Techniques for Exercise Preparation and Management in Adults with Type 1 Diabetes
Techniques for Exercise Preparation and Management in Adults with Type 1 Diabetes
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DOI：
10.1016/j.jcjd.2016.04.010
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发表时间：
2016-12-01
影响因子：
2.5
通讯作者：
Kerr, David
中科院分区：
文献类型：
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作者：
Pinsker, Jordan E.;Kraus, Amy;Kerr, David
目的：1型糖尿病患者在运动后存在早发性和迟发性低血糖的风险。通过对碳水化合物摄入量和胰岛素使用进行战略性调整，可以降低这种风险。我们检查了1型糖尿病患者在运动前后使用的运动准备和管理技巧，并试图确定不同糖尿病技术的使用是否会影响这些与健康相关的行为。方法：我们研究了来自1型糖尿病交易所在线患者社区Glu的502名成年人，他们完成了一项专注于糖尿病自我管理和运动的在线调查。结果：许多受访者报告运动前(79%)和运动后(66%)的碳水化合物摄入量增加，运动前(53%)和运动后(46%)的进食量减少。大多数人报告在开始锻炼前坚持目标血糖水平(77%)。尽管有这些便利，大多数人报告运动后血糖(BG)水平较低(70%)。大多数同时使用胰岛素泵疗法(CSII)和持续血糖监测(CGM)的使用者报告运动前后基础胰岛素减少(55%)，较少的参与者在使用其他设备时调整基础胰岛素(仅SMBG=20%；CGM=34%；CSII=42%；p
Objectives: People with type 1 diabetes are at risk for early-and late-onset hypoglycemia following exercise. Reducing this risk may be possible with strategic modifications in carbohydrate intake and insulin use. We examined the exercise preparations and management techniques used by individuals with type 1 diabetes before and after physical activity and sought to determine whether use of differing diabetes technologies affects these health-related behaviours.Methods: We studied 502 adults from the Type 1 Diabetes Exchange's online patient community, Glu, who had completed an online survey focused on diabetes self-management and exercise.Results: Many respondents reported increasing carbohydrate intake before ( 79%) and after (66%) exercise as well as decreasing their meal boluses before (53%) and after (46%) exercise. Most reported adhering to a target glucose level before starting exercise (77%). Despite these accommodations, the majority reported low blood glucose (BG) levels after exercise (70%). The majority of users of both insulin pump therapy (CSII) and continuous glucose monitoring (CGM) (Combined) reported reducing basal insulin around exercise (55%), with fewer participants adjusting basal insulin when using other devices (SMBG only = 20%; CGM = 34%; CSII = 42%; p