Diabetes Technology and Exercise - 21/01/20

Doi : 10.1016/j.ecl.2019.10.011

Michael C. Riddell, PhD ^a,^b,^c,^⁎ , Rubin Pooni, MSc ^a,^c, Federico Y. Fontana, PhD ^d,^e , Sam N. Scott, PhD ^e,^f
^a School of Kinesiology and Health Science, York University, Toronto, ON M3J 1P3, Canada
^b LMC Diabetes & Endocrinology, 1929 Bayview Avenue, Toronto, ON M4G 3E8, Canada
^c York University, 347 Bethune College, North York, Ontario M3J 1P3, Canada
^d Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Via Casorati, 43, 37121 Verona, Italy
^e Team Novo Nordisk Professional Cycling Team, 2144 Hills Avenue NW, Atlanta, 30318 GA, USA
^f Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, University of Bern, Freiburgstrasse 15, 3010 Bern, Switzerland

^∗Corresponding author. York University, 347 Bethune College, North York, Ontario M3J 1P3, Canada.York University347 Bethune CollegeNorth YorkOntarioM3J 1P3Canada

Résumé

Advances in technologies such as glucose monitors, exercise wearables, closed-loop systems, and various smartphone applications are helping many people with diabetes to be more physically active. These technologies are designed to overcome the challenges associated with exercise duration, mode, relative intensity, and absolute intensity, all of which affect glucose homeostasis in people living with diabetes. At present, optimal use of these technologies depends largely on motivation, competence, and adherence to daily diabetes care requirements. This article discusses recent technologies designed to help patients with diabetes to be more physically active, while also trying to improve glucose control around exercise.

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Keywords : Type 1 diabetes, Exercise, Technology, Physical activity, Closed loop, Automated insulin delivery, Glucose monitor, Diabetes

Plan

Key points

Introduction

Types of exercise and terminology

Benefits of regular physical activity

Tools and techniques for measuring physical activity

Activity monitors in diabetes self-management

Assessing physical activity in patients with diabetes

Exercise and glycemic trends

Strategies for improved time in target during and after exercise for those on multiple daily insulin injections or open-loop continuous subcutaneous insulin infusion

Role and accuracy of real-time continuous glucose monitoring and flash glucose monitoring for exercise

Closed-loop and exercise

Summary and future directions

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Vol 49 - N° 1

P. 109-125 - mars 2020 Retour au numéro

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Diabetes Technology and Exercise - 21/01/20

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