The competitive athlete with type 1 diabetes

被引：66

作者：

Riddell, Michael C. ^{[1
,2
,3
]}

Scott, Sam N. ^{[4
,5
]}

Fournier, Paul A. ^{[6
]}

Colberg, Sheri R. ^{[7
]}

Gallen, Ian W. ^{[8
]}

Moser, Othmar ^{[9
]}

Stettler, Christoph ^{[4
]}

Yardley, Jane E. ^{[10
,11
,12
]}

Zaharieva, Dessi P. ^{[13
]}

Adolfsson, Peter ^{[14
,15
]}

Bracken, Richard M. ^{[16
]}

机构：

[1] York Univ, Sch Kinesiol & Hlth Sci, Fac Hlth Muscle, Hlth Res Ctr, 4700 Keele St, Toronto, ON M3J 1P3, Canada

[2] York Univ, Phys Act & Chron Dis Unit, 4700 Keele St, Toronto, ON M3J 1P3, Canada

[3] LMC Diabet & Endocrinol, Toronto, ON, Canada

[4] Univ Bern, Dept Diabet Endocrinol Nutrit Med & Metab, Bern Univ Hosp, Bern, Switzerland

[5] Team Novo Nordisk Profess Cycling Team, Atlanta, GA USA

[6] Univ Western Australia, Sch Human Sci, Div Sport Sci Exercise & Hlth, Crawley, WA, Australia

[7] Old Dominion Univ, Dept Human Movement Sci, Norfolk, VA USA

[8] Royal Berkshire Hosp, Royal Berkshire NHS Fdn Trust, Ctr Diabet & Endocrinol, Reading, Berks, England

[9] Med Univ Graz, Cardiovasc Diabetol Res Grp, Div Endocrinol & Diabetol, Dept Internal Med, Graz, Austria

[10] Univ Alberta, Augustana Fac, Edmonton, AB, Canada

[11] Alberta Diabet Inst, Edmonton, AB, Canada

[12] Womens & Childrens Hlth Res Inst, Edmonton, AB, Canada

[13] Stanford Univ, Sch Med, Dept Pediat, Stanford, CA USA

[14] Hosp Halland, Dept Pediat, Kungsbacka, Sweden

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

[16] Swansea Univ, Appl Sport Technol Exercise & Med Res Ctr A STEM, A111 Engn East,Fabian Way, Swansea SA1 8EN, W Glam, Wales

来源：

DIABETOLOGIA | 2020年 / 63卷 / 08期

关键词：

Athlete; Carbohydrate; Competition; Continuous glucose monitoring; Exercise; Glucose; Insulin; Nutrition; Review; Sport; Type; 1; diabetes; MUSCLE GLYCOGEN UTILIZATION; RAPID-ACTING INSULIN; EXERCISE-INDUCED HYPOGLYCEMIA; BLOOD-GLUCOSE RESPONSES; ACUTE-WEIGHT-LOSS; GLYCEMIC CONTROL; AMINO-ACIDS; POSTEXERCISE HYPERGLYCEMIA; NOCTURNAL HYPOGLYCEMIA; SKELETAL-MUSCLE;

D O I：

10.1007/s00125-020-05183-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Regular exercise is important for health, fitness and longevity in people living with type 1 diabetes, and many individuals seek to train and compete while living with the condition. Muscle, liver and glycogen metabolism can be normal in athletes with diabetes with good overall glucose management, and exercise performance can be facilitated by modifications to insulin dose and nutrition. However, maintaining normal glucose levels during training, travel and competition can be a major challenge for athletes living with type 1 diabetes. Some athletes have low-to-moderate levels of carbohydrate intake during training and rest days but tend to benefit, from both a glucose and performance perspective, from high rates of carbohydrate feeding during long-distance events. This review highlights the unique metabolic responses to various types of exercise in athletes living with type 1 diabetes.

引用

页码：1475 / 1490

页数：16

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