Exercise management in type 1 diabetes: a consensus statement

Michael C. Riddell; Ian W. Gallen; Carmel E. Smart; Craig E. Taplin; Peter Adolfsson; Alistair N. Lumb; Aaron Kowalski; Remi Rabasa-Lhoret; Rory J. McCrimmon; Carin Hume; Francesca Annan; Paul A. Fournier; Claudia Graham; Bruce Bode; Pietro Galassetti; Timothy W. Jones; Iñigo San Millán; Tim Heise; Anne L. Peters; Andreas Petz; Lori M. Laffel

doi:10.1016/S2213-8587(17)30014-1

Exercise management in type 1 diabetes: a consensus statement

Michael C. Riddell (Lead / Corresponding author), Ian W. Gallen, Carmel E. Smart, Craig E. Taplin, Peter Adolfsson, Alistair N. Lumb, Aaron Kowalski, Remi Rabasa-Lhoret, Rory J. McCrimmon, Carin Hume, Francesca Annan, Paul A. Fournier, Claudia Graham, Bruce Bode, Pietro Galassetti, Timothy W. Jones, Iñigo San Millán, Tim Heise, Anne L. Peters, Andreas PetzLori M. Laffel

Research output: Contribution to journal › Review article › peer-review

653 Citations (Scopus)

6744 Downloads (Pure)

Abstract

Type 1 diabetes is a challenging condition to manage for various physiological and behavioural reasons. Regular exercise is important, but management of different forms of physical activity is particularly difficult for both the individual with type 1 diabetes and the health-care provider. People with type 1 diabetes tend to be at least as inactive as the general population, with a large percentage of individuals not maintaining a healthy body mass nor achieving the minimum amount of moderate to vigorous aerobic activity per week. Regular exercise can improve health and wellbeing, and can help individuals to achieve their target lipid profile, body composition, and fitness and glycaemic goals. However, several additional barriers to exercise can exist for a person with diabetes, including fear of hypoglycaemia, loss of glycaemic control, and inadequate knowledge around exercise management. This Review provides an up-to-date consensus on exercise management for individuals with type 1 diabetes who exercise regularly, including glucose targets for safe and effective exercise, and nutritional and insulin dose adjustments to protect against exercise-related glucose excursions.

Original language	English
Pages (from-to)	377-390
Number of pages	14
Journal	The Lancet: Diabetes and Endocrinology
Volume	5
Issue number	5
Early online date	24 Jan 2017
DOIs	https://doi.org/10.1016/S2213-8587(17)30014-1
Publication status	Published - May 2017

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/S2213-8587(17)30014-1Licence: Elsevier User Licence

Author Accepted ManuscriptAccepted author manuscript, 632 KB

Cite this

Riddell, M. C., Gallen, I. W., Smart, C. E., Taplin, C. E., Adolfsson, P., Lumb, A. N., Kowalski, A., Rabasa-Lhoret, R., McCrimmon, R. J., Hume, C., Annan, F., Fournier, P. A., Graham, C., Bode, B., Galassetti, P., Jones, T. W., Millán, I. S., Heise, T., Peters, A. L., ... Laffel, L. M. (2017). Exercise management in type 1 diabetes: a consensus statement. The Lancet: Diabetes and Endocrinology, 5(5), 377-390. https://doi.org/10.1016/S2213-8587(17)30014-1

@article{26390efb2f4f487f979734e333a19228,

title = "Exercise management in type 1 diabetes: a consensus statement",

abstract = "Type 1 diabetes is a challenging condition to manage for various physiological and behavioural reasons. Regular exercise is important, but management of different forms of physical activity is particularly difficult for both the individual with type 1 diabetes and the health-care provider. People with type 1 diabetes tend to be at least as inactive as the general population, with a large percentage of individuals not maintaining a healthy body mass nor achieving the minimum amount of moderate to vigorous aerobic activity per week. Regular exercise can improve health and wellbeing, and can help individuals to achieve their target lipid profile, body composition, and fitness and glycaemic goals. However, several additional barriers to exercise can exist for a person with diabetes, including fear of hypoglycaemia, loss of glycaemic control, and inadequate knowledge around exercise management. This Review provides an up-to-date consensus on exercise management for individuals with type 1 diabetes who exercise regularly, including glucose targets for safe and effective exercise, and nutritional and insulin dose adjustments to protect against exercise-related glucose excursions.",

author = "Riddell, {Michael C.} and Gallen, {Ian W.} and Smart, {Carmel E.} and Taplin, {Craig E.} and Peter Adolfsson and Lumb, {Alistair N.} and Aaron Kowalski and Remi Rabasa-Lhoret and McCrimmon, {Rory J.} and Carin Hume and Francesca Annan and Fournier, {Paul A.} and Claudia Graham and Bruce Bode and Pietro Galassetti and Jones, {Timothy W.} and Mill{\'a}n, {I{\~n}igo San} and Tim Heise and Peters, {Anne L.} and Andreas Petz and Laffel, {Lori M.}",

year = "2017",

month = may,

doi = "10.1016/S2213-8587(17)30014-1",

language = "English",

volume = "5",

pages = "377--390",

journal = "The Lancet: Diabetes and Endocrinology",

issn = "2213-8587",

publisher = "Elsevier",

number = "5",

}

Riddell, MC, Gallen, IW, Smart, CE, Taplin, CE, Adolfsson, P, Lumb, AN, Kowalski, A, Rabasa-Lhoret, R, McCrimmon, RJ, Hume, C, Annan, F, Fournier, PA, Graham, C, Bode, B, Galassetti, P, Jones, TW, Millán, IS, Heise, T, Peters, AL, Petz, A & Laffel, LM 2017, 'Exercise management in type 1 diabetes: a consensus statement', The Lancet: Diabetes and Endocrinology, vol. 5, no. 5, pp. 377-390. https://doi.org/10.1016/S2213-8587(17)30014-1

TY - JOUR

T1 - Exercise management in type 1 diabetes

T2 - a consensus statement

AU - Riddell, Michael C.

AU - Gallen, Ian W.

AU - Smart, Carmel E.

AU - Taplin, Craig E.

AU - Adolfsson, Peter

AU - Lumb, Alistair N.

AU - Kowalski, Aaron

AU - Rabasa-Lhoret, Remi

AU - McCrimmon, Rory J.

AU - Hume, Carin

AU - Annan, Francesca

AU - Fournier, Paul A.

AU - Graham, Claudia

AU - Bode, Bruce

AU - Galassetti, Pietro

AU - Jones, Timothy W.

AU - Millán, Iñigo San

AU - Heise, Tim

AU - Peters, Anne L.

AU - Petz, Andreas

AU - Laffel, Lori M.

PY - 2017/5

Y1 - 2017/5

N2 - Type 1 diabetes is a challenging condition to manage for various physiological and behavioural reasons. Regular exercise is important, but management of different forms of physical activity is particularly difficult for both the individual with type 1 diabetes and the health-care provider. People with type 1 diabetes tend to be at least as inactive as the general population, with a large percentage of individuals not maintaining a healthy body mass nor achieving the minimum amount of moderate to vigorous aerobic activity per week. Regular exercise can improve health and wellbeing, and can help individuals to achieve their target lipid profile, body composition, and fitness and glycaemic goals. However, several additional barriers to exercise can exist for a person with diabetes, including fear of hypoglycaemia, loss of glycaemic control, and inadequate knowledge around exercise management. This Review provides an up-to-date consensus on exercise management for individuals with type 1 diabetes who exercise regularly, including glucose targets for safe and effective exercise, and nutritional and insulin dose adjustments to protect against exercise-related glucose excursions.

AB - Type 1 diabetes is a challenging condition to manage for various physiological and behavioural reasons. Regular exercise is important, but management of different forms of physical activity is particularly difficult for both the individual with type 1 diabetes and the health-care provider. People with type 1 diabetes tend to be at least as inactive as the general population, with a large percentage of individuals not maintaining a healthy body mass nor achieving the minimum amount of moderate to vigorous aerobic activity per week. Regular exercise can improve health and wellbeing, and can help individuals to achieve their target lipid profile, body composition, and fitness and glycaemic goals. However, several additional barriers to exercise can exist for a person with diabetes, including fear of hypoglycaemia, loss of glycaemic control, and inadequate knowledge around exercise management. This Review provides an up-to-date consensus on exercise management for individuals with type 1 diabetes who exercise regularly, including glucose targets for safe and effective exercise, and nutritional and insulin dose adjustments to protect against exercise-related glucose excursions.

U2 - 10.1016/S2213-8587(17)30014-1

DO - 10.1016/S2213-8587(17)30014-1

M3 - Review article

C2 - 28126459

SN - 2213-8587

VL - 5

SP - 377

EP - 390

JO - The Lancet: Diabetes and Endocrinology

JF - The Lancet: Diabetes and Endocrinology

IS - 5

ER -

Exercise management in type 1 diabetes: a consensus statement

Abstract

UN SDGs

Access to Document

Fingerprint

Cite this