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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 th...

Othmar Moser, Michael C. Riddell, Max L. Eckstein, Peter Adolfsson, Rémi Rabasa‐Lhoret, Louisa Boom, Pieter Gillard, Kirsten Nørgaard, Nick S. Oliver, Dessi P. Zaharieva, Tadej Battelino, Carine Beaufort, Richard M. Bergenstal, Bruce Buckingham, Eda Cengiz, Asma Deeb, Tim Heise, Simon Heller, Aaron J. Kowalski, Lalantha Leelarathna, Chantal Mathieu, Christoph Stettler, Martin Tauschmann, Hood Thabit, Emma G. Wilmot, Harald Sourij, Carmel E. Smart, Peter G. Jacobs, Richard Bracken Orcid Logo, Julia K. Mader

Pediatric Diabetes, Volume: 21, Issue: 8, Pages: 1375 - 1393

Swansea University Author: Richard Bracken Orcid Logo

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DOI (Published version): 10.1111/pedi.13105

Abstract

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...

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Published in: Pediatric Diabetes
ISSN: 1399-543X 1399-5448
Published: Wiley 2020
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spelling 2020-12-10T13:36:19.1798131 v2 55486 2020-10-22 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) f5da81cd18adfdedb2ccb845bddc12f7 0000-0002-6986-6449 Richard Bracken Richard Bracken true false 2020-10-22 STSC 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. Journal Article Pediatric Diabetes 21 8 1375 1393 Wiley 1399-543X 1399-5448 Adolescents; Adults; CGM; Children; Continuous glucose monitoring; Exercise; Physical activity; Position statement; Type 1 diabetes 1 12 2020 2020-12-01 10.1111/pedi.13105 This article is co‐published in the journals Diabetologia and Pediatric Diabetes, available at [https://doi.org/10.1007/s00125-020-05263-9] and [https://onlinelibrary.wiley.com/journal/13995448], respectively.This is an abridged version of the Position Statement. The full‐length version is available on the EASD website (https://www.easd.org/sites/default/files/Exercise%20CGM%20EASD%20position%20statement_final.pdf) COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2020-12-10T13:36:19.1798131 2020-10-22T14:33:08.2510795 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences Othmar Moser 1 Michael C. Riddell 2 Max L. Eckstein 3 Peter Adolfsson 4 Rémi Rabasa‐Lhoret 5 Louisa Boom 6 Pieter Gillard 7 Kirsten Nørgaard 8 Nick S. Oliver 9 Dessi P. Zaharieva 10 Tadej Battelino 11 Carine Beaufort 12 Richard M. Bergenstal 13 Bruce Buckingham 14 Eda Cengiz 15 Asma Deeb 16 Tim Heise 17 Simon Heller 18 Aaron J. Kowalski 19 Lalantha Leelarathna 20 Chantal Mathieu 21 Christoph Stettler 22 Martin Tauschmann 23 Hood Thabit 24 Emma G. Wilmot 25 Harald Sourij 26 Carmel E. Smart 27 Peter G. Jacobs 28 Richard Bracken 0000-0002-6986-6449 29 Julia K. Mader 30 55486__18474__e8c66870c5054c5c93b41efce8ea45f4.pdf 55486.pdf 2020-10-22T14:38:49.1314651 Output 5343237 application/pdf Version of Record true © 2020 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License true eng http://creativecommons.org/licenses/by-nc/4.0/
title 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)
spellingShingle 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)
Richard Bracken
title_short 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)
title_full 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)
title_fullStr 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)
title_full_unstemmed 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)
title_sort 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)
author_id_str_mv f5da81cd18adfdedb2ccb845bddc12f7
author_id_fullname_str_mv f5da81cd18adfdedb2ccb845bddc12f7_***_Richard Bracken
author Richard Bracken
author2 Othmar Moser
Michael C. Riddell
Max L. Eckstein
Peter Adolfsson
Rémi Rabasa‐Lhoret
Louisa Boom
Pieter Gillard
Kirsten Nørgaard
Nick S. Oliver
Dessi P. Zaharieva
Tadej Battelino
Carine Beaufort
Richard M. Bergenstal
Bruce Buckingham
Eda Cengiz
Asma Deeb
Tim Heise
Simon Heller
Aaron J. Kowalski
Lalantha Leelarathna
Chantal Mathieu
Christoph Stettler
Martin Tauschmann
Hood Thabit
Emma G. Wilmot
Harald Sourij
Carmel E. Smart
Peter G. Jacobs
Richard Bracken
Julia K. Mader
format Journal article
container_title Pediatric Diabetes
container_volume 21
container_issue 8
container_start_page 1375
publishDate 2020
institution Swansea University
issn 1399-543X
1399-5448
doi_str_mv 10.1111/pedi.13105
publisher Wiley
college_str Faculty of Science and Engineering
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hierarchy_top_title Faculty of Science and Engineering
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hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
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description 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.
published_date 2020-12-01T04:09:43Z
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