Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes: position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA)
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes : position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA). / Moser, Othmar; Riddell, Michael C.; Eckstein, Max L.; Adolfsson, Peter; Rabasa-Lhoret, Rémi; van den Boom, Louisa; Gillard, Pieter; Nørgaard, Kirsten; Oliver, Nick S.; Zaharieva, Dessi P.; Battelino, Tadej; de Beaufort, Carine; Bergenstal, Richard M.; Buckingham, Bruce; Cengiz, Eda; Deeb, Asma; Heise, Tim; Heller, Simon; Kowalski, Aaron J.; Leelarathna, Lalantha; Mathieu, Chantal; Stettler, Christoph; Tauschmann, Martin; Thabit, Hood; Wilmot, Emma G.; Sourij, Harald; Smart, Carmel E.; Jacobs, Peter G.; Bracken, Richard M.; Mader, Julia K.
In: Pediatric Diabetes, Vol. 21, No. 8, 2020, p. 1375-1393.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes
T2 - position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA)
AU - Moser, Othmar
AU - Riddell, Michael C.
AU - Eckstein, Max L.
AU - Adolfsson, Peter
AU - Rabasa-Lhoret, Rémi
AU - van den Boom, Louisa
AU - Gillard, Pieter
AU - Nørgaard, Kirsten
AU - Oliver, Nick S.
AU - Zaharieva, Dessi P.
AU - Battelino, Tadej
AU - de Beaufort, Carine
AU - Bergenstal, Richard M.
AU - Buckingham, Bruce
AU - Cengiz, Eda
AU - Deeb, Asma
AU - Heise, Tim
AU - Heller, Simon
AU - Kowalski, Aaron J.
AU - Leelarathna, Lalantha
AU - Mathieu, Chantal
AU - Stettler, Christoph
AU - Tauschmann, Martin
AU - Thabit, Hood
AU - Wilmot, Emma G.
AU - Sourij, Harald
AU - Smart, Carmel E.
AU - Jacobs, Peter G.
AU - Bracken, Richard M.
AU - Mader, Julia K.
PY - 2020
Y1 - 2020
N2 - Physical exercise is an important component in the management of type 1 diabetes across the lifespan. Yet, acute exercise increases the risk of dysglycaemia, and the direction of glycaemic excursions depends, to some extent, on the intensity and duration of the type of exercise. Understandably, fear of hypoglycaemia is one of the strongest barriers to incorporating exercise into daily life. Risk of hypoglycaemia during and after exercise can be lowered when insulin-dose adjustments are made and/or additional carbohydrates are consumed. Glycaemic management during exercise has been made easier with continuous glucose monitoring (CGM) and intermittently scanned continuous glucose monitoring (isCGM) systems; however, because of the complexity of CGM and isCGM systems, both individuals with type 1 diabetes and their healthcare professionals may struggle with the interpretation of given information to maximise the technological potential for effective use around exercise (ie, before, during and after). This position statement highlights the recent advancements in CGM and isCGM technology, with a focus on the evidence base for their efficacy to sense glucose around exercise and adaptations in the use of these emerging tools, and updates the guidance for exercise in adults, children and adolescents with type 1 diabetes.
AB - Physical exercise is an important component in the management of type 1 diabetes across the lifespan. Yet, acute exercise increases the risk of dysglycaemia, and the direction of glycaemic excursions depends, to some extent, on the intensity and duration of the type of exercise. Understandably, fear of hypoglycaemia is one of the strongest barriers to incorporating exercise into daily life. Risk of hypoglycaemia during and after exercise can be lowered when insulin-dose adjustments are made and/or additional carbohydrates are consumed. Glycaemic management during exercise has been made easier with continuous glucose monitoring (CGM) and intermittently scanned continuous glucose monitoring (isCGM) systems; however, because of the complexity of CGM and isCGM systems, both individuals with type 1 diabetes and their healthcare professionals may struggle with the interpretation of given information to maximise the technological potential for effective use around exercise (ie, before, during and after). This position statement highlights the recent advancements in CGM and isCGM technology, with a focus on the evidence base for their efficacy to sense glucose around exercise and adaptations in the use of these emerging tools, and updates the guidance for exercise in adults, children and adolescents with type 1 diabetes.
KW - Adolescents
KW - Adults
KW - CGM
KW - Children
KW - Continuous glucose monitoring
KW - Exercise
KW - Physical activity
KW - Position statement
KW - Type 1 diabetes
U2 - 10.1111/pedi.13105
DO - 10.1111/pedi.13105
M3 - Journal article
C2 - 33047169
AN - SCOPUS:85092514220
VL - 21
SP - 1375
EP - 1393
JO - Pediatric Diabetes
JF - Pediatric Diabetes
SN - 1399-543X
IS - 8
ER -
ID: 258661272