Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients
To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous...
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Veröffentlicht in: | Scandinavian journal of medicine & science in sports 2015-04, Vol.25 (2), p.216-222 |
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creator | Campbell, M. D. West, D. J. Bain, S. C. Kingsley, M. I. C. Foley, P. Kilduff, L. Turner, D. Gray, B. Stephens, J. W. Bracken, R. M. |
description | To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous treadmill run (CON) or an intermittent running protocol (INT). Patients arrived to the laboratory fasted at ∼ 08:00 h, replicating their usual pre‐exercise meal and administering a 50% reduced dose of rapid‐acting insulin before exercising. Blood glucose (BG), K+, Na++, pH, triglycerides, serum cortisol and NEFA were measured at baseline and for 60 min post‐exercise. Interstitial glucose was measured for a further 23 h under free‐living conditions. Following exercise, BG declined under both conditions but was less under INT (INT −1.1 ± 1.4 vs CON −5.3 ± 0.4 mmol/L, P = 0.037), meaning more patients experienced hypoglycemia (BG ≤ 3.5 mmol/L; CON n = 3 vs INT n = 2) but less hyperglycemia (BG ≥ 10.9 mmol/L; CON n = 0 vs INT n = 6) under CON. Blood lactate was significantly greater, and pH lower, with a temporal delay in K+ under INT (P |
doi_str_mv | 10.1111/sms.12192 |
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D. ; West, D. J. ; Bain, S. C. ; Kingsley, M. I. C. ; Foley, P. ; Kilduff, L. ; Turner, D. ; Gray, B. ; Stephens, J. W. ; Bracken, R. M.</creator><creatorcontrib>Campbell, M. D. ; West, D. J. ; Bain, S. C. ; Kingsley, M. I. C. ; Foley, P. ; Kilduff, L. ; Turner, D. ; Gray, B. ; Stephens, J. W. ; Bracken, R. M.</creatorcontrib><description>To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous treadmill run (CON) or an intermittent running protocol (INT). Patients arrived to the laboratory fasted at ∼ 08:00 h, replicating their usual pre‐exercise meal and administering a 50% reduced dose of rapid‐acting insulin before exercising. Blood glucose (BG), K+, Na++, pH, triglycerides, serum cortisol and NEFA were measured at baseline and for 60 min post‐exercise. Interstitial glucose was measured for a further 23 h under free‐living conditions. Following exercise, BG declined under both conditions but was less under INT (INT −1.1 ± 1.4 vs CON −5.3 ± 0.4 mmol/L, P = 0.037), meaning more patients experienced hypoglycemia (BG ≤ 3.5 mmol/L; CON n = 3 vs INT n = 2) but less hyperglycemia (BG ≥ 10.9 mmol/L; CON n = 0 vs INT n = 6) under CON. Blood lactate was significantly greater, and pH lower, with a temporal delay in K+ under INT (P < 0.05). No conditional differences were observed in other measures during this time, or in interstitial glucose concentrations during the remaining 23 h after exercise. Simulated games activity carries a lower risk of early, but not late‐onset hypoglycemia than continuous running exercise in type 1 diabetes.</description><identifier>ISSN: 0905-7188</identifier><identifier>EISSN: 1600-0838</identifier><identifier>DOI: 10.1111/sms.12192</identifier><identifier>PMID: 24593125</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adult ; Biomarkers - blood ; Blood Glucose - metabolism ; Diabetes ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - metabolism ; Diabetes Mellitus, Type 1 - therapy ; Exercise ; Exercise Therapy - adverse effects ; Exercise Therapy - methods ; Female ; Games, Recreational ; Glucose ; Humans ; Hyperglycemia - blood ; Hyperglycemia - diagnosis ; Hyperglycemia - etiology ; Hyperglycemia - prevention & control ; Hypoglycemia - blood ; Hypoglycemia - diagnosis ; Hypoglycemia - etiology ; Hypoglycemia - prevention & control ; intermittent running ; Lactic Acid - blood ; Male ; Metabolism ; post-exercise hypoglycemia ; Random Allocation ; Running - physiology ; Simulation ; T1DM</subject><ispartof>Scandinavian journal of medicine & science in sports, 2015-04, Vol.25 (2), p.216-222</ispartof><rights>2014 John Wiley & Sons A/S. 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D.</creatorcontrib><creatorcontrib>West, D. J.</creatorcontrib><creatorcontrib>Bain, S. C.</creatorcontrib><creatorcontrib>Kingsley, M. I. C.</creatorcontrib><creatorcontrib>Foley, P.</creatorcontrib><creatorcontrib>Kilduff, L.</creatorcontrib><creatorcontrib>Turner, D.</creatorcontrib><creatorcontrib>Gray, B.</creatorcontrib><creatorcontrib>Stephens, J. W.</creatorcontrib><creatorcontrib>Bracken, R. M.</creatorcontrib><title>Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients</title><title>Scandinavian journal of medicine & science in sports</title><addtitle>Scand J Med Sci Sports</addtitle><description>To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous treadmill run (CON) or an intermittent running protocol (INT). Patients arrived to the laboratory fasted at ∼ 08:00 h, replicating their usual pre‐exercise meal and administering a 50% reduced dose of rapid‐acting insulin before exercising. Blood glucose (BG), K+, Na++, pH, triglycerides, serum cortisol and NEFA were measured at baseline and for 60 min post‐exercise. Interstitial glucose was measured for a further 23 h under free‐living conditions. Following exercise, BG declined under both conditions but was less under INT (INT −1.1 ± 1.4 vs CON −5.3 ± 0.4 mmol/L, P = 0.037), meaning more patients experienced hypoglycemia (BG ≤ 3.5 mmol/L; CON n = 3 vs INT n = 2) but less hyperglycemia (BG ≥ 10.9 mmol/L; CON n = 0 vs INT n = 6) under CON. Blood lactate was significantly greater, and pH lower, with a temporal delay in K+ under INT (P < 0.05). No conditional differences were observed in other measures during this time, or in interstitial glucose concentrations during the remaining 23 h after exercise. Simulated games activity carries a lower risk of early, but not late‐onset hypoglycemia than continuous running exercise in type 1 diabetes.</description><subject>Adult</subject><subject>Biomarkers - blood</subject><subject>Blood Glucose - metabolism</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - metabolism</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Exercise</subject><subject>Exercise Therapy - adverse effects</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Games, Recreational</subject><subject>Glucose</subject><subject>Humans</subject><subject>Hyperglycemia - blood</subject><subject>Hyperglycemia - diagnosis</subject><subject>Hyperglycemia - etiology</subject><subject>Hyperglycemia - prevention & control</subject><subject>Hypoglycemia - blood</subject><subject>Hypoglycemia - diagnosis</subject><subject>Hypoglycemia - etiology</subject><subject>Hypoglycemia - prevention & control</subject><subject>intermittent running</subject><subject>Lactic Acid - blood</subject><subject>Male</subject><subject>Metabolism</subject><subject>post-exercise hypoglycemia</subject><subject>Random Allocation</subject><subject>Running - physiology</subject><subject>Simulation</subject><subject>T1DM</subject><issn>0905-7188</issn><issn>1600-0838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0U1v1DAQBmALgehSOPAHkCUu5ZDWH7GTcKsKLaC2CO0iuFmOM1lcEjvYztK988Nx2bYHJCR8sS0989qjQeg5JYc0r6M4xkPKaMMeoAWVhBSk5vVDtCANEUVF63oPPYnxihBaNaV4jPZYKRpOmVigX0s7zoNO0OG1HiFibZLd2LTFm4iNd8m62c8Rh9k569YYriEYG-E1PsbOb2DIaJx0sNE77HucvgFeD1sDozVYuw6PkHTrh3wLECfvYn7DOryiby7wpJMFl-JT9KjXQ4Rnt_s--nz6dnXyrjj_ePb-5Pi8MII1rABBGa8J0bJtSM-0FILrlou6azsKvJK8p9IQIUGyngpTamq41KSGfJC85fvoYJc7Bf9jhpjUaKOBYdAOcpOKyorzuhQl_Q-arWCUiExf_kWv_BxcbuRGifz1hpZZvdopE3yMAXo1BTvqsFWUqJspqjxF9WeK2b64TZzbEbp7eTe2DI524KcdYPvvJLW8WN5FFrsKGxNc31fo8F3lRiqhvlyeqVO2uvz66QNXNf8NHn215A</recordid><startdate>201504</startdate><enddate>201504</enddate><creator>Campbell, M. D.</creator><creator>West, D. J.</creator><creator>Bain, S. C.</creator><creator>Kingsley, M. I. C.</creator><creator>Foley, P.</creator><creator>Kilduff, L.</creator><creator>Turner, D.</creator><creator>Gray, B.</creator><creator>Stephens, J. W.</creator><creator>Bracken, R. M.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201504</creationdate><title>Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients</title><author>Campbell, M. D. ; West, D. J. ; Bain, S. C. ; Kingsley, M. I. C. ; Foley, P. ; Kilduff, L. ; Turner, D. ; Gray, B. ; Stephens, J. W. ; Bracken, R. 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M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients</atitle><jtitle>Scandinavian journal of medicine & science in sports</jtitle><addtitle>Scand J Med Sci Sports</addtitle><date>2015-04</date><risdate>2015</risdate><volume>25</volume><issue>2</issue><spage>216</spage><epage>222</epage><pages>216-222</pages><issn>0905-7188</issn><eissn>1600-0838</eissn><abstract>To compare the glycemic and metabolic responses to simulated intermittent games activity and continuous running exercise in type 1 diabetes. Nine patients (seven male, two female; 35 ± 4 years; HbA1c 8.1 ± 0.2%/65 ± 2 mmol/mol) treated on a basal‐bolus regimen completed two main trials, a continuous treadmill run (CON) or an intermittent running protocol (INT). Patients arrived to the laboratory fasted at ∼ 08:00 h, replicating their usual pre‐exercise meal and administering a 50% reduced dose of rapid‐acting insulin before exercising. Blood glucose (BG), K+, Na++, pH, triglycerides, serum cortisol and NEFA were measured at baseline and for 60 min post‐exercise. Interstitial glucose was measured for a further 23 h under free‐living conditions. Following exercise, BG declined under both conditions but was less under INT (INT −1.1 ± 1.4 vs CON −5.3 ± 0.4 mmol/L, P = 0.037), meaning more patients experienced hypoglycemia (BG ≤ 3.5 mmol/L; CON n = 3 vs INT n = 2) but less hyperglycemia (BG ≥ 10.9 mmol/L; CON n = 0 vs INT n = 6) under CON. Blood lactate was significantly greater, and pH lower, with a temporal delay in K+ under INT (P < 0.05). No conditional differences were observed in other measures during this time, or in interstitial glucose concentrations during the remaining 23 h after exercise. Simulated games activity carries a lower risk of early, but not late‐onset hypoglycemia than continuous running exercise in type 1 diabetes.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>24593125</pmid><doi>10.1111/sms.12192</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Biomarkers - blood Blood Glucose - metabolism Diabetes Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - metabolism Diabetes Mellitus, Type 1 - therapy Exercise Exercise Therapy - adverse effects Exercise Therapy - methods Female Games, Recreational Glucose Humans Hyperglycemia - blood Hyperglycemia - diagnosis Hyperglycemia - etiology Hyperglycemia - prevention & control Hypoglycemia - blood Hypoglycemia - diagnosis Hypoglycemia - etiology Hypoglycemia - prevention & control intermittent running Lactic Acid - blood Male Metabolism post-exercise hypoglycemia Random Allocation Running - physiology Simulation T1DM |
title | Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic responses in T1DM patients |
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