Assessment of Safety and Glycemic Control During Football Tournament in Children and Adolescents With Type 1 Diabetes—Results of GoalDiab Study

Author:

Gawrecki Andrzej1,Araszkiewicz Aleksandra1,Szadkowska Agnieszka2,Biegański Grzegorz1,Konarski Jan3,Domaszewska Katarzyna3,Michalak Arkadiusz2,Skowrońska Bogda1,Adamska Anna1,Naskręt Dariusz1,Jarosz-Chobot Przemysława4,Szypowska Agnieszka5,Klupa Tomasz6,Zozulińska-Ziółkiewicz Dorota1

Affiliation:

1. 1Poznan University of Medical Sciences

2. 2Medical University of Lodz

3. 3Poznan University of Physical Education

4. 4Medical University of Silesia

5. 5Medical University of Warsaw

6. 6Jagiellonian University Medical College

Abstract

Purpose: To assess glycemic control and safety of children and adolescents with type 1 diabetes participating in a 2-day football tournament. Methods: In total, 189 children with type 1 diabetes from 11 diabetes care centers, in Poland, participated in a football tournament in 3 age categories: 7–9 (21.2%), 10–13 (42.9%), and 14–17 (36%) years. Participants were qualified and organized in 23 football teams, played 4 to 6 matches of 30 minutes, and were supervised by a medical team. Data on insulin dose and glycemia were downloaded from personal pumps, glucose meters, continuous glucose monitoring, and flash glucose monitoring systems. Results: The median level of blood glucose before the matches was 6.78 (4.89–9.39) mmol/L, and after the matches, it was 7.39 (5.5–9.87) mmol/L (P = .001). There were no episodes of severe hypoglycemia or ketoacidosis. The number of episodes of low glucose value (blood glucose ≤3.9 mmol/L) was higher during the tournament versus 30 days before: 1.2 (0–1.5) versus 0.7 (0.3–1.1) event/person/day, P < .001. Lactate levels increased during the matches (2.2 [1.6–4.0] mmol/L to 4.4 [2.6–8.5] mmol/L after the matches, P < .001). Conclusions: Large football tournaments can be organized safely for children with type 1 diabetes. For the majority of children, moderate mixed aerobic–anaerobic effort did not adversely affect glycemic results and metabolic safety.

Publisher

Human Kinetics

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Pediatrics, Perinatology and Child Health

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