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Communication Dans Un Congrès Année : 2023

Impact of 4-month training on glycaemic excursions in daily life in adults living with type 1 diabetes

M Lemaitre
  • Fonction : Auteur

Résumé

Context and aim: Physical acNvity is associated with decreased risk of cardiovascular disease, improved quality of life and type 1 diabetes (T1D) management. In order to individualise recommendaNons when implemented chronic exercise intervenNons, it seems important to beSer idenNfy the glycaemic excursions (hypo and hyperglycaemia) occurring the days including supervised exercise training sessions compared with the days without training. Whether these glycaemic profiles are changing throughout several months of training and whether differences appear according to the type of treatment (MDI or CSII) is also quesNonable. Method: FiWeen adults with T1D parNcipated to four-month combined (aerobic and strength) training program. Glycaemic excursion (i.e. glycaemic variability MAGE and CV, Nme spent in hypo- (<54 and <70 mg.dL-1 ), hyperglycaemia (>180 and >250 mg.dL-1 ) and normoglycemia were measured on both inacNvity and training days throughout the 4-month intervenNon. Results: Compared with training days, sedentary days led to a significant increase in Nme spent in severe hypoglycaemia (<54mg.dL-1 : e : +1,66 p<0,001; <70mg.dL-1 : e : +1,39 p<0,001) and hyperglycaemia (>250mg.dL-1 : e : +1.02 p<0.001). Concomitantly, MAGE was increased (e : +1,087 p<0,05). Moreover, as the weeks of training passed, independently of being on an ‘inacNve’ or a ‘training’ day, MAGE (e : -1,06 p<0,01) and Nme spent in hyperglycaemia (>180mg.dL-1 : e : -0,497, p<0,01 ; >250mg.dL-1 : e : -0,28 p<0,05) decreased and this more markedly in people living with insulin pump (>180mg.dL-1 : e : -1,267 p <0,05; MAGE : e : -2,23 p<0,05 vs. MDI). Conclusion: These results mays suggest that individuals with T1D are more afraid of hypoglycaemic risk the days with training vs. the inacNve days, thus controlling more their glycaemia and hence anNcipaNng extreme glycaemic excursions.
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Dates et versions

hal-04082254 , version 1 (26-04-2023)

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  • HAL Id : hal-04082254 , version 1

Citer

Léo Duriez, Elodie Lespagnol, Cassandra Parent, Julie Dereumetz, Chloe Dewast, et al.. Impact of 4-month training on glycaemic excursions in daily life in adults living with type 1 diabetes. Symposium Diabète de type 1 & Exercice physique : de la gestion des risques aux bénéfices pour la santé, Elsa Heyman - Université de Lille, Mar 2023, Lille, France. ⟨hal-04082254⟩
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