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Continuous glucose monitoring system during physical exercise in adolescents with type 1 diabetes

Peter Adolfsson ; Staffan Nilsson (Institutionen för matematiska vetenskaper, matematisk statistik) ; Bengt Lindblad
Acta Paediatrica (0803-5253). Vol. 100 (2011), 12, p. 1603-1609.
[Artikel, refereegranskad vetenskaplig]

Aim: Continuous glucose monitoring system (CGMS) provides detailed information on glucose fluctuations. The aim was to establish whether CGMS could be used during physical exercise and whether it detects more episodes of hypoglycaemia and hyperglycaemia than frequent blood glucose measurements. Methods: Adolescents with type 1 diabetes (12 girls and 47 boys) participated in three annual sports camps that lasted for 3-4 days and included different types of exercise: soccer, floorball + cross-country skiing and golf. During the study, blood glucose values, mean 8.7 +/- 3.3 per day, were obtained with Hemocue in parallel with the CGMS. Results: Ninety-eight per cent of the participants used the sensor at all times during the camps. Eighty-seven per cent of the sensors gave adequate signals for 24 h and 66% for 48 h. Median durations of hypoglycaemia and hyperglycaemia were 1.7 h per day and 3.8 h per day, respectively. The CGMS identified significantly more episodes of hypoglycaemia (p < 0.005) and hyperglycaemia (p < 0.005) during the day and night than frequent blood glucose tests. Conclusion: We demonstrate that, even during days that included episodic strenuous physical exercise, CGMS could provide useful information on glucose fluctuations during day and night, albeit with significant failure rates.

Nyckelord: Adolescents, Blood glucose, Children, Physical exercise, Type 1 diabetes, glycemic control, high-intensity, mellitus, accuracy, children, blood, hypoglycemia, tissue, cgms

Denna post skapades 2011-12-08. Senast ändrad 2015-01-16.
CPL Pubid: 149766


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Institutioner (Chalmers)

Institutionen för kliniska vetenskaper, sektionen för kvinnors och barns hälsa, Avdelningen för pediatrik (GU)
Institutionen för matematiska vetenskaper, matematisk statistik (2005-2016)



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