Evaluation of glucose control when a new strategy of increased carbohydrate supply is implemented during prolonged physical exercise in type 1 diabetes

European Journal of Applied Physiology
Peter AdolfssonJohan Jendle

Abstract

In healthy individuals, high carbohydrate intake is recommended during prolonged exercise for maximum performance. In type 1 diabetes (T1D), this would alter the insulin requirements. The aim of the study was to evaluate the safety of high glucose supplementation during prolonged exercise and the glucose control when a novel strategy of increased carbohydrate supply was implemented during prolonged exercise in T1D. Eight subjects with T1D participated in a sports camp including sessions of prolonged exercise and individualized feedback during three consecutive days. This was later followed by a 90 km cross-country skiing race. Large amounts of carbohydrates, 75 g/h, were supplied during exercise and the insulin requirements were registered. Glucose was measured before, during and after exercise aiming at euglycaemia, 4-8 mmol/L (72-144 mg/dL). During the race, continuous glucose monitoring (CGM) was used as an aspect of safety and to allow direct and individual adjustments. Compared to ordinary carbohydrate supply during exercise, the high carbohydrate supplementation resulted in significantly increased insulin doses to maintain euglycaemia. During the cross-country skiing race, the participants succeeded to reach mean target g...Continue Reading

References

Apr 15, 1982·The New England Journal of Medicine·P FeligJ Wahren
Aug 6, 2005·Journal of Applied Physiology·Steven E BlackBarry Braun
Jan 19, 2008·Medicine and Science in Sports and Exercise·Kevin Currell, Asker E Jeukendrup
Oct 17, 2008·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Kaila A HoltzBarry Braun
Jun 25, 2010·Current Opinion in Clinical Nutrition and Metabolic Care·Asker E Jeukendrup
Feb 22, 2011·Diabetes Care·Tadej BattelinoJan Bolinder
Jul 16, 2011·International Journal of Telemedicine and Applications·Martin SchönfelderPeter Spitzenpfeil
Feb 14, 2012·The Diabetes Educator·UNKNOWN American Association of Diabetes Educators
Mar 21, 2012·Scandinavian Journal of Medicine & Science in Sports·S N BlairE Archer

❮ Previous
Next ❯

Citations

Jan 28, 2017·The Lancet. Diabetes & Endocrinology·Michael C RiddellLori M Laffel
Jan 10, 2017·Current Sports Medicine Reports·Jane E Yardley, Sheri R Colberg
Jul 25, 2019·Diabetes Technology & Therapeutics·Stefan PleusGuido Freckmann
Dec 22, 2019·Diabetes Care·UNKNOWN American Diabetes Association
Jul 2, 2019·Frontiers in Endocrinology·Tarini ChettyElizabeth Ann Davis
Mar 8, 2017·Frontiers in Endocrinology·Sheri R Colberg
Feb 19, 2020·Diabetes Technology & Therapeutics·Dessi P ZaharievaMichael C Riddell
Dec 19, 2018·Diabetes Care·UNKNOWN American Diabetes Association
Dec 15, 2019·Nutrients·Sam ScottChristoph Stettler
Dec 11, 2020·Diabetes Care·UNKNOWN American Diabetes Association
May 18, 2021·World Journal of Diabetes·Maja Cigrovski BerkovicVjekoslav Cigrovski
Jun 12, 2021·Journal of Diabetes Science and Technology·G Da PratoM Trombetta

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.