More Time in Glucose Range During Exercise Days than Sedentary Days in Adults Living with Type 1 Diabetes
This study analysis was designed to examine the 24-h effects of exercise on glycemic control as measured by continuous glucose monitoring (CGM). Individuals with type 1 diabetes (ages: 15-68 years; hemoglobin A1c: 7.5% ± 1.5% [mean ± standard deviation (SD)]) were randomly assigned to complete twice...
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| Veröffentlicht in: | Diabetes technology & therapeutics 2021-05, Vol.23 (5), p.376-383 |
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| creator | Riddell, Michael C Li, Zoey Beck, Roy W Gal, Robin L Jacobs, Peter G Castle, Jessica R Gillingham, Melanie B Clements, Mark Patton, Susana R Dassau, Eyal Doyle Iii, Francis J Martin, Corby K Calhoun, Peter Rickels, Michael R |
| description | This study analysis was designed to examine the 24-h effects of exercise on glycemic control as measured by continuous glucose monitoring (CGM).
Individuals with type 1 diabetes (ages: 15-68 years; hemoglobin A1c: 7.5% ± 1.5% [mean ± standard deviation (SD)]) were randomly assigned to complete twice-weekly aerobic, high-intensity interval, or resistance-based exercise sessions in addition to their personal exercise sessions for a period of 4 weeks. Exercise was tracked with wearables and glucose concentrations assessed using CGM. An exercise day was defined as a 24-h period after the end of exercise, while a sedentary day was defined as any 24-h period with no recorded exercise ≥10 min long. Sedentary days start at least 24 h after the end of exercise.
Mean glucose was lower (150 ± 45 vs. 166 ± 49 mg/dL,
= 0.01), % time in range [70-180 mg/dL] higher (62% ± 23% vs. 56% ± 25%,
= 0.03), % time >180 mg/dL lower (28% ± 23% vs. 37% ± 26%,
= 0.01), and % time |
| doi_str_mv | 10.1089/dia.2020.0495 |
| format | Article |
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Individuals with type 1 diabetes (ages: 15-68 years; hemoglobin A1c: 7.5% ± 1.5% [mean ± standard deviation (SD)]) were randomly assigned to complete twice-weekly aerobic, high-intensity interval, or resistance-based exercise sessions in addition to their personal exercise sessions for a period of 4 weeks. Exercise was tracked with wearables and glucose concentrations assessed using CGM. An exercise day was defined as a 24-h period after the end of exercise, while a sedentary day was defined as any 24-h period with no recorded exercise ≥10 min long. Sedentary days start at least 24 h after the end of exercise.
Mean glucose was lower (150 ± 45 vs. 166 ± 49 mg/dL,
= 0.01), % time in range [70-180 mg/dL] higher (62% ± 23% vs. 56% ± 25%,
= 0.03), % time >180 mg/dL lower (28% ± 23% vs. 37% ± 26%,
= 0.01), and % time <70 mg/dL higher (9.3% ± 11.0% vs. 7.1% ± 9.1%,
= 0.04) on exercise days compared with sedentary days. Glucose variability and % time <54 mg/dL did not differ significantly between exercise and sedentary days. No significant differences in glucose control by exercise type were observed.
Participants had lower 24-h mean glucose levels and a greater time in range on exercise days compared with sedentary days, with mode of exercise affecting glycemia similarly. In summary, this study offers data supporting frequency of exercise as a method of facilitating glucose control but does not suggest an effect for mode of exercise.</description><identifier>ISSN: 1520-9156</identifier><identifier>EISSN: 1557-8593</identifier><identifier>DOI: 10.1089/dia.2020.0495</identifier><identifier>PMID: 33259257</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adolescent ; Adult ; Adults ; Aged ; Blood Glucose - analysis ; Blood Glucose Self-Monitoring - methods ; Diabetes ; Diabetes Mellitus, Type 1 - therapy ; Disease management ; Exercise ; Glucose ; Glucose monitoring ; Glycated Hemoglobin A - analysis ; Humans ; Hyperglycemia ; Hypoglycemia ; Middle Aged ; Original ; Sedentary behavior ; Young Adult</subject><ispartof>Diabetes technology & therapeutics, 2021-05, Vol.23 (5), p.376-383</ispartof><rights>Copyright Mary Ann Liebert, Inc. May 2021</rights><rights>Copyright 2021, Mary Ann Liebert, Inc., publishers 2021 Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-4c597f85ad9ad1f0682eacf9af82709fa697aff8e9aef23dfe33e0f65a2908c33</citedby><cites>FETCH-LOGICAL-c415t-4c597f85ad9ad1f0682eacf9af82709fa697aff8e9aef23dfe33e0f65a2908c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33259257$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Riddell, Michael C</creatorcontrib><creatorcontrib>Li, Zoey</creatorcontrib><creatorcontrib>Beck, Roy W</creatorcontrib><creatorcontrib>Gal, Robin L</creatorcontrib><creatorcontrib>Jacobs, Peter G</creatorcontrib><creatorcontrib>Castle, Jessica R</creatorcontrib><creatorcontrib>Gillingham, Melanie B</creatorcontrib><creatorcontrib>Clements, Mark</creatorcontrib><creatorcontrib>Patton, Susana R</creatorcontrib><creatorcontrib>Dassau, Eyal</creatorcontrib><creatorcontrib>Doyle Iii, Francis J</creatorcontrib><creatorcontrib>Martin, Corby K</creatorcontrib><creatorcontrib>Calhoun, Peter</creatorcontrib><creatorcontrib>Rickels, Michael R</creatorcontrib><title>More Time in Glucose Range During Exercise Days than Sedentary Days in Adults Living with Type 1 Diabetes</title><title>Diabetes technology & therapeutics</title><addtitle>Diabetes Technol Ther</addtitle><description>This study analysis was designed to examine the 24-h effects of exercise on glycemic control as measured by continuous glucose monitoring (CGM).
Individuals with type 1 diabetes (ages: 15-68 years; hemoglobin A1c: 7.5% ± 1.5% [mean ± standard deviation (SD)]) were randomly assigned to complete twice-weekly aerobic, high-intensity interval, or resistance-based exercise sessions in addition to their personal exercise sessions for a period of 4 weeks. Exercise was tracked with wearables and glucose concentrations assessed using CGM. An exercise day was defined as a 24-h period after the end of exercise, while a sedentary day was defined as any 24-h period with no recorded exercise ≥10 min long. Sedentary days start at least 24 h after the end of exercise.
Mean glucose was lower (150 ± 45 vs. 166 ± 49 mg/dL,
= 0.01), % time in range [70-180 mg/dL] higher (62% ± 23% vs. 56% ± 25%,
= 0.03), % time >180 mg/dL lower (28% ± 23% vs. 37% ± 26%,
= 0.01), and % time <70 mg/dL higher (9.3% ± 11.0% vs. 7.1% ± 9.1%,
= 0.04) on exercise days compared with sedentary days. Glucose variability and % time <54 mg/dL did not differ significantly between exercise and sedentary days. No significant differences in glucose control by exercise type were observed.
Participants had lower 24-h mean glucose levels and a greater time in range on exercise days compared with sedentary days, with mode of exercise affecting glycemia similarly. In summary, this study offers data supporting frequency of exercise as a method of facilitating glucose control but does not suggest an effect for mode of exercise.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Blood Glucose - analysis</subject><subject>Blood Glucose Self-Monitoring - methods</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - therapy</subject><subject>Disease management</subject><subject>Exercise</subject><subject>Glucose</subject><subject>Glucose monitoring</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Humans</subject><subject>Hyperglycemia</subject><subject>Hypoglycemia</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Sedentary behavior</subject><subject>Young Adult</subject><issn>1520-9156</issn><issn>1557-8593</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUFv1DAQhS0EoqVw5Ioscekl27G9TuILUtUtpdKiSmU5W1NnvOsqmyx2Uth_j6MtVctpRjPfPL3RY-yjgJmA2pw1AWcSJMxgbvQrdiy0ropaG_V66iUURujyiL1L6R4AKiXFW3aklNRG6uqYhe99JL4KW-Kh41ft6PpE_Ba7NfHFGEO35pd_KLqQpwvcJz5ssOM_qKFuwLg_zPLleTO2Q-LL8DCd_A7Dhq_2O-KCLwLe0UDpPXvjsU304bGesJ9fL1cX34rlzdX1xfmycHOhh2LutKl8rbEx2AgPZS0JnTfoa1mB8ViaCr2vySB5qRpPShH4UqM0UDulTtiXg-5uvNtS47LRiK3dxbDNhm2Pwb7cdGFj1_2DraEGoyALnD4KxP7XSGmw25ActS121I_JynlZSiNBVRn9_B9634-xy-9ZqaUolSzN5Kg4UC72KUXyT2YE2ClEm0O0U4h2CjHzn55_8ET_S039BeRdmKE</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Riddell, Michael C</creator><creator>Li, Zoey</creator><creator>Beck, Roy W</creator><creator>Gal, Robin L</creator><creator>Jacobs, Peter G</creator><creator>Castle, Jessica R</creator><creator>Gillingham, Melanie B</creator><creator>Clements, Mark</creator><creator>Patton, Susana R</creator><creator>Dassau, Eyal</creator><creator>Doyle Iii, Francis J</creator><creator>Martin, Corby K</creator><creator>Calhoun, Peter</creator><creator>Rickels, Michael R</creator><general>Mary Ann Liebert, Inc</general><general>Mary Ann Liebert, Inc., publishers</general><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>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210501</creationdate><title>More Time in Glucose Range During Exercise Days than Sedentary Days in Adults Living with Type 1 Diabetes</title><author>Riddell, Michael C ; Li, Zoey ; Beck, Roy W ; Gal, Robin L ; Jacobs, Peter G ; Castle, Jessica R ; Gillingham, Melanie B ; Clements, Mark ; Patton, Susana R ; Dassau, Eyal ; Doyle Iii, Francis J ; Martin, Corby K ; Calhoun, Peter ; Rickels, Michael R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-4c597f85ad9ad1f0682eacf9af82709fa697aff8e9aef23dfe33e0f65a2908c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Blood Glucose - analysis</topic><topic>Blood Glucose Self-Monitoring - methods</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 1 - therapy</topic><topic>Disease management</topic><topic>Exercise</topic><topic>Glucose</topic><topic>Glucose monitoring</topic><topic>Glycated Hemoglobin A - analysis</topic><topic>Humans</topic><topic>Hyperglycemia</topic><topic>Hypoglycemia</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Sedentary behavior</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Riddell, Michael C</creatorcontrib><creatorcontrib>Li, Zoey</creatorcontrib><creatorcontrib>Beck, Roy W</creatorcontrib><creatorcontrib>Gal, Robin L</creatorcontrib><creatorcontrib>Jacobs, Peter G</creatorcontrib><creatorcontrib>Castle, Jessica R</creatorcontrib><creatorcontrib>Gillingham, Melanie B</creatorcontrib><creatorcontrib>Clements, Mark</creatorcontrib><creatorcontrib>Patton, Susana R</creatorcontrib><creatorcontrib>Dassau, Eyal</creatorcontrib><creatorcontrib>Doyle Iii, Francis J</creatorcontrib><creatorcontrib>Martin, Corby K</creatorcontrib><creatorcontrib>Calhoun, Peter</creatorcontrib><creatorcontrib>Rickels, Michael R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetes technology & therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Riddell, Michael C</au><au>Li, Zoey</au><au>Beck, Roy W</au><au>Gal, Robin L</au><au>Jacobs, Peter G</au><au>Castle, Jessica R</au><au>Gillingham, Melanie B</au><au>Clements, Mark</au><au>Patton, Susana R</au><au>Dassau, Eyal</au><au>Doyle Iii, Francis J</au><au>Martin, Corby K</au><au>Calhoun, Peter</au><au>Rickels, Michael R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>More Time in Glucose Range During Exercise Days than Sedentary Days in Adults Living with Type 1 Diabetes</atitle><jtitle>Diabetes technology & therapeutics</jtitle><addtitle>Diabetes Technol Ther</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>23</volume><issue>5</issue><spage>376</spage><epage>383</epage><pages>376-383</pages><issn>1520-9156</issn><eissn>1557-8593</eissn><abstract>This study analysis was designed to examine the 24-h effects of exercise on glycemic control as measured by continuous glucose monitoring (CGM).
Individuals with type 1 diabetes (ages: 15-68 years; hemoglobin A1c: 7.5% ± 1.5% [mean ± standard deviation (SD)]) were randomly assigned to complete twice-weekly aerobic, high-intensity interval, or resistance-based exercise sessions in addition to their personal exercise sessions for a period of 4 weeks. Exercise was tracked with wearables and glucose concentrations assessed using CGM. An exercise day was defined as a 24-h period after the end of exercise, while a sedentary day was defined as any 24-h period with no recorded exercise ≥10 min long. Sedentary days start at least 24 h after the end of exercise.
Mean glucose was lower (150 ± 45 vs. 166 ± 49 mg/dL,
= 0.01), % time in range [70-180 mg/dL] higher (62% ± 23% vs. 56% ± 25%,
= 0.03), % time >180 mg/dL lower (28% ± 23% vs. 37% ± 26%,
= 0.01), and % time <70 mg/dL higher (9.3% ± 11.0% vs. 7.1% ± 9.1%,
= 0.04) on exercise days compared with sedentary days. Glucose variability and % time <54 mg/dL did not differ significantly between exercise and sedentary days. No significant differences in glucose control by exercise type were observed.
Participants had lower 24-h mean glucose levels and a greater time in range on exercise days compared with sedentary days, with mode of exercise affecting glycemia similarly. In summary, this study offers data supporting frequency of exercise as a method of facilitating glucose control but does not suggest an effect for mode of exercise.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>33259257</pmid><doi>10.1089/dia.2020.0495</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1520-9156 |
| ispartof | Diabetes technology & therapeutics, 2021-05, Vol.23 (5), p.376-383 |
| issn | 1520-9156 1557-8593 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8080930 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Adults Aged Blood Glucose - analysis Blood Glucose Self-Monitoring - methods Diabetes Diabetes Mellitus, Type 1 - therapy Disease management Exercise Glucose Glucose monitoring Glycated Hemoglobin A - analysis Humans Hyperglycemia Hypoglycemia Middle Aged Original Sedentary behavior Young Adult |
| title | More Time in Glucose Range During Exercise Days than Sedentary Days in Adults Living with Type 1 Diabetes |
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