Managing insulin therapy during exercise inType 1 diabetes mellitus

Managing insulin therapy during exercise inType 1 diabetes mellitus

Authors

  • Sonia Toni Juvenile Diabetes Centre, Florence, Italy
  • Francesca Reali Juvenile Diabetes Centre, Florence, Italy
  • Federica Barni Juvenile Diabetes Centre, Florence, Italy
  • Lorenzo Lenzi Juvenile Diabetes Centre, Florence, Italy
  • Filippo Festini Department of Pediatrics, Section of Nursing Science, Anna Meyer Children’s Hospital, Florence, Italy

Keywords:

Type 1 DiabetesMellitus, exercise, physical activity, pump, intensive insulin therapy, glycemic response, hyperglycemia, hypoglycemia, glucose counter-regulation

Abstract

Background: Exercise is integral to the life of T1DM subjects. Several factors influence the metabolic response to exercise in these patients. Despite physical and psychological benefits of exercise, its hypoand hyperglycemic effects may cause discouragement from participation in sports and games. Aim: To use existing evidence from literature to provide practical indications for the management of insulin therapy in subjects with T1DM who practice sports or physical activities. Methods: Bibliographic research was performed on PubMed and the main Systematic Review and Guidelines database were also searched. Results: Existing guidelines are useful but the exact adjustments of insulin dose must be made on an individual basis and these adjustments can be made only by “trial and error” approach. Conclusions:These clinical indications may be a starting point from which health care providers can find practical advices for each patient.

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Published

01-03-2006

Issue

Vol. 77 No. 1Suppl (2006): Diabetes and physical activity in childhood and adolescence

Section

Conference Report

License

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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How to Cite

1.
Toni S, Reali F, Barni F, Lenzi L, Festini F. Managing insulin therapy during exercise inType 1 diabetes mellitus. Acta Biomed [Internet]. 2006 Mar. 1 [cited 2024 Jul. 27];77(1Suppl):34-40. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/4649