Carbohydrate Requirement for Exercise in Type 1 Diabetes: Effects of Insulin Concentration

被引:7
作者
Francescato, Maria Pia [1 ]
Ajcevic, Milos [2 ]
Accardo, Agostino [2 ]
机构
[1] Univ Udine, Dept Med, P M Kolbe 4, I-33100 Udine, Italy
[2] Univ Trieste, Dept Engn & Architecture, Trieste, Italy
关键词
carbohydrates; exercise; insulin; hypoglycemia; model; type; 1; diabetes; MODERATE-INTENSITY EXERCISE; GLUCOSE-OXIDATION RATE; ACTIVITY REDUCES RISK; CLOSED-LOOP CONTROL; QUALITY-OF-LIFE; PHYSICAL-ACTIVITY; ARTIFICIAL PANCREAS; COUNTERREGULATORY RESPONSES; MELLITUS MANAGEMENT; GLYCEMIC IMBALANCES;
D O I
10.1177/1932296819826962
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Physical activity is a keystone of a healthy lifestyle as well as of management of patients with type 1 diabetes. The risk of exercise-induced hypoglycemia, however, is a great challenge for these patients. The glycemic response to exercise depends upon several factors concerning the patient him/herself (eg, therapy, glycemic control, training level) and the characteristics of the exercise performed. Only in-depth knowledge of these factors will allow to develop individualized strategies minimizing the risk of hypoglycemia. The main factors affecting the exercise-induced hypoglycemia in patients with T1D have been analyzed, including the effects of insulin concentration. A model is discussed, which has the potential to become the basis for providing patients with individualized suggestions to keep constant glucose levels on each exercise occasion.
引用
收藏
页码:1116 / 1121
页数:6
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