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Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future
Prior to the widespread use of continuous glucose monitoring (CGM), knowledge of the effects of exercise in type 1 diabetes (T1D) was limited to the exercise period, with few studies having the budget or capacity to monitor participants overnight. Recently, CGM has become a staple of many exercise s...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165159/ https://www.ncbi.nlm.nih.gov/pubmed/30081478 http://dx.doi.org/10.3390/bios8030073 |
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author | Houlder, Shaelyn K. Yardley, Jane E. |
author_facet | Houlder, Shaelyn K. Yardley, Jane E. |
author_sort | Houlder, Shaelyn K. |
collection | PubMed |
description | Prior to the widespread use of continuous glucose monitoring (CGM), knowledge of the effects of exercise in type 1 diabetes (T1D) was limited to the exercise period, with few studies having the budget or capacity to monitor participants overnight. Recently, CGM has become a staple of many exercise studies, allowing researchers to observe the otherwise elusive late post-exercise period. We performed a strategic search using PubMed and Academic Search Complete. Studies were included if they involved adults with T1D performing exercise or physical activity, had a sample size greater than 5, and involved the use of CGM. Upon completion of the search protocol, 26 articles were reviewed for inclusion. While outcomes have been variable, CGM use in exercise studies has allowed the assessment of post-exercise (especially nocturnal) trends for different exercise modalities in individuals with T1D. Sensor accuracy is currently considered adequate for exercise, which has been crucial to developing closed-loop and artificial pancreas systems. Until these systems are perfected, CGM continues to provide information about late post-exercise responses, to assist T1D patients in managing their glucose, and to be useful as a tool for teaching individuals with T1D about exercise. |
format | Online Article Text |
id | pubmed-6165159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-61651592018-10-10 Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future Houlder, Shaelyn K. Yardley, Jane E. Biosensors (Basel) Review Prior to the widespread use of continuous glucose monitoring (CGM), knowledge of the effects of exercise in type 1 diabetes (T1D) was limited to the exercise period, with few studies having the budget or capacity to monitor participants overnight. Recently, CGM has become a staple of many exercise studies, allowing researchers to observe the otherwise elusive late post-exercise period. We performed a strategic search using PubMed and Academic Search Complete. Studies were included if they involved adults with T1D performing exercise or physical activity, had a sample size greater than 5, and involved the use of CGM. Upon completion of the search protocol, 26 articles were reviewed for inclusion. While outcomes have been variable, CGM use in exercise studies has allowed the assessment of post-exercise (especially nocturnal) trends for different exercise modalities in individuals with T1D. Sensor accuracy is currently considered adequate for exercise, which has been crucial to developing closed-loop and artificial pancreas systems. Until these systems are perfected, CGM continues to provide information about late post-exercise responses, to assist T1D patients in managing their glucose, and to be useful as a tool for teaching individuals with T1D about exercise. MDPI 2018-08-03 /pmc/articles/PMC6165159/ /pubmed/30081478 http://dx.doi.org/10.3390/bios8030073 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Houlder, Shaelyn K. Yardley, Jane E. Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future |
title | Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future |
title_full | Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future |
title_fullStr | Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future |
title_full_unstemmed | Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future |
title_short | Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future |
title_sort | continuous glucose monitoring and exercise in type 1 diabetes: past, present and future |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165159/ https://www.ncbi.nlm.nih.gov/pubmed/30081478 http://dx.doi.org/10.3390/bios8030073 |
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