 13 7 2021
entrez: 13 10 2020
Statut: ppublish

Résumé

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.

Identifiants

DOI: 10.1111/pedi.13105 PMID: 33047481 PMC: PMC7702152
pubmed: 33047481
doi: 10.1111/pedi.13105
pmc: PMC7702152
doi:

Substances chimiques

Blood Glucose 0
Hypoglycemic Agents 0
Insulin 0

Types de publication

Journal Article Practice Guideline Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1375-1393

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States

Informations de copyright

© 2020 The Authors. Pediatric Diabetes published by John Wiley & Sons Ltd.

Références

Diabetes Technol Ther. 2013 Jan;15(1):46-9
pubmed: 23137050
J Diabetes Sci Technol. 2013 May 01;7(3):789-94
pubmed: 23759412
Diabetes. 2019 Oct;68(10):1892-1901
pubmed: 31399432
Diabetes Care. 1994 Aug;17(8):882-7
pubmed: 7956636
Diabetes Res Clin Pract. 2018 Dec;146:321-329
pubmed: 30312715
Diabetes Technol Ther. 2010 Oct;12(10):763-8
pubmed: 20807120
Nutrients. 2019 May 07;11(5):
pubmed: 31067747
J Sports Sci Med. 2007 Sep 01;6(3):343-52
pubmed: 24149421
Diabet Med. 2016 Apr;33(4):506-10
pubmed: 26220149
BMJ Open Diabetes Res Care. 2015 May 12;3(1):e000085
pubmed: 26019878
Nutrients. 2019 Jun 06;11(6):
pubmed: 31174360
Pediatr Diabetes. 2018 Oct;19 Suppl 27:205-226
pubmed: 30133095
Diabetes Res Clin Pract. 2016 Feb;112:1-5
pubmed: 26739116
J Endocr Soc. 2018 Nov 14;2(12):1320-1337
pubmed: 30474069
Clin Rehabil. 2011 Apr;25(4):349-59
pubmed: 21112904
Diabetes Metab Syndr Obes. 2013;6:113-22
pubmed: 23467903
Lancet Diabetes Endocrinol. 2016 Nov;4(11):893-902
pubmed: 27641781
Diabetes Care. 2010 May;33(5):1004-8
pubmed: 20200306
Lancet. 2016 Nov 5;388(10057):2254-2263
pubmed: 27634581
Diabetes Res Clin Pract. 2019 Feb;148:137-143
pubmed: 30641168
Nutrients. 2018 Jan 15;10(1):
pubmed: 29342932
J Physiol. 2019 Jul;597(14):3549-3560
pubmed: 31166604
J Clin Endocrinol Metab. 2019 Nov 1;104(11):5217-5224
pubmed: 31211392
Pediatrics. 2005 Sep;116(3):e348-55
pubmed: 16140677
Diabetol Metab Syndr. 2010 Jul 11;2(1):47
pubmed: 20618996
Endocr Pract. 2019 Jun;25(6):517-525
pubmed: 30865520
Diabetes Care. 2018 Dec;41(12):2641-2643
pubmed: 30377184
Pediatr Diabetes. 2019 Feb;20(1):99-106
pubmed: 30467929
J Clin Endocrinol Metab. 2006 Jun;91(6):2087-92
pubmed: 16492699
J Pediatr. 2005 Oct;147(4):528-34
pubmed: 16227041
Pediatr Diabetes. 2018 Feb;19(1):92-97
pubmed: 28303678
Diabetes Technol Ther. 2019 May;21(5):295-302
pubmed: 30994362
Diabetes Care. 2017 Dec;40(12):1644-1650
pubmed: 28855239
PLoS One. 2015 Aug 28;10(8):e0136489
pubmed: 26317981
Diabetes Technol Ther. 2019 May;21(5):286-294
pubmed: 31017497
Diabetes Care. 2001 Apr;24(4):625-30
pubmed: 11315820
Diabetes Care. 2015 Aug;38(8):1536-43
pubmed: 26015557
Diabet Med. 2006 Mar;23(3):278-84
pubmed: 16492211
Scand J Med Sci Sports. 2016 Apr;26(4):404-12
pubmed: 25919405
Diabetes. 2008 Dec;57(12):3169-76
pubmed: 19033403
Diabetes Technol Ther. 2018 Jun;20(S2):S254-S264
pubmed: 29916740
J Diabetes Sci Technol. 2013 Mar 01;7(2):356-61
pubmed: 23566993
Lancet. 2017 Nov 25;390(10110):2347-2359
pubmed: 28923465
Diabetes Care. 2016 Nov;39(11):2065-2079
pubmed: 27926890
Diabet Med. 2019 May;36(5):606-611
pubmed: 30677187
Diabetes Technol Ther. 2011 Aug;13(8):819-25
pubmed: 21599515
Diabet Med. 2018 Apr;35(4):409-418
pubmed: 29247556
Prehosp Disaster Med. 1998 Apr-Dec;13(2-4):44-50
pubmed: 10346406
Diabetes Care. 2007 May;30(5):1269-71
pubmed: 17325264
Diabetologia. 2016 Apr;59(4):776-84
pubmed: 26739816
Diabetes Technol Ther. 2019 Jun;21(6):313-321
pubmed: 31059282
Sports Med. 2015 Apr;45(4):587-99
pubmed: 25616852
Can J Diabetes. 2019 Aug;43(6):406-414.e1
pubmed: 30414785
Diabetes Care. 2016 Jul;39(7):e95-6
pubmed: 27208338
J Diabetes Sci Technol. 2017 Mar;11(2):247-252
pubmed: 27470666
PLoS One. 2013;8(3):e58861
pubmed: 23554942
J Sports Sci. 2010 May;28(7):781-8
pubmed: 20496226
Curr Med Res Opin. 2016 Sep;32(9):1487-91
pubmed: 27142345
Int J Pediatr Endocrinol. 2013 Mar 26;2013(1):8
pubmed: 23531400
Diabetes Technol Ther. 2017 Jun;19(6):340-348
pubmed: 28574723
J Clin Endocrinol Metab. 2019 Jan 1;104(1):111-117
pubmed: 30252054
Diabetes Obes Metab. 2019 Apr;21(4):1043-1048
pubmed: 30484947
Diabetes Technol Ther. 2018 Nov;20(11):751-757
pubmed: 30265562
Diabetes Technol Ther. 2019 Jan;21(1):51-55
pubmed: 30620642
Diabetes Technol Ther. 2016 Sep;18(9):561-7
pubmed: 27356172
Diabetes Obes Metab. 2018 Feb;20(2):443-447
pubmed: 28718987
Diabetes. 2013 Dec;62(12):4083-7
pubmed: 24009261
Diabetes Technol Ther. 2017 Jun;19(6):370-378
pubmed: 28613947
Diabetes Technol Ther. 2002;4(5):645-50
pubmed: 12450447
Can J Diabetes. 2016 Apr;40(2):170-2
pubmed: 27038139
BMC Pediatr. 2014 Dec 20;14:313
pubmed: 25526774
Diabetes Technol Ther. 2019 Sep;21(9):493-498
pubmed: 31287721
Diabetes Care. 2019 Jan;42(1):10-16
pubmed: 30455336
Diabetes Care. 2016 Jun;39(6):e81-2
pubmed: 27208319
Pediatr Exerc Sci. 2007 Nov;19(4):408-19
pubmed: 18089908
Diabetes Res Clin Pract. 2019 Oct;156:107810
pubmed: 31401153
Med Sci Sports Exerc. 2012 Mar;44(3):458-65
pubmed: 21900847
Diabetes Care. 2017 Dec;40(12):1631-1640
pubmed: 29162583
J Nutr. 2011 May;141(5):890-7
pubmed: 21411610
Diabetes Care. 2020 Jan;43(Suppl 1):S152-S162
pubmed: 31862755
Pediatr Diabetes. 2020 Dec;21(8):1375-1393
pubmed: 33047481
Front Endocrinol (Lausanne). 2019 Aug 02;10:507
pubmed: 31428047
Diabetes Care. 2015 Oct;38(10):e158-9
pubmed: 26269199
Am J Physiol Endocrinol Metab. 2006 Jun;290(6):E1109-17
pubmed: 16403779
JAMA. 2017 Jan 24;317(4):379-387
pubmed: 28118454
Diabetes Ther. 2020 Jan;11(1):83-95
pubmed: 31673972
Diabetes Technol Ther. 2019 Jun;21(6):364-369
pubmed: 31045433
Diabetes Obes Metab. 2019 Nov;21(11):2505-2512
pubmed: 31332929
Diabet Med. 2018 Mar;35(3):339-346
pubmed: 29285796
Diabetologia. 2018 Mar;61(3):539-550
pubmed: 29273897
Diabetes Obes Metab. 2017 Jul;19(7):1051-1055
pubmed: 28205324
J Diabetes Sci Technol. 2015 May;9(3):619-24
pubmed: 25555390
Diabetes Care. 2014 Jul;37(7):2034-54
pubmed: 24935775
Diabetes Res Clin Pract. 2019 Jul;153:111-113
pubmed: 31195026
Diabetes Care. 1987 Sep-Oct;10(5):584-8
pubmed: 3677976
Pediatr Diabetes. 2018 Jun;19(4):733-740
pubmed: 29484783
Biosensors (Basel). 2018 Mar 09;8(1):
pubmed: 29522429
Front Endocrinol (Lausanne). 2019 Jun 14;10:326
pubmed: 31258513
Diabetes Care. 2019 Aug;42(8):1593-1603
pubmed: 31177185
J Pediatr. 2010 Nov;157(5):784-8.e1
pubmed: 20650471
Lancet Diabetes Endocrinol. 2017 May;5(5):377-390
pubmed: 28126459
Diabetes Technol Ther. 2019 Jun;21(6):305-309
pubmed: 31157567

Auteurs

Othmar Moser (O)

Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Austria.
Division of Exercise Physiology and Metabolism, Department of Sport Science, University of Bayreuth, Bayreuth, Germany.
ORCID: 0000-0002-1661-0685

Michael C Riddell (MC)

School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada.

Max L Eckstein (ML)

Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Austria.

Peter Adolfsson (P)

Department of Pediatrics, The Hospital of Halland, Kungsbacka, Sweden.
Sahlgrenska Academy at University of Gothenburg, Institution of Clinical Sciences, Gothenburg, Sweden.

Rémi Rabasa-Lhoret (R)

Institut de recherches Cliniques de Montréal, Montréal, QC, Canada.
Endocrinology division Centre Hospitalier Universitaire de Montréal, Montréal, QC, Canada.
Nutrition Department, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada.
Montreal Diabetes Research Centre, Montréal, QC, Canada.

Louisa van den Boom (L)

Division of Pediatric Diabetology, DRK Children's Hospital, Siegen, Germany.

Pieter Gillard (P)

Department of Endocrinology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.

Kirsten Nørgaard (K)

Steno Diabetes Center Copenhagen, University of Copenhagen, Copenhagen, Denmark.

Nick S Oliver (NS)

Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College, London, London, UK.

Dessi P Zaharieva (DP)

Department of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, Stanford, California, USA.

Tadej Battelino (T)

Department of Paediatric Endocrinology, Diabetes and Metabolic Diseases, UMC - University Children's Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Carine de Beaufort (C)

Department of Pediatric Diabetes and Endocrinology, Centre Hospitalier Luxembourg, Luxembourg, Luxembourg.
Department of Pediatrics, Free University Brussels (VUB), Brussels, Belgium.

Richard M Bergenstal (RM)

International Diabetes Center, Minneapolis, Minnesota, USA.

Bruce Buckingham (B)

Department of Pediatric Endocrinology and Diabetes, Stanford University School of Medicine, Stanford, California, USA.

Eda Cengiz (E)

Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
Bahçeşehir Üniversitesi, Istanbul, Turkey.

Asma Deeb (A)

Paediatric Endocrinology Division, Shaikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.

Tim Heise (T)

Profil, Neuss, Germany.

Simon Heller (S)

Department of Oncology & Metabolism, The Medical School, University of Sheffield, Sheffield, UK.
Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

Aaron J Kowalski (AJ)

JDRF, New York, New York, USA.

Lalantha Leelarathna (L)

Manchester Diabetes Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Division of Diabetes, Endocrinology and Gastroenterology, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

Chantal Mathieu (C)

Department of Endocrinology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.

Christoph Stettler (C)

Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.

Martin Tauschmann (M)

Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.

Hood Thabit (H)

Manchester Diabetes Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.

Emma G Wilmot (EG)

Diabetes Department, Royal Derby Hospital, University Hospitals of Derby and Burton NHSFT, Derby, UK.
Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK.

Harald Sourij (H)

Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Austria.

Carmel E Smart (CE)

School of Health Sciences, University of Newcastle, Callaghan, New South Wales, Australia.
Department of Paediatric Diabetes and Endocrinology, John Hunter Children's Hospital, Newcastle, New South Wales, Australia.

Peter G Jacobs (PG)

Department of Biomedical Engineering, Oregon Health & Science University, Portland, Oregon, USA.

Richard M Bracken (RM)

Applied Sport, Technology, Exercise and Medicine Research Centre (A-STEM), College of Engineering, Swansea University, Swansea, UK.

Julia K Mader (JK)

Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Austria.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Glucose management for exercise using...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Glucose management for exercise using...
questionsmedicales.fr › Glucides › Sucres › Oses › Hexose › Glucose › Glycémie › Glucose management for exercise using...
questionsmedicales.fr › Techniques d'investigation › Techniques de laboratoire clinique › Tests de chimie clinique › Analyse chimique du sang › Autosurveillance glycémique › Glucose management for exercise using...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Glucose management for exercise using...
questionsmedicales.fr › Maladies du système immunitaire › Maladies auto-immunes › Diabète de type 1 › Glucose management for exercise using...
questionsmedicales.fr › Activités humaines › Exercice physique › Glucose management for exercise using...
questionsmedicales.fr › Thérapeutique › Régulation de la glycémie › Glucose management for exercise using...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Glucose management for exercise using...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Effets physiologiques des médicaments › Hypoglycémiants › Glucose management for exercise using...
questionsmedicales.fr › Acides aminés, peptides et protéines › Peptides › Hormones peptidiques › Hormones pancréatiques › Insulines › Insuline › Glucose management for exercise using...