Blood Glucose Management for Games & Interval Exercise Othmar - - PowerPoint PPT Presentation

▶
blood glucose management for games amp interval exercise
SMART_READER_LITE
LIVE PREVIEW

Blood Glucose Management for Games & Interval Exercise Othmar - - PowerPoint PPT Presentation

Jan 07, 2023 274 likes •418 views

Blood Glucose Management for Games & Interval Exercise Othmar Moser Post-Doctoral Researcher A-STEM (Diabetes Research Group) Table of Content Games & Interval Exercise different or the same? Safe for People with Type 1

slide-1
SLIDE 1

Blood Glucose Management for Games & Interval Exercise

Othmar Moser

Post-Doctoral Researcher A-STEM (Diabetes Research Group)

slide-2
SLIDE 2

Table of Content

  • Games & Interval Exercise – different or the same?
  • Safe for People with Type 1 diabetes?
  • Therapy Management around Games & Interval Exercise
  • Expected Glucose Responses
  • New Technology/Insulin and Games & Interval Exercise
slide-3
SLIDE 3

Games & Interval Exercise – different or the same?

Matthew et al., 2009 Cipryan et al., 2017 Gibala e al., 2012

Games & interval exercise describe physical exercise that is characterised by brief, intermittent bursts of vigorous activity (O), interspersed by periods of rest or low-intensity exercise (O).

Basketball Game Interval exercise Random order Structured

slide-4
SLIDE 4

Safe for People with Type 1 diabetes?

  • Games and interval exercise can be associated with a

higher risk of nocturnal hypoglycaemia than continuous aerobic exercise

  • No data exist on increased risk of cardiovascular events

(e.g. myocardial infarction) during interval exercise in people with type 1 diabetes

  • Even in patients with coronary heart disease, an event rate
  • f 1 nonfatal heart attack per 23182 hours of interval

training it is reported

Moser et al., 2015 Riddell et al., 2017 Rognmo et al., 2012

YES!

slide-5
SLIDE 5

1Low = fast walking, jogging (easily talking)

Moderate = fast jogging, moderate running (talking possible) Heavy = fast running (talking demanding) Intense = fast running (talking not possible)

Therapy Management around Games & Interval Exercise

Riddell et al., 2017 Moser et al., 2017 Moser et al., 2015

Intensity 30 min exercise 60 min exercise Low1

  • 25% for bolus

insulin (60-90 min prior exercise)

  • 50%

Moderate

  • 50%
  • 75%

Heavy

  • 75%

NA Intense

  • 75%

NA

slide-6
SLIDE 6

Therapy Management around Games & Interval Exercise

Starting blood glucose below 5 mmol/L (<90 mg/dL)

  • Ingest 10–20 g of glucose before starting exercise; delay exercise

5–6.9 mmol/L (90–124 mg/dL)

  • Games & interval Exercise can be started

7–10 mmol/L (126–180 mg/dL) & 10.1–15 mmol/L (182–270 mg/dL)

  • Games & interval Exercise can be started; blood glucose could rise

Above 15 mmol/L (270 mg/dL)

  • NO games & interval Exercise; check ketones!
Riddell et al., 2017
slide-7
SLIDE 7

Expected Glucose Responses to Games

Game Continuous exercise

  • 5.3 ± 0.4 mmol/L
  • 1.1 ± 0.7 mmol/L

45 min

Campbell at al., 2014
slide-8
SLIDE 8

Expected Glucose Responses to Interval Exercise (20 sec Sprints)

Moser et al., 2015

No difference in blood glucose decrease in comparison of continuous exercise and interval exercise in blood glucose response during exercise and during 24 hrs after exercise for different exercise intensities!

slide-9
SLIDE 9

New Technology/Insulin for Games & Interval Exercise

  • Flash glucose monitoring
  • Continuous glucose monitoring
  • Basal-automatic artificial pancreas
  • Ultra-long acting insulins
  • Faster-short acting insulins

Exercise studies INT/Games studies

slide-10
SLIDE 10

Reality around Games & Interval Exercise…

slide-11
SLIDE 11

… but doable?

slide-12
SLIDE 12

Take Home Message

  • Games & interval exercise are safe for people with type 1

diabetes

  • Therapy adaptation is mainly based on exercise intensity

and duration

  • Adequate reaction to starting blood glucose levels are

necessary

  • Blood glucose response to games & interval exercise may

vary

slide-13
SLIDE 13

Literature

  • 1. Lukas Cipryan, et al. Acute and Post-Exercise Physiological Responses to High-Intensity Interval Training in Endurance and
Sprint Athletes. J Sports Sci Med. 2017 Jun;16(2):219-229.
  • 2. Dionne Matthew, Anne Delextrat. Heart rate, blood lactate concentration, and time–motion analysis of female basketball players
during competition. Journal of Sports Sciences, June 2009; 27(8): 813–821.
  • 3. Martin Gibala, et al. Physiological adaptations to low-volume, high-intensity interval training in health and disease. J Physiol
590.5 (2012) pp 1077–1084.
  • 4. Othmar Moser, et al. Effects of High-Intensity Interval Exercise versus Moderate Continuous Exercise on Glucose Homeostasis
and Hormone Response in Patients with Type 1 Diabetes Mellitus Using Novel Ultra-Long-Acting Insulin. PLoS ONE 10(8):
  • e0136489. doi:10.1371/journal.pone.0136489.
  • 5. Michael C Riddell, et al. Exercise management in type 1 diabetes: a consensus statement. Lancet Endocrinology. 2017
http://dx.doi.org/10.1016/S2213-8587(17)30014-1.
  • 6. Rognmo Ø, et al. Cardiovascular risk of high- versus moderate-intensity aerobic exercise in coronary heart disease patients.
  • Circulation. 2012. 126(12):1436-40.
  • 7. Othmar Moser, et al. Short-Acting Insulin Reduction Strategies for Continuous Cycle Ergometer Exercises in Patients with Type
1 Diabetes Mellitus. Asian J Sports Med. 2017 March; 8(1):e42160.
  • 8. Campbell, et al. Simulated games activity vs continuous running exercise: A novel comparison of the glycemic and metabolic
responses in T1DM patients. Scand J Med Sci Sports 2014: doi: 10.1111/sms.12192
slide-14
SLIDE 14

Dankeschön!

Othmar Moser E-mail: othmar.moser@swansea.ac.uk Tel: +44 7757 062851 Web: researchgate.net/profile/Othmar_Moser Twitter: @Othmar_moser