Carbohydrate Intake in the Context of Exercise in People with Type 1 Diabetes

被引:22
作者
Scott, Sam [1 ,2 ,3 ]
Kempf, Patrick [1 ,2 ]
Bally, Lia [1 ,2 ]
Stettler, Christoph [1 ,2 ]
机构
[1] Bern Univ Hosp, Inselspital, Dept Diabet Endocrinol Nutr Med & Metab, CH-3010 Bern, Switzerland
[2] Univ Bern, CH-3010 Bern, Switzerland
[3] Team Novo Nordisk Profess Cycling Team, 2144 Hills Ave NW, Atlanta, GA 30318 USA
关键词
type; 1; diabetes; carbohydrates; insulin; exercise; glycogen; hypoglycemia; glucose; fructose; hormones; glycemic index; INTERMITTENT HIGH-INTENSITY; BLOOD-GLUCOSE LEVELS; RELATIVE ENERGY DEFICIENCY; RAPID-ACTING INSULIN; GLYCEMIC INDEX; RESISTANCE EXERCISE; PHYSICAL-ACTIVITY; HEALTHY-SUBJECTS; POSTEXERCISE HYPERGLYCEMIA; NOCTURNAL HYPOGLYCEMIA;
D O I
10.3390/nu11123017
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Although the benefits of regular exercise on cardiovascular risk factors are well established for people with type 1 diabetes (T1D), glycemic control remains a challenge during exercise. Carbohydrate consumption to fuel the exercise bout and/or for hypoglycemia prevention is an important cornerstone to maintain performance and avoid hypoglycemia. The main strategies pertinent to carbohydrate supplementation in the context of exercise cover three aspects: the amount of carbohydrates ingested (i.e., quantity in relation to demands to fuel exercise and avoid hypoglycemia), the timing of the intake (before, during and after the exercise, as well as circadian factors), and the quality of the carbohydrates (encompassing differing carbohydrate types, as well as the context within a meal and the associated macronutrients). The aim of this review is to comprehensively summarize the literature on carbohydrate intake in the context of exercise in people with T1D.
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页数:21
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