Management of type 1 diabetes mellitus about physical activity, exercise and sports in children and adolescents

Authors

  • Diana Silvina González Neuquén Regional Hospital, Neuquén, Argentina
  • Adriana Flores Hospital Foundation, Autonomous City of Buenos Aires, Argentina
  • Daniela Rodríguez La Santísima Trinidad Children's Hospital, Córdoba, Argentina
  • Soledad Paredo Churruca Visca Hospital, Autonomous City of Buenos Aires, Argentina
  • Luis Fabio Palacios Porta Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina

DOI:

https://doi.org/10.47196/diab.v56i2Sup.534

Keywords:

exercise, type 1 diabetes mellitus, self-monitoring, insulin, carbohydrates

Abstract

These recommendations seek to provide a safety framework for the prescription of physical activity in children and adolescents with DM1, considering the evaluation of the situations that may arise before, during and after the practice of physical activity. It includes therapeutic strategies on the type of exercise, intensive capillary glycemic control or through the use of continuous glucose monitoring (CGM) and the adequacy of insulin therapy and carbohydrate intake. It is prioritized that to optimize the benefits of exercise as part of the treatment of DM1, a complete and constant diabetes education is important, provided by an interdisciplinary team trained in the comprehensive management of children and adolescents with DM1.

Author Biographies

Diana Silvina González, Neuquén Regional Hospital, Neuquén, Argentina

Nutrition and Childhood Diabetes Specialist

Adriana Flores, Hospital Foundation, Autonomous City of Buenos Aires, Argentina

Specialist in Nutrition and Childhood Diabetes, Hospital Foundation; Secretary of the Pediatrics Committee of the Argentine Diabetes Society (SAD)

Daniela Rodríguez, La Santísima Trinidad Children's Hospital, Córdoba, Argentina

Diabetes Specialist

Soledad Paredo, Churruca Visca Hospital, Autonomous City of Buenos Aires, Argentina

Bachelor of Nutrition

Luis Fabio Palacios Porta, Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina

Master in Diabetes, Posadas National Hospital, Italian Hospital of Buenos Aires; Coordinator of the Pediatrics Committee of the Argentine Diabetes Society (SAD)

References

I. Organización Mundial de la Salud. Recomendaciones mundiales sobre la actividad física para la salud. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/physical-activity.

II. 2. Organización Mundial de la Salud. Directrices sobre la actividad física, el comportamiento sedentario y el sueño para menores de 5 años. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/311663/WHO-NMH-PND- 19.2-eng.pdf?sequence=1&isAllowed=y.

III. Adolfsson P, Riddell MC, Taplin CE, Davis EA, Fournier PA, et al. ISPAD Clinical Practice Consensus Guidelines 2018. Exercise in children and adolescents with diabetes. Pediatr Diabetes 2018 Oct;19 Suppl 27:205-226. doi: 10.1111/pedi.12755.

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IX. Zaharieva DP, Messer LH, Paldus B, et al. Glucose control during physical activity an exercise using closed loop technology in adults and adolescents with type 1 Diabetes Can J Diabetes 2020;44:740-749.

X. 11. Moser O, Riddell MC, Eckstein ML, Adolfsson P, Rabasa-Lhoret R, et al. Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (is CGM) 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). Pediatr Diabetes 2020;21:1375-1393.

XI. 11. Smart CE, Annan F, Higgins LA, et al. ISPAD Clinical Practice Consensus Guidelines 2018: Nutritional management in children and adolescents with diabetes. Pediatric Diabetes Oct 2018;19(Suppl. 27):136-154. doi: 10.1111/pedi.12738.

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Published

2022-08-01

How to Cite

González, D. S., Flores, A., Rodríguez, D., Paredo, S., & Palacios Porta, L. F. (2022). Management of type 1 diabetes mellitus about physical activity, exercise and sports in children and adolescents. Journal of the Argentine Society of Diabetes, 56(2Sup), 29–35. https://doi.org/10.47196/diab.v56i2Sup.534

Issue

Vol. 56 No. 2Sup (2022): May/Agost 2022

Section

Recommendations

License

Copyright (c) 2022 on behalf of the authors. Reproduction rights: Argentine Diabetes Society

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Dirección Nacional de Derecho de Autor, Exp. N° 5.333.129. Instituto Nacional de la Propiedad Industrial, Marca «Revista de la Sociedad Argentina de Diabetes - Asociación Civil» N° de concesión 2.605.405 y N° de disposición 1.404/13.

La Revista de la SAD está licenciada bajo Licencia Creative Commons Atribución – No Comercial – Sin Obra Derivada 4.0 Internacional.

Por otra parte, la Revista SAD permite que los autores mantengan los derechos de autor sin restricciones.

 

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