The use of automated insulin delivery around physical activity and exercise in type 1 diabetes: a position statement of the European Association for the Study of Diabetes (EASD) and the International Society for Pediatric and Adolescent Diabetes (ISPAD)

被引：13

作者：

Moser, Othmar ^{[1
,2
,3
]}

Zaharieva, Dessi P. ^{[4
]}

Adolfsson, Peter ^{[5
,6
]}

Battelino, Tadej ^{[7
,8
]}

Bracken, Richard M. ^{[9
]}

Buckingham, Bruce A. ^{[4
]}

Danne, Thomas ^{[10
,11
]}

Davis, Elizabeth A. ^{[12
,13
,14
]}

Dovc, Klemen ^{[7
,8
]}

Forlenza, Gregory P. ^{[15
]}

Gillard, Pieter ^{[16
]}

Hofer, Sabine E. ^{[17
]}

Hovorka, Roman ^{[18
,19
]}

Jacobs, Peter G. ^{[20
]}

Mader, Julia K. ^{[2
]}

Mathieu, Chantal ^{[16
]}

Norgaard, Kirsten ^{[21
,22
]}

Oliver, Nick S. ^{[23
]}

O'Neal, David N. ^{[24
,25
,26
]}

Pemberton, John ^{[27
]}

Rabasa-Lhoret, Remi ^{[28
,29
,30
,31
]}

Sherr, Jennifer L. ^{[32
]}

Sourij, Harald ^{[2
,3
]}

Tauschmann, Martin ^{[33
]}

Yardley, Jane E. ^{[28
,34
]}

Riddell, Michael C. ^{[35
]}

机构：

[1] Univ Bayreuth, Dept Exercise Physiol & Metab Sportsmed, Bayreuth, Germany

[2] Med Univ Graz, Div Endocrinol & Diabetol, Graz, Austria

[3] Med Univ Graz, Interdisciplinary Metab Med Trials Unit, Graz, Austria

[4] Stanford Univ, Dept Pediat, Div Pediat Endocrinol, Stanford, CA USA

[5] Kungsbacka Hosp, Dept Pediat, Kungsbacka, Sweden

[6] Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Gothenburg, Sweden

[7] Univ Med Ctr, Univ Childrens Hosp, Dept Endocrinol Diabet & Metab, Ljubljana, Slovenia

[8] Univ Ljubljana, Fac Med, Ljubljana, Slovenia

[9] Swansea Univ, Appl Sport Technol Exercise & Med Res Ctr, Swansea, Wales

[10] Breakthrough T1D, New York, NY USA

[11] Auf Der Bult Childrens Hosp, Ctr Paediat Endocrinol Diabetol & Clin Res, Hannover, Germany

[12] Perth Childrens Hosp, Dept Endocrinol & Diabet, Nedlands, WA, Australia

[13] Univ Western Australia, Telethon Kids Inst, Perth, WA, Australia

[14] Univ Western Australia, Ctr Child Hlth Res, Perth, WA, Australia

[15] Univ Colorado, Barbara Davis Ctr Childhood Diabet, Denver, CO USA

[16] Katholieke Univ Leuven, Dept Endocrinol, Univ Hosp Leuven, Leuven, Belgium

[17] Med Univ Innsbruck, Dept Pediat, Innsbruck, Austria

[18] Univ Cambridge, Dept Psychol, Cambridge, England

[19] Univ Cambridge, Wellcome Trust MRC Inst Metab Sci, Cambridge, England

[20] Oregon Hlth & Sci Univ, Dept Biomed Engn, Artificial Intelligence Med Syst Lab, Portland, OR 97239 USA

[21] Steno Diabet Ctr Copenhagen, Dept Clin Res, Herlev, Denmark

[22] Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Copenhagen, Denmark

[23] Imperial Coll London, Fac Med, Dept Med, Div Diabet Endocrinol & Metab, London, England

[24] Univ Melbourne, Dept Med, Melbourne, Vic, Australia

[25] St Vincents Hosp Melbourne, Dept Endocrinol & Diabet, Melbourne, Vic, Australia

[26] Australian Ctr Accelerating Diabet Innovat, Melbourne, Vic, Australia

[27] Birmingham Womens & Childrens NHS Fdn Trust, Birmingham Childrens Hosp, Dept Endocrinol & Diabet, Birmingham, England

[28] Montreal Clin Res Inst IRCM, Montreal, PQ, Canada

[29] Univ Montreal, Fac Med, Dept Nutr, Montreal, PQ, Canada

[30] Ctr Hosp Univ Montreal, Endocrinol Div, Montreal, PQ, Canada

[31] CHUM Res Ctr, Montreal, PQ, Canada

[32] Yale Univ, Sch Med, Dept Pediat, Div Pediat Endocrinol, New Haven, CT USA

[33] Med Univ Vienna, Dept Pediat & Adolescent Med, Vienna, Austria

[34] Univ Montreal, Fac Med, Sch Kinesiol & Phys Act Sci, Montreal, PQ, Canada

[35] York Univ, Sch Kinesiol & Hlth Sci, Toronto, ON, Canada

来源：

DIABETOLOGIA | 2025年 / 68卷 / 02期

基金：

奥地利科学基金会; 美国国家卫生研究院;

关键词：

Automated insulin delivery; CGM; Exercise; Glucose; Insulin pump; Physical activity; Position statement; Type; 1; diabetes; INTENSITY INTERVAL EXERCISE; MODERATE-INTENSITY; GLYCEMIC CONTROL; BIONIC PANCREAS; GLUCOSE CONTROL; PUMP THERAPY; ADULTS; CHILDREN; HYPOGLYCEMIA; CGM;

D O I：

10.1007/s00125-024-06308-z

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Regular physical activity and exercise (PA) are cornerstones of diabetes care for individuals with type 1 diabetes. In recent years, the availability of automated insulin delivery (AID) systems has improved the ability of people with type 1 diabetes to achieve the recommended glucose target ranges. PA provide additional health benefits but can cause glucose fluctuations, which challenges current AID systems. While an increasing number of clinical trials and reviews are being published on different AID systems and PA, it seems prudent at this time to collate this information and develop a position statement on the topic. This joint European Association for the Study of Diabetes (EASD)/International Society for Pediatric and Adolescent Diabetes (ISPAD) position statement reviews current evidence on AID systems and provides detailed clinical practice points for managing PA in children, adolescents and adults with type 1 diabetes using AID technology. It discusses each commercially available AID system individually and provides guidance on their use in PA. Additionally, it addresses different glucose responses to PA and provides stratified therapy options to maintain glucose levels within the target ranges for these age groups.

引用

页码：255 / 280

页数：26

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