Minimizing the risk of exercise-induced ...
Document type :
Article dans une revue scientifique: Article de synthèse/Review paper
PMID :
Permalink :
Title :
Minimizing the risk of exercise-induced glucose fluctuations in people living with type 1 diabetes using continuous subcutaneous insulin infusion: an overview of strategies
Author(s) :
Molveau, Joséphine [Auteur]
Institut de Recherches Cliniques de Montréal [IRCM]
Rabasa-Lhoret, Rémi [Auteur]
Université du Québec à Montréal = University of Québec in Montréal [UQAM]
Taleb, Nadine [Auteur]
Institut de Recherches Cliniques de Montréal [IRCM]
Heyman, Elsa [Auteur]
Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS]
Coté, Etienne Myette [Auteur]
Institut de Recherches Cliniques de Montréal [IRCM]
Suppère, Corinne [Auteur]
Institut de Recherches Cliniques de Montréal [IRCM]
Berthoin, Serge [Auteur]
Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS]
Tagougui, Sémah [Auteur]
Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS]
Institut de Recherches Cliniques de Montréal [IRCM]
Rabasa-Lhoret, Rémi [Auteur]
Université du Québec à Montréal = University of Québec in Montréal [UQAM]
Taleb, Nadine [Auteur]
Institut de Recherches Cliniques de Montréal [IRCM]
Heyman, Elsa [Auteur]

Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS]
Coté, Etienne Myette [Auteur]
Institut de Recherches Cliniques de Montréal [IRCM]
Suppère, Corinne [Auteur]
Institut de Recherches Cliniques de Montréal [IRCM]
Berthoin, Serge [Auteur]

Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS]
Tagougui, Sémah [Auteur]

Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS]
Journal title :
Canadian Journal of Diabetes
Abbreviated title :
Canadian Journal of Diabetes
Publisher :
Elsevier BV
Publication date :
2021-01-19
ISSN :
1499-2671
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Physical activity (PA) is important for individuals living with type 1 diabetes (T1D) due to its various health benefits.
Nonetheless, maintaining adequate glycemic control around PA remains a challenge for many individuals ...
Show more >Physical activity (PA) is important for individuals living with type 1 diabetes (T1D) due to its various health benefits. Nonetheless, maintaining adequate glycemic control around PA remains a challenge for many individuals living with T1D because of the difficulty to properly manage circulating insulin levels around PA. While the most common problem is increased incidence of hypoglycemia during and after most types of PA, hyperglycemia can also occur. Accordingly, a large proportion of people living with T1D are sedentary partly due to the fear of PA-associated hypoglycemia. Continuous subcutaneous insulin infusion (CSII) offers a higher precision and flexibility to adjust insulin basal rates and boluses according to the individual’s specific needs around PA practice. Indeed, for physically active patients with T1D, CSII can be a preferred option to facilitate glucose regulation. To our knowledge, there are no guidelines to manage exercise-induced hypoglycemia during PA, specifically for individuals living with T1D and using CSII. This review highlights the current state of knowledge on exercise-related glucose variations, especially the hypoglycemic risk as well as its underlying physiology. Further, we detail the current recommendations for insulin modulations according to the different PA modalities (type, intensity, duration, frequency) in individuals living with T1D using CSII.Show less >
Show more >Physical activity (PA) is important for individuals living with type 1 diabetes (T1D) due to its various health benefits. Nonetheless, maintaining adequate glycemic control around PA remains a challenge for many individuals living with T1D because of the difficulty to properly manage circulating insulin levels around PA. While the most common problem is increased incidence of hypoglycemia during and after most types of PA, hyperglycemia can also occur. Accordingly, a large proportion of people living with T1D are sedentary partly due to the fear of PA-associated hypoglycemia. Continuous subcutaneous insulin infusion (CSII) offers a higher precision and flexibility to adjust insulin basal rates and boluses according to the individual’s specific needs around PA practice. Indeed, for physically active patients with T1D, CSII can be a preferred option to facilitate glucose regulation. To our knowledge, there are no guidelines to manage exercise-induced hypoglycemia during PA, specifically for individuals living with T1D and using CSII. This review highlights the current state of knowledge on exercise-related glucose variations, especially the hypoglycemic risk as well as its underlying physiology. Further, we detail the current recommendations for insulin modulations according to the different PA modalities (type, intensity, duration, frequency) in individuals living with T1D using CSII.Show less >
Peer reviewed article :
Oui
Audience :
Non spécifiée
Administrative institution(s) :
Université de Lille
Univ. Artois
Univ. Littoral Côte d’Opale
Univ. Artois
Univ. Littoral Côte d’Opale
Research team(s) :
Activité Physique, Muscle, Santé (APMS)
Submission date :
2021-02-08T13:31:46Z
2021-02-15T09:17:27Z
2021-02-15T09:17:27Z
Files
- Molveau et al- CJD review revised_Clean version-070121.pdf
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