Approach to the Patient: Type 1 Diabetes Management With Exercise-Prepare, Perform, Stabilize, and Study

被引:0
作者
Henske, Joseph [1 ]
Turner, Lauren, V [2 ]
Riddell, Michael C. [2 ]
机构
[1] Univ Arkansas Med Sci, Dept Diabet Endocrinol & Metab, 4301 W Markham Ave, Little Rock, AR 72205 USA
[2] York Univ, Muscle Hlth Res Ctr, Sch Kinesiol & Hlth Sci, Toronto, ON, Canada
关键词
type; 1; diabetes; exercise; guidelines; LOOP INSULIN DELIVERY; COUNTERREGULATORY RESPONSES; PHYSICAL-ACTIVITY; ANTECEDENT HYPOGLYCEMIA; SUBSEQUENT HYPOGLYCEMIA; GLUCOSE REQUIREMENTS; MAINTAIN EUGLYCEMIA; AFTERNOON EXERCISE; POSITION STATEMENT; AEROBIC EXERCISE;
D O I
10.1210/clinem/dgaf136
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Management of type 1 diabetes during physical activity and exercise remains challenging despite advancements in diabetes technology, including continuous glucose monitoring and automated insulin delivery systems. The approach to the patient as a healthcare provider involves careful consideration of numerous patient-specific goals and factors including a patient's motivations for regular physical activity and exercise, their baseline characteristics and exercise self-management knowledge base, features of the activity types being planned and/or performed, the timing of the various activities in relation to meals and insulin dosing, and the type of insulin therapy and other medications that may be used. Here we present a novel systematic approach to the patient and guidelines for clinical consultation using a "Who, What, When, Where, Why, and How" approach and consideration of the 4 key phases of exercise management: before, during, after, and between episodes-described here as prepare, perform, stabilize, and study. We offer this information using a case-based approach to illustrate these important considerations.
引用
收藏
页码:2326 / 2338
页数:13
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