Effectiveness of a Predictive Algorithm in the Prevention of Exercise-Induced Hypoglycemia in Type 1 Diabetes

Diabetes Technology and Therapeutics

Volumn 18, Issue 9, 2016, Pages 543-550

  Abraham, Mary B ^a,b   Davey, Raymond ^b,c   O'Grady, Michael J ^a,c   Ly, Trang T ^a,b,c   Paramalingam, Nirubasini ^a,c   Fournier, Paul A ^b   Roy, Anirban ^d   Grosman, Benyamin ^d   Kurtz, Natalie ^d   Fairchild, Janice M ^e   King, Bruce R ^f   Ambler, Geoffrey R ^g   Cameron, Fergus ^h   Jones, Timothy W ^a,b,c   Davis, Elizabeth A ^a,b,c  

^a PRINCESS MARGARET HOSPITAL FOR CHILDREN   (Australia)

^b UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^c UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^d MEDTRONIC INC   (United States)

^e WOMEN S AND CHILDREN S HOSPITAL   (Australia)

^f JOHN HUNTER CHILDREN S HOSPITAL   (Australia)

^g UNIVERSITY OF SYDNEY   (Australia)

^h ROYAL CHILDREN'S HOSPITAL   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

GLUCOSE; INSULIN; KETONE DERIVATIVE; ANTIDIABETIC AGENT; ARABIDOPSIS PROTEIN; CHIL PROTEIN, ARABIDOPSIS; GLUCOSE BLOOD LEVEL; ISOMERASE;

ADOLESCENT; ADULT; ARTICLE; CHILD; CLINICAL ARTICLE; CONTROLLED STUDY; CROSSOVER PROCEDURE; EXERCISE; EXERCISE INDUCED HYPOGLYCEMIA; FEMALE; GLUCOSE BLOOD LEVEL; HUMAN; HYPERGLYCEMIA; HYPOGLYCEMIA; INSULIN BLOOD LEVEL; INSULIN DEPENDENT DIABETES MELLITUS; INSULIN INFUSION; INSULIN PUMP; INSULIN TREATMENT; INTERVENTION STUDY; KETOACIDOSIS; MALE; OUTCOME ASSESSMENT; PREDICTIVE LOW GLUCOSE MANAGEMENT SYSTEM; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SENSOR AUGMENTED PUMP THERAPY; ALGORITHM; ANALYSIS; BLOOD; DIABETES MELLITUS, TYPE 1; PHYSIOLOGY; YOUNG ADULT;

ADOLESCENT; ALGORITHMS; ARABIDOPSIS PROTEINS; BLOOD GLUCOSE; CROSS-OVER STUDIES; DIABETES MELLITUS, TYPE 1; EXERCISE; FEMALE; HUMANS; HYPOGLYCEMIA; HYPOGLYCEMIC AGENTS; INSULIN; INSULIN INFUSION SYSTEMS; INTRAMOLECULAR LYASES; MALE; YOUNG ADULT;

EID: 84987761234     PISSN: 15209156     EISSN: 15578593     Source Type: Journal    
DOI: 10.1089/dia.2016.0141     Document Type: Article

References (21)

1. Wasserman DH, Zinman B: Exercise in individuals with IDDM. Diabetes Care 1994;17:924-937.
2. Buckingham B, Wilson DM, Lecher T, et al.: Duration of nocturnal hypoglycemia before seizures. Diabetes Care 2008; 31:2110-2112.
3. Gill GV, Woodward A, Casson IF, Weston PJ: Cardiac arrhythmia and nocturnal hypoglycaemia in type 1 diabetes - the 'dead in bed' syndrome revisited. Diabetologia 2009;52: 42-45.
4. Cryer PE, Fisher JN, Shamoon H: Hypoglycemia. Diabetes Care 1994;17:734-755.
5. Brazeau AS, Rabasa-Lhoret R, Strychar I, Mircescu H: Barriers to physical activity among patients with type 1 diabetes. Diabetes Care 2008;31:2108-2109.
6. Choudhary P, Shin J, Wang Y, et al.: Insulin pump therapy with automated insulin suspension in response to hypoglycemia: reduction in nocturnal hypoglycemia in those at greatest risk. Diabetes Care 2011;34:2023-2025.
7. Bergenstal RM, Klonoff DC, Garg SK, et al.: Thresholdbased insulin-pump interruption for reduction of hypoglycemia. N Engl J Med 2013;369:224-232.
8. Garg S, Brazg RL, Bailey TS, et al.: Reduction in duration of hypoglycemia by automatic suspension of insulin delivery: the in-clinic ASPIRE study. Diabetes Technol Ther 2012;14:205-209.
9. Buckingham B, Cobry E, Clinton P, et al.: Preventing hypoglycemia using predictive alarm algorithms and insulin pump suspension. Diabetes Technol Ther 2009;11: 93-97.
10. Buckingham B, Chase HP, Dassau E, et al.: Prevention of nocturnal hypoglycemia using predictive alarm algorithms and insulin pump suspension. Diabetes Care 2010;33:1013-1017.
11. Maahs DM, Calhoun P, Buckingham BA, et al.: A randomized trial of a home system to reduce nocturnal hypoglycemia in type 1 diabetes. Diabetes Care 2014;37:1885-1891.
12. Buckingham BA, Cameron F, Calhoun P, et al.: Outpatient safety assessment of an in-home predictive low-glucose suspend system with type 1 diabetes subjects at elevated risk of nocturnal hypoglycemia. Diabetes Technol Ther 2013; 15:622-627.
13. Buckingham BA, Raghinaru D, Cameron F, et al.: Predictive low-glucose insulin suspension reduces duration of nocturnal hypoglycemia in children without increasing ketosis. Diabetes Care 2015;38:1197-1204.
14. Robertson K, Riddell MC, Guinhouya BC, Adolfsson P, Hanas R. Exercise in children and adolescents with diabetes. Pediatr Diabetes 2014;15(Suppl 20):203-223.
15. American Diabetes Association: Standards of medical care in diabetes - 2014. Diabetes Care 2014;37(Suppl 1):S14-S80.
16. Iscoe KE, Davey RJ, Fournier PA: Increasing the lowglucose alarm of a continuous glucose monitoring system prevents exercise-induced hypoglycemia without triggering any false alarms. Diabetes Care 2011;34:e109.
17. Davey RJ, Jones TW, Fournier PA: Effect of short-term use of a continuous glucose monitoring system with a real-time glucose display and a low glucose alarm on incidence and duration of hypoglycemia in a home setting in type 1 diabetes mellitus. J Diabetes Sci Technol 2010;4:1457-1464.
18. Riddell MC, Milliken J: Preventing exercise-induced hypoglycemia in type 1 diabetes using real-time continuous glucose monitoring and a new carbohydrate intake algorithm: an observational field study. Diabetes Technol Ther 2011;13:819-825.
19. Danne T, Tsioli C, Kordonouri O, et al.: The PILGRIM study: in silico modeling of a predictive low glucose management system and feasibility in youth with type 1 diabetes during exercise. Diabetes Technol Ther 2014;16:338-347.
20. Boyne MS, Silver DM, Kaplan J, Saudek CD: Timing of changes in interstitial and venous blood glucose measured with a continuous subcutaneous glucose sensor. Diabetes 2003;52:2790-2794.
21. Beck RW, Raghinaru D, Wadwa RP, et al.: Frequency of morning ketosis after overnight insulin suspension using an automated nocturnal predictive low glucose suspend system. Diabetes Care 2014;37:1224-1229.