ISPAD Guidelines 2018 - Ch. 14: Exercise in children and adolescents with diabetes

Chapter 14: Exercise in children and adolescents with diabetes

Peter Adolfsson, Michael C Riddell, Craig E Taplin, Elizabeth A Davis, Paul A Fournier, Francesca Annan, Andrea E Scaramuzza, Dhruvi Hasnani and Sabine E. Hofer


As technology is evolving very fast the use of different technologies during exercise are discussed in the guideline.
Initially the reader will find a section about general precautions prior to an exercise session where ketones and hypoglycemia are discussed in detail, later in the guideline a practical figure is illustrating how to act when different levels of blood ketones are detected prior to exercise. Later in the guideline one will also find summary recommendations for avoiding hypoglycaemia in physically active young people with type 1 diabetes
The reader will find quite many practical advices compared with previous guidelines. This include general precautions prior to each exercise session, differences in glucose response depending on the type of exercise, carbohydrates before, during and after exercise.
Moreover, in the guideline the reader will find specific practical advice on what to do depending on if the individual is getting started with exercise, having normal day-to-day exercise or is training along with competition. This is also followed by a section about recommended glucose levels at start of exercise and strategies for glucose management.
As exercise provides so many benefits this is a “must read” chapter!

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