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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 van den Boom, Pieter Gillard, Kirsten Nørgaard, Nick S. Oliver, Dessi P. Zaharieva, Tadej Battelino, Carine de 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

Diabetologia, Volume: 63, Issue: 12, Pages: 2501 - 2520

Swansea University Author: Richard Bracken Orcid Logo

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DOI (Published version): 10.1007/s00125-020-05263-9

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: Diabetologia
ISSN: 0012-186X 1432-0428
Published: Springer Science and Business Media LLC 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa55487
first_indexed 2020-10-22T13:48:50Z
last_indexed 2020-12-11T04:19:46Z
id cronfa55487
recordtype SURis
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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 (i.e. before, during and after). 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spelling 2020-12-10T14:04:10.5694990 v2 55487 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 (i.e. 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 Diabetologia 63 12 2501 2520 Springer Science and Business Media LLC 0012-186X 1432-0428 1 12 2020 2020-12-01 10.1007/s00125-020-05263-9 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2020-12-10T14:04:10.5694990 2020-10-22T14:40:53.8697763 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 van den Boom 6 Pieter Gillard 7 Kirsten Nørgaard 8 Nick S. Oliver 9 Dessi P. Zaharieva 10 Tadej Battelino 11 Carine de 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
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 van den Boom
Pieter Gillard
Kirsten Nørgaard
Nick S. Oliver
Dessi P. Zaharieva
Tadej Battelino
Carine de 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 Diabetologia
container_volume 63
container_issue 12
container_start_page 2501
publishDate 2020
institution Swansea University
issn 0012-186X
1432-0428
doi_str_mv 10.1007/s00125-020-05263-9
publisher Springer Science and Business Media LLC
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
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
document_store_str 0
active_str 0
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 (i.e. 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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score 11.047306

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