The competitive athlete with type 1 diabetes.

Riddell, Michael C; Scott, Samuel N.; Fournier, Paul A; Colberg, Sheri R; Gallen, Ian W; Moser, Othmar; Stettler, Christoph; Yardley, Jane E; Zaharieva, Dessi P; Adolfsson, Peter; Bracken, Richard M (2020). The competitive athlete with type 1 diabetes. Diabetologia, 63(8), pp. 1475-1490. Springer 10.1007/s00125-020-05183-8

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Regular exercise is important for health, fitness and longevity in people living with type 1 diabetes, and many individuals seek to train and compete while living with the condition. Muscle, liver and glycogen metabolism can be normal in athletes with diabetes with good overall glucose management, and exercise performance can be facilitated by modifications to insulin dose and nutrition. However, maintaining normal glucose levels during training, travel and competition can be a major challenge for athletes living with type 1 diabetes. Some athletes have low-to-moderate levels of carbohydrate intake during training and rest days but tend to benefit, from both a glucose and performance perspective, from high rates of carbohydrate feeding during long-distance events. This review highlights the unique metabolic responses to various types of exercise in athletes living with type 1 diabetes. Graphical abstract.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition

UniBE Contributor:

Scott, Samuel Nathan and Stettler, Christoph

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0012-186X

Publisher:

Springer

Language:

English

Submitter:

Laura Goetschi

Date Deposited:

09 Dec 2020 09:32

Last Modified:

13 Mar 2021 12:20

Publisher DOI:

10.1007/s00125-020-05183-8

PubMed ID:

32533229

Uncontrolled Keywords:

Athlete Carbohydrate Competition Continuous glucose monitoring Exercise Glucose Insulin Nutrition Review Sport Type 1 diabetes

BORIS DOI:

10.7892/boris.148215

URI:

https://boris.unibe.ch/id/eprint/148215

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