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Evaluation of Factors Related to Glycemic Management in Professional Cyclists With Type 1 Diabetes Over a 7-Day Stage Race / Sam N. Scott; Mark P. Christiansen; Federico Y. Fontana; Christoph Stettler; Richard Bracken; Charlotte A. Hayes; Miles Fisher; Bruce Bode; Peter H. Lagrou; Phil Southerland; Michael C. Riddell

Diabetes Care, Volume: 43, Issue: 5, Pages: 1142 - 1145

Swansea University Author: Richard, Bracken

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DOI (Published version): 10.2337/dc19-2302

Abstract

OBJECTIVE To investigate factors related to glycemic management among members of a professional cycling team with type 1 diabetes over a 7-day Union Cycliste Internationale World Tour stage race.RESEARCH DESIGN AND METHODS An observational evaluation of possible factors related to glycemic managemen...

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Published in: Diabetes Care
ISSN: 0149-5992 1935-5548
Published: American Diabetes Association 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa55188
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Abstract: OBJECTIVE To investigate factors related to glycemic management among members of a professional cycling team with type 1 diabetes over a 7-day Union Cycliste Internationale World Tour stage race.RESEARCH DESIGN AND METHODS An observational evaluation of possible factors related to glycemic management and performance in six male professional cyclists with type 1 diabetes (HbA1c 6.4 ± 0.6%) during the 2019 Tour of California.RESULTS In-ride time spent in euglycemia (3.9–10.0 mmol/L glucose) was 63 ± 11%, with a low percentage of time spent in level 1 (3.0–3.9 mmol/L; 0 ± 1% of time) and level 2 (<3.0 mmol/L; 0 ± 0% of time) hypoglycemia over the 7-day race. Riders spent 25 ± 9% of time in level 1 (10.1–13.9 mmol/L) and 11 ± 9% in level 2 (>13.9 mmol/L) hyperglycemia during races. Bolus insulin use was uncommon during races, despite high carbohydrate intake (76 ± 23 g ⋅ h−1). Overnight, the riders spent progressively more time in hypoglycemia from day 1 (6 ± 12% in level 1 and 0 ± 0% in level 2) to day 7 (12 ± 12% in level 1 and 2 ± 4% in level 2) (χ2[1] > 4.78, P < 0.05).CONCLUSIONS Professional cyclists with type 1 diabetes have excellent in-race glycemia, but significant hypoglycemia during recovery overnight, throughout a 7-day stage race.
College: College of Engineering
Issue: 5
Start Page: 1142
End Page: 1145