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    Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes: position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA)

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    (723) Pediatr Diabetes.pdf
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    Author
    Wilmot, Emma
    Keyword
    Adolescents
    Adults
    CGM
    Children
    Continuous Glucose Monitoring
    Exercise
    Physical Activity
    Type 1 Diabetes
    Date
    2020-12
    
    Metadata
    Show full item record
    Citation
    Pediatr Diabetes. 2020 Dec;21(8):1375-1393. doi: 10.1111/pedi.13105. Epub 2020 Oct 13.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/770
    Collections
    Specialist Medicine

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    Related items

    Showing items related by title, author, creator and subject.

    • Thumbnail

      ISPAD Annual Conference 2017 Highlights.

      Ngwu, Ursula (2018-08)
      The article focuses on International Society for Pediatric and Adolescent Diabetes's 2018 conference. Topics discussed include role of good glycemic control in treating pediatric diabetes; sustained proliferation and expansion of beta cells for future therapeutic use; and challenges surrounding type 1 diabetes control.
    • Thumbnail

      Clinical associations with stage B heart failure in adults with type 2 diabetes.

      Wilmot, Emma (2021-07)
      BACKGROUND: There is a high prevalence of asymptomatic (American Heart Association Stage B) heart failure (SBHF) in people with type 2 diabetes (T2D). We aimed to identify associations between clinical characteristics and markers of SBHF in adults with T2D, which may allow therapeutic interventions prior to symptom onset. METHODS: Adults with T2D from a multi-ethnic population with no prevalent cardiovascular disease [n = 247, age 52 ± 12 years, glycated haemoglobin A1c (HbA1c) 7.4 ± 1.1% (57 ± 12 mmol/mol), duration of diabetes 61 (32, 120) months] underwent echocardiography and adenosine stress perfusion cardiovascular magnetic resonance imaging. Multivariable linear regression analyses were performed to identify independent associations between clinical characteristics and markers of SBHF. RESULTS: In a series of multivariable linear regression models containing age, sex, ethnicity, smoking history, number of glucose-lowering agents, systolic blood pressure (BP) duration of diabetes, body mass index (BMI), HbA1c, serum creatinine, and low-density lipoprotein (LDL)-cholesterol, independent associations with: left ventricular mass:volume were age (β = 0.024), number of glucose-lowering agents (β = 0.022) and systolic BP (β = 0.027); global longitudinal strain were never smoking (β = -1.196), systolic BP (β = 0.328), and BMI (β = -0.348); myocardial perfusion reserve were age (β = -0.364) and male sex (β = 0.458); and aortic distensibility were age (β = -0.629) and systolic BP (β = -0.348). HbA1c was not independently associated with any marker of SBHF. CONCLUSIONS: In asymptomatic adults with T2D, age, systolic BP, BMI, and smoking history, but not glycaemic control, are the major determinants of SBHF. Given BP and BMI are modifiable, these may be important targets to reduce the development of symptomatic heart failure.
    • Thumbnail

      Carbohydrate counting and insulin dose adjustment: group education for people with type 2 diabetes.

      Shorrock, I (2011)
      A group education programme at the Royal Derby Hospital for type 2 diabetes patients. The impact of the programme, which provided information on carbohydrate and insulin, on patients' weight, HbA1c levels, and insulin dosage is described.
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