The competitive athlete with type 1 diabetes

• Regular exercise is important for health, fitness and longevity in people living with type 1 diabetes, and many individuals seek to train and compete while living with the condition. Muscle, liver and glycogen metabolism can be normal in athletes with diabetes with good overall glucose management, and exercise performance can be facilitated by modifications to insulin dose and nutrition. However, maintaining normal glucose levels during training, travel and competition can be a major challenge for athletes living with type 1 diabetes. Some athletes have low-to-moderate levels of carbohydrate intake during training and rest days but tend to benefit, from both a glucose and performance perspective, from high rates of carbohydrate feeding during long-distance events. This review highlights the unique metabolic responses to various types of exercise in athletes living with type 1 diabetes.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Keyword

Athlete

Carbohydrate

Competition

Continuous glucose monitoring

Exercise

Glucose

Insulin

Nutrition

Review

Sport

Type 1 diabetes

muscle glycogen utilization

rapid-acting insulin

exercise-induced

hypoglycemia

blood-glucose responses

acute-weight-loss

glycemic

control

amino-acids

postexercise hyperglycemia

nocturnal

hypoglycemia

skeletal-muscle

Endocrinology & Metabolism

Publication and Content Type

ref (subject category)

art (subject category)