1. Effectiveness of a hybrid closed-loop system for children and adolescents with type 1 diabetes during physical exercise: A cross-sectional study in real life.
- Author
-
Martin-Payo R, Fernandez-Alvarez MDM, García-García R, Pérez-Varela Á, Surendran S, and Riaño-Galán I
- Subjects
- Humans, Cross-Sectional Studies, Adolescent, Child, Male, Female, Hypoglycemic Agents administration & dosage, Blood Glucose analysis, Hyperglycemia etiology, Hyperglycemia prevention & control, Blood Glucose Self-Monitoring methods, Diabetes Mellitus, Type 1 therapy, Exercise physiology, Insulin Infusion Systems, Insulin administration & dosage
- Abstract
Objective: The aim of the study was to describe how physical exercise affects metabolic control, insulin requirements and carbohydrate intake in children who use hybrid closed-loop systems., Methods: Cross-sectional study design. The sample included 21 children and adolescents diagnosed with type 1 diabetes. During the study, participants were monitored for a period of 7 days to gather comprehensive data on these factors., Results: Nine participants (42.9%) had switched to exercise mode to raise the target glucose temporarily to 150 mg/dL. The HbA1c values ranged from 5.5% to 7.9% (median, 6.5%; IQR, 0.75). The percentage of time within the target range of 70-180 mg/dL was similar; however, there was an increased duration of hyperglycaemia and more autocorrections on exercise days. The time spent in severe hyperglycaemia (>250 mg/dL) increased by 2.7% in exercise compared to non-exercise days (P = .02). It is worth noting that hypoglycaemic episodes did not increase during the exercise days compared with non-exercise days., Conclusion: The hybrid closed-loop system was effective and safe in children and adolescents with type 1 diabetes during the performance of competitive sports in real life., (Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF