Insulin dose adjustment and exercise in type 1 diabetes: What do we tell the patient?

British Journal of Diabetes and Vascular Disease

Volumn 9, Issue 6, 2009, Pages 273-277

  Lumb, Alistai N ^a   Gallen, Ian W ^b  

^a CHURCHILL HOSPITAL   (United Kingdom)

^b WYCOMBE HOSPITAL   (United Kingdom)

Author keywords

Exercise; Sport; Type 1 diabetes

Indexed keywords

CARBOHYDRATE; INSULIN;

BLOOD GLUCOSE MONITORING; CARBOHYDRATE DIET; CONTINUOUS INFUSION; COST BENEFIT ANALYSIS; DRUG DOSE REDUCTION; EXERCISE; EXERCISE INTENSITY; GLUCOSE BLOOD LEVEL; GLUCOSE TRANSPORT; GLYCEMIC CONTROL; HUMAN; HYPERGLYCEMIA; HYPOGLYCEMIA; INSULIN DEPENDENT DIABETES MELLITUS; METABOLIC REGULATION; REVIEW; SPORT; SPORTS DRINK; WEIGHT CONTROL;

EID: 74549214319     PISSN: 14746514     EISSN: None     Source Type: Journal    
DOI: 10.1177/1474651409352959     Document Type: Review

References (28)

1. Department of Health. At Least Five a Week: Evidence on the Impact of Physical Activity and its Relationship to Health. London: Department of Health, 2004.
2. Norris R, Carrol D, Cochrane R. The effects of aerobic and anaerobic training on fitness, blood pressure and psyschological stress and wellbeing. J Psychosom Res 2005;34:367-375
3. Campaigne BN, Landt KW, Mellies MJ et al. The effects of physical training on blood lipid profiles in adolescents with insulin-dependent diabetes mellitus. Phys Sportsmed 1985;13:83-89
4. L aaksonen DE, Atalay M, Niskanen LK et al. Aerobic exercise and the lipid profile in type 1 diabetic men: a randomized controlled trial. Med Sci Sports Exerc 2000;32:1541-1548
5. Moy CS, Songer TJ, LaPorte RE et al. Insulin-dependent diabetes mellitus, physical activity, and death. Am J Epidemiol 1993;137:74-81
6. Gallen IW, Redgrave A, Redgrave S. Olympic diabetes. Clin Med 2003; 3:333-337
7. Fisher MBM, Cleland JGF, Dargie HJ et al. Noninvasive evaluation of cardiac function in young patients with type 1 diabetes. Diabet Med 1989;6:677-681
8. Wanke T, Formanek D, Auinger M et al. Pulmonary gas exchange and oxygen uptake during exercise in patients with type 1 diabetes. Diabet Med 1992;9:252-257
9. R iddell MC, Iscoe KE. Physical activity, sport, and pediatric diabetes. Pediatr Diabetes 2006;7:60-70.
10. L umb AN, Gallen IW. Diabetes management for intense exercise. Curr Opin Endocrinol Diabetes Obes 2009;16:150-155
11. R obitaille M, Dubé M-C, Weisnagel SJ et al. Substrate source utilisation during moderate intensity exercise with glucose ingestion in type 1 diabetic patients. J Appl Physiol 2007;103:119-124
12. Petersen KF, Price TB, Bergeron R. Regulation of net hepatic glycogenolysis and gluconeogenesis during exercise: impact of type 1 diabetes. J Clin Endocrinol Metab 2004;89:4656-4664
13. Galassetti P, Tate D, Neill RA et al. Effect of antecedent hypoglycaemia on counterregulatory responses to subsequent euglycaemic exercise in type 1 diabetes. Diabetes 2003;52:1761-1769
14. R abasa-Lhoret R, Bourque J, Ducors F, Chiasson JL. Guidelines for premeal insulin dose reduction for postprandial exercise of different intensities and durations in type 1 diabetic subjects treated intensively with a basal bolus regimen. Diabetes Care 2001;24:625-630
15. Wasserman D, Davis S. Fuel metabolism during exercise in health and diabetes. In: Ruderman N, Devlin JT (eds.) Handbook of Exercise in Diabetes. Alexandria: American Diabetes Association, 2002;63-100.
16. Tsalikian E, Kollman C, Tamborlane WB et al. DirecNet Study Group. Prevention of hypoglycaemia during exercise in children with type 1 diabetes by suspending basal insulin. Diabetes Care 2006;29:2200-2204
17. Frohnauer M, Liu K, Devlin J. Adjustment of basal Lispro insulin in CSII to minimize glycemic fluctuations caused by exercise [abstract]. Diab Res Clin Pract 2000;50(suppl 1):S80.
18. Jenni S, Oetliker C, Allemann S et al. Fuel metabolism during exercise in euglycaemia and hyperglycaemia in patients with type 1 diabetes mellitus: a prospective single-blinded randomized crossover trial. Diabetologia 2008;51:1457-1465
19. Perry E, Gallen IW. Guidelines on the current best practice for the management of type 1 diabetes, sport and exercise. Practical Diabetes International 2009;26:116-123
20. Marliss EB, Vranic M. Intense exercise has unique effects on both insulin release and its roles in glucoregulation. Diabetes 2002;51(suppl 1):S271-83.
21. McMahon SK, Ferreira LD, Ratnam N et al. Glucose requirements to maintain euglycaemia after moderateintensity afternoon exercise in adolescents with type 1 diabetes are increased in a biphasic manner. J Clin Endocrinol Metab 2007;92:963-968
22. S andoval DA, Aftab Guy DL, Richardson MA et al. Effects of low and moderate antecedent exercise on counterregulatory responses to subsequent hypoglycaemia in type 1 diabetes. Diabetes 2004;53:1798-1806
23. Thorell A, Hirshman MF, Nygren J et al. Exercise and insulin cause GLUT-4 translocation in human skeletal muscle. Am J Physiol Endocrinol Metab 1999;277:E733-41.
24. B ussau VA, Ferreira LD, Jones TW, Fournier PA. A 10 s sprint performed prior to moderate-intensity exercise prevents early postexercise fall in glycaemia in individuals with type 1 diabetes. Diabetologia 2007;50:1815-1818
25. B ussau VA, Ferreira LD, Jones TW, Fournier PA. The 10 s maximal sprint: a novel approach to counter an exercise-mediated fall in glycemia in individuals with type 1 diabetes. Diabetes Care 2006;29:601-606
26. Withers RT, Maricic Z, Wasilewski Z, Kelly L. Match analyses of Australian professional soccer players. J Hum Mov Stud 1982;8: 159-176
27. B ailey RC, Olson J, Pepper SL et al. The level and tempo of children's physical activities: an observational study. Med Sci Sports Exerc 1995;27:1033-1041
28. Guelfi KJ, Jones TW, Fournier PA. The decline in blood glucose levels is less with intermittent high-intensity compared with moderate exercise in individuals with type 1 diabetes. Diabetes Care 2005;26:1289-1294