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)

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

doi:10.1111/pedi.13105

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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

, Julia K. Mader

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

Swansea University Author: Richard Bracken

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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:	Hindawi Limited 2020
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa55486
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first_indexed	2020-10-22T13:38:59Z
last_indexed	2020-12-11T04:19:46Z
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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). 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spelling	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 EAAS 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 Hindawi Limited 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 journal Diabetologia, available at [https://doi.org/10.1007/s00125-020-05263-9] COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University 2024-10-10T16:52:09.5496953 2020-10-22T14:33:08.2510795 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Othmar Moser 0000-0002-1661-0685 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)
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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
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container_title	Pediatric Diabetes
container_volume	21
container_issue	8
container_start_page	1375
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institution	Swansea University
issn	1399-543X 1399-5448
doi_str_mv	10.1111/pedi.13105
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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	2020-12-01T16:52:09Z
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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...

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