Clinical Management of the Physically Active Patient with Type I Diabetes
Clinical Management of the Physically Active Patient with Type I Diabetes
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DOI：
10.3810/psm.2011.05.1896
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发表时间：
2011-05-01
影响因子：
2.3
通讯作者：
Riddell, Michael C.
中科院分区：
文献类型：
--
作者：
Chu, Lisa;Hamilton, Jill;Riddell, Michael C.
1型糖尿病的患病率和发病率在世界范围内持续增加。大多数I型糖尿病患者在诊断时都很年轻，希望继续过着积极运动的生活。尽管有规律的运动、胰岛素治疗和适当的营养是治疗的基石，但在管理活跃的1型糖尿病患者方面仍存在相当大的挑战。目前糖尿病管理的建议是在可能的情况下对所有患者进行强化血糖控制，以帮助预防继发性并发症。胰岛素泵治疗和每日多次注射都是降低平均血糖水平的有益治疗选择；然而，如果没有持续的血糖监测，这些治疗方案通常会增加低血糖的风险。在1型糖尿病患者中，由于无法在运动期间和运动后调节胰岛素浓度，维持良好血糖水平的挑战变得复杂。生长和成熟过程中的生理和社会心理因素也提供了额外的挑战。本文重点介绍了活动期1型糖尿病患者糖尿病管理的挑战和关键策略，包括最新糖尿病技术的应用。
The prevalence and incidence of type I diabetes continues to increase worldwide. Most patients with type I diabetes are young at the time of diagnosis and wish to continue leading a physically active life. Although regular exercise, insulin therapy, and proper nutrition are the cornerstone of treatment, there are considerable challenges in managing the active individual with type 1 diabetes. The current recommendation for diabetes management is intensive glycemic control for all patients when possible to help prevent secondary complications. Both insulin pump therapy and multiple daily injections are beneficial treatment options to lower average glucose levels; however, without continuous glucose monitoring, these treatment options typically increase the risk of hypoglycemia. In active patients with type I diabetes, the challenges of maintaining good glycemia are complicated by the inability to regulate insulin concentrations during and after exercise. Physiological and psychosocial factors during growth and maturation also provide additional challenges. This article highlights challenges and key strategies for diabetes management in the active individual with type 1 diabetes, including the application of the most recent diabetes technologies.