Hyperglycemia-related anxiety during competition in an elite athlete with type 1 diabetes: A case report - 27/09/23

Doi : 10.1016/j.diabet.2023.101476

Alexandra Katz ^a,^b,^c,^⁎ , Aidan Shulkin ^b, Meryem K. Talbo ^c, Asmaa Housni ^c, Jane Yardley ^d,^e,^f,^g, Anne-Sophie Brazeau ^c, Rémi Rabasa-Lhoret ^a,^h
^a Montreal Clinical Research Institute, Montreal, Quebec, Canada
^b Faculté de Médecine, Université de Montréal, Montreal, Quebec, Canada
^c School of Human Nutrition, McGill University, Montreal, Quebec, Canada
^d Augustana Faculty, University of Alberta, Camrose, Alberta, Canada
^e Alberta Diabetes Institute, Edmonton, Alberta, Canada
^f Women and Children's Health Research Institute, Edmonton, Alberta, Canada
^g Faculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Alberta, Canada
^h Service d'Endocrinologie du Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Quebec, Canada

^⁎Corresponding author at: Montreal Clinical Research Institute, 110 avenue des Pins Ouest, Montreal, Quebec H2W 1R7, Canada.Montreal Clinical Research Institute110 avenue des Pins OuestMontrealQuebecH2W 1R7Canada

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Abstract

Aim

Managing blood glucose (BG) levels during intense physical activity is challenging for elite athletes with type 1 diabetes (T1D), as it can lead to unpredictable hyper- or hypoglycemia, which can affect performance. This case study presents an 18-year-old male hockey goalie with hyperglycemia-related anxiety during competition and its impact on his T1D management.

Methods

Mixed-methods approach, incorporating qualitative data from an unstructured interview and responses from the Hyperglycemia Avoidance Scale along with quantitative data retrieved from Diasend and laboratory results.

Results

The athlete experiences physical and cognitive symptoms during hyperglycemia, affecting his performance. Hyperglycemia-related anxiety influences insulin dosage adjustments and eating habits on game days. Glycemic variability analysis reveals lower BG levels during game time.

Conclusion

Hyperglycemia-related anxiety leads to modified therapeutic and lifestyle regimens on competition day. Tailored treatment programs are needed for elite athletes with T1D and hyperglycemia-related anxiety.

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Keywords : Case report, Elite athletes, Hockey, Hyperglycemia-related anxiety, Type 1 diabetes

Abbreviations : BG, CSII, HbA1c, HAS, PA, PWT1D, rtCGM, T1D

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Introduction

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Esportazione

Vol 49 - N° 5

Articolo 101476- settembre 2023 Ritorno al numero

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Hyperglycemia-related anxiety during competition in an elite athlete with type 1 diabetes: A case report - 27/09/23

Abstract

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Methods

Results

Conclusion

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