Delayed hypoglycaemia in people with type 1 diabetes after performing moderate intensity exercise before the evening meal

Charlton, Jacqui; Kilbride, Lynn; MacLean, Rory; Darlison, Mark G; McKnight, John

Abstract

For a person with type 1 diabetes, participation in exercise may increase the risk of
hypoglycaemia. Research has been performed during or immediately after exercise in a
laboratory environment, with limited evidence regarding strategies for post-exercise
hypoglycaemia prevention.
The aim of this study was to investigate the occurrence of delayed hypoglycaemia after
40 minutes of moderate intensity exercise at 70% VO2 max before the evening meal, in both
the real-life and laboratory exercise environments.
Nine individuals (five males, four females) with type 1 diabetes using basal bolus
analogue insulin regimens participated. All performed two sessions of 40 minutes of moderate
intensity exercise in two environments (laboratory and real-life), while following a selfmanagement
algorithm that included a 30% reduction of post-exercise evening meal insulin.
Data were collected by continuous glucose monitoring for episodes of interstitial glucose

Citation

Charlton, J., Kilbride, L., MacLean, R., Darlison, M. G., & McKnight, J. (2015). Delayed hypoglycaemia in people with type 1 diabetes after performing moderate intensity exercise before the evening meal. Practical Diabetes, 32(3), 99-102. https://doi.org/10.1002/pdi.1933

• Journal Article Type: Article
• Acceptance Date: Jan 12, 2015
• Online Publication Date: Apr 13, 2015
• Publication Date: 2015-04
• Deposit Date: Mar 18, 2015
• Print ISSN: 2047-2897
• Electronic ISSN: 2047-2900
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 32
• Issue: 3
• Pages: 99-102
• DOI: https://doi.org/10.1002/pdi.1933
• Keywords: type 1 diabetes; moderate intensity exercise; running; delayed hypoglycaemia; self-management
• Public URL: http://researchrepository.napier.ac.uk/id/eprint/7678
• Publisher URL: http://dx.doi.org/10.1002/pdi.1933