Practical Aspects and Exercise Safety Benefits of Automated Insulin Delivery Systems in Type 1 Diabetes

Author:

Zaharieva Dessi P.1ORCID,Morrison Dale2ORCID,Paldus Barbora23ORCID,Lal Rayhan A.145ORCID,Buckingham Bruce A.14,O’Neal David N.23ORCID

Affiliation:

1. 1Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA

2. 2Department of Medicine, The University of Melbourne, Melbourne, Australia

3. 3Department of Endocrinology & Diabetes, St Vincent’s Hospital Melbourne, Melbourne, Australia

4. 4Stanford Diabetes Research Center, Stanford, CA

5. 5Division of Endocrinology, Department of Medicine, Stanford University School of Medicine, Stanford, CA

Abstract

Regular exercise is essential to overall cardiovascular health and well-being in people with type 1 diabetes, but exercise can also lead to increased glycemic disturbances. Automated insulin delivery (AID) technology has been shown to modestly improve glycemic time in range (TIR) in adults with type 1 diabetes and significantly improve TIR in youth with type 1 diabetes. Available AID systems still require some user-initiated changes to the settings and, in some cases, significant pre-planning for exercise. Many exercise recommendations for type 1 diabetes were developed initially for people using multiple daily insulin injections or insulin pump therapy. This article highlights recommendations and practical strategies for using AID around exercise in type 1 diabetes.

Publisher

American Diabetes Association

Subject

Endocrinology, Diabetes and Metabolism,Internal Medicine

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