Strategies to optimize glucose control during exercise in subjects with type 1 diabetes

Regular physical activity is highly recommended in subjects with type 1 diabetes (T1D) because of its beneficial impact on body composition, cardiovascular disease risk profile, glucose control and psychological wellbeing. However, exercise is challenging for many individuals with T1D, particularly...

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Main Authors:	F. Silvestri, F. Costantino, V. Tromba
Format:	Article
Language:	English
Published:	Verduci Editore 2020-07-01
Series:	CellR4
Subjects:	type 1 diabetes t1d exercise physical activity carbohydrates insulin therapy mdi csii
Online Access:	https://www.cellr4.org/wp-content/uploads/sites/2/2020/12/e2875.pdf

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spelling	doaj-e827c0e0b9f4422c9cbe6c6bc9dd30c62021-03-19T15:28:24ZengVerduci EditoreCellR42329-70422020-07-01810.32113/cellr4_20207_28752875Strategies to optimize glucose control during exercise in subjects with type 1 diabetesF. Silvestri0F. Costantino1V. Tromba2Department of Pediatrics, Unit of Pediatric Diabetology, Sapienza University of Rome, Rome, ItalyDepartment of Pediatrics, Unit of Pediatric Diabetology, Sapienza University of Rome, Rome, ItalyDepartment of Pediatrics, Unit of Pediatric Diabetology, Sapienza University of Rome, Rome, ItalyRegular physical activity is highly recommended in subjects with type 1 diabetes (T1D) because of its beneficial impact on body composition, cardiovascular disease risk profile, glucose control and psychological wellbeing. However, exercise is challenging for many individuals with T1D, particularly due to the fear of hypoglycaemia, loss of glycaemic control and lack of motivation. The aim of this commentary is to briefly summarize the patterns of dysregulation of glucose homeostasis during and after exercise in subjects with T1D. In addition, we focus on carbohydrate intake and adjustment of insulin dosing as the main strategies used in clinical settings to optimize glucose control and prevent hypoglycaemia before, during and after exercise.https://www.cellr4.org/wp-content/uploads/sites/2/2020/12/e2875.pdftype 1 diabetest1dexercisephysical activitycarbohydratesinsulin therapymdicsii
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	F. Silvestri F. Costantino V. Tromba
spellingShingle	F. Silvestri F. Costantino V. Tromba Strategies to optimize glucose control during exercise in subjects with type 1 diabetes CellR4 type 1 diabetes t1d exercise physical activity carbohydrates insulin therapy mdi csii
author_facet	F. Silvestri F. Costantino V. Tromba
author_sort	F. Silvestri
title	Strategies to optimize glucose control during exercise in subjects with type 1 diabetes
title_short	Strategies to optimize glucose control during exercise in subjects with type 1 diabetes
title_full	Strategies to optimize glucose control during exercise in subjects with type 1 diabetes
title_fullStr	Strategies to optimize glucose control during exercise in subjects with type 1 diabetes
title_full_unstemmed	Strategies to optimize glucose control during exercise in subjects with type 1 diabetes
title_sort	strategies to optimize glucose control during exercise in subjects with type 1 diabetes
publisher	Verduci Editore
series	CellR4
issn	2329-7042
publishDate	2020-07-01
description	Regular physical activity is highly recommended in subjects with type 1 diabetes (T1D) because of its beneficial impact on body composition, cardiovascular disease risk profile, glucose control and psychological wellbeing. However, exercise is challenging for many individuals with T1D, particularly due to the fear of hypoglycaemia, loss of glycaemic control and lack of motivation. The aim of this commentary is to briefly summarize the patterns of dysregulation of glucose homeostasis during and after exercise in subjects with T1D. In addition, we focus on carbohydrate intake and adjustment of insulin dosing as the main strategies used in clinical settings to optimize glucose control and prevent hypoglycaemia before, during and after exercise.
topic	type 1 diabetes t1d exercise physical activity carbohydrates insulin therapy mdi csii
url	https://www.cellr4.org/wp-content/uploads/sites/2/2020/12/e2875.pdf
work_keys_str_mv	AT fsilvestri strategiestooptimizeglucosecontrolduringexerciseinsubjectswithtype1diabetes AT fcostantino strategiestooptimizeglucosecontrolduringexerciseinsubjectswithtype1diabetes AT vtromba strategiestooptimizeglucosecontrolduringexerciseinsubjectswithtype1diabetes
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Strategies to optimize glucose control during exercise in subjects with type 1 diabetes

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