Weight Management in Youth with Type 1 Diabetes and Obesity: Challenges and Possible Solutions.

Adolescent Child Diabetes Mellitus, Type 1 / complications Female Glycemic Control / methods Humans Male Obesity Management / methods Pediatric Obesity / complications
Exercise Obesity Physical activity Type 1 diabetes Weight management Youth

Journal

Current obesity reports
ISSN: 2162-4968
Titre abrégé: Curr Obes Rep
Pays: United States
ID NLM: 101578283

Informations de publication

Date de publication:
Dec 2020
Historique:
accepted: 05 10 2020
pubmed: 28 10 2020
medline: 29 7 2021
entrez: 27 10 2020
Statut: ppublish

Résumé

This review highlights challenges associated with weight management in children and adolescents with type 1 diabetes (T1D). Our purpose is to propose potential solutions to improve weight outcomes in youth with T1D. A common barrier to weight management in T1D is reluctance to engage in exercise for fear of hypoglycemia. Healthcare practitioners generally provide limited guidance for insulin dosing and carbohydrate modifications to maintain stable glycemia during exercise. Adherence to dietary guidelines is associated with improved glycemia; however, youth struggle to meet recommendations. When psychosocial factors are addressed in combination with glucose trends, this often leads to successful T1D management. Newer medications also hold promise to potentially aid in glycemia and weight management, but further research is necessary. Properly addressing physical activity, nutrition, pharmacotherapy, and psychosocial factors while emphasizing weight management may reduce the likelihood of obesity development and its perpetuation in this population.

Identifiants

DOI: 10.1007/s13679-020-00411-z PMID: 33108635 PMC: PMC8087153
pubmed: 33108635
doi: 10.1007/s13679-020-00411-z
pii: 10.1007/s13679-020-00411-z
pmc: PMC8087153
mid: NIHMS1694693
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

412-423

Subventions

Organisme : NIDDK NIH HHS
ID : K12 DK122550
Pays : United States
Organisme : NIDDK NIH HHS
ID : R18 DK122422
Pays : United States

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Auteurs

Dessi P Zaharieva (DP)

Division of Endocrinology, Department of Pediatrics, Stanford University, School of Medicine, Stanford, CA, USA. dessi@stanford.edu.
ORCID: 0000-0002-9374-8469

Ananta Addala (A)

Division of Endocrinology, Department of Pediatrics, Stanford University, School of Medicine, Stanford, CA, USA.

Kimber M Simmons (KM)

Barbara Davis Center for Diabetes, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.

David M Maahs (DM)

Division of Endocrinology, Department of Pediatrics, Stanford University, School of Medicine, Stanford, CA, USA.
Stanford Diabetes Research Center, Stanford, CA, USA.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Weight Management in Youth with Type 1...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Weight Management in Youth with Type 1...
questionsmedicales.fr › Maladies du système immunitaire › Maladies auto-immunes › Diabète de type 1 › Weight Management in Youth with Type 1...
questionsmedicales.fr › Thérapeutique › Régulation de la glycémie › Weight Management in Youth with Type 1...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Weight Management in Youth with Type 1...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Prise en charge de la maladie › Prise en charge de l'obésité › Weight Management in Youth with Type 1...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › Obésité pédiatrique › Weight Management in Youth with Type 1...