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).
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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DOI：
10.1111/pedi.13105
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发表时间：
2020-12
影响因子：
3.4
通讯作者：
Mader JK
中科院分区：
文献类型：
--
作者：
Moser O;Riddell MC;Eckstein ML;Adolfsson P;Rabasa-Lhoret R;van den Boom L;Gillard P;Nørgaard K;Oliver NS;Zaharieva DP;Battelino T;de Beaufort C;Bergenstal RM;Buckingham B;Cengiz E;Deeb A;Heise T;Heller S;Kowalski AJ;Leelarathna L;Mathieu C;Stettler C;Tauschmann M;Thabit H;Wilmot EG;Sourij H;Smart CE;Jacobs PG;Bracken RM;Mader JK
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.
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影响因子：
16.2
作者：
Chiang JL;Kirkman MS;Laffel LM;Peters AL;Type 1 Diabetes Sourcebook Authors
通讯作者：
Type 1 Diabetes Sourcebook Authors
影响因子：
8
作者：
Admon, G;Weinstein, Y;Phillip, M
通讯作者：
Phillip, M
影响因子：
3.4
作者：
Adolfsson, Peter;Riddell, Michael C.;Hofer, Sabine E.
通讯作者：
Hofer, Sabine E.
影响因子：
5.8
作者：
Aberer, Felix;Hajnsek, Martin;Mader, Julia K.
通讯作者：
Mader, Julia K.
影响因子：
5.1
作者：
Bally, Lia;Zueger, Thomas;Stettler, Christoph
通讯作者：
Stettler, Christoph