Sports is a Natural Insulin Substitute for Type 1 Diabetes
In the case of physical activity, the insulin requirement drops. People with type 1 diabetes must therefore adjust their therapy during sports. Recent recommendations have recently been published in The Lancet Diabetes & Endocrinology. Here you can read the most important tips.
Type 1 And Type 2 Diabetes Differences & Similarities
Movement is doing well and is even a part of their therapy for people with diabetes. This is true not only for type 2 diabetics. Also type-1s should and want to be physically active – if it were not the fear of hypoglycemia. The problem is that the insulin requirement drops because the cells can better utilize glucose. So the insulin therapy has to be adapted. In a consensus paper, international diabetologists have now published current recommendations *
Unfortunately, there are no rule of thumb for the therapy adjustment. How the body reacts to sports activity is very individual and also depends on the sport. Those who are treated with insulin must therefore observe their metabolism well and learn from experience. In doing so, driving a sports diary helps. Here, measured blood glucose values are recorded before, during and after sports, as well as carbohydrates (“Sport BE”). In the course of time, such experiences are gained as the basis for the therapy adaptation.
Type 1 Diabetes Insulin Pump Through Sports
In sport itself, the blood sugar can react very differently. If you are practicing on-going sports such as jogging, walking, cycling or swimming, the blood glucose levels are declining. Here basal insulin should be reduced before training. If you are heavily loaded with energy or sprint training, the blood glucose can even temporarily rise. Here you have to be very careful with the correction over insulin, because it can come to a delayed hypoglycaemia. Since the body is still busy hours after the sport, filling the cells with glucose (“muscle filling effect”), it is very important to keep the blood glucose also after the sport in view.
Insulin Therapy For Type 1 Diabetes can Assist in Sports
Insulin pumps and CGM systems make it easier for type 1 diabetics to adapt therapy to sports. In an insulin pump, the basal insulin supply can be simply reduced for a certain time. This also helps to avoid unnecessary carbohydrates (“sports BE”). Whoever carries a system for the continuous glucose measurement (CGM), always has the glucose value in the sport in view. However, during the training, there may be a greater time lag between the actual blood glucose value and the tissue sugar.
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