2021 / 03

Next Paper
DOI: 10.47183/mes.2021.034

REVIEW

Diabetes mellitus management strategies in athletes

Dergacheva LI1, Derevoyedov AA1, Vykhodets IT2, Pavlova AA1, Parastaev SA3
About authors

1 Federal Research and Clinical Center for Sports Medicine and Rehabilitation of the Federal Medical Biological Agency, Moscow, Russia

2 Office of the Sports Medicine Organization and digitalization of the Federal Medical and Biological Agency, Moscow, Russia

3 Pirogov Russian National Research Medical University, Moscow, Russia

Correspondence should be addressed: Anna A. Pavlova
Bolshaya Dorogomilovskaya, 5, Moscow, 121059; moc.liamtoh@avolvap_rd

About paper

Funding: the study relied on the financial support released under the State Assignment No. 67.003.20.800 issued by the Federal Medical Biological Agency of Russia.

Author contribution: Dergacheva LI — significant contribution to the study conceptualization, data collection, content analysis, text authoring; Derevoyedov AA, Parastayev SA — critical review of the content, approval of the final version of the article; Vykhodets IT — approval of the final version of the article; Pavlova AA — text authoring, manuscript formalization.

Received: 2021-07-20 Accepted: 2021-08-27 Published online: 2021-09-28
|
Fig. 1. Factors that can change blood glucose levels in T1DM patients during exercising [1]
Fig. 2. Effect of different types of exercises on blood glucose stability in T1DM patients (HbA1c 7.1 ± 1.0%) [9]. Mean (± SE) plasma glucose level during exercising and over 60 minutes of recovery (n = 12). ◆ — no training (control); ◆ — resistance exercise (three sets of seven exercises, eight repetitions maximum, in 45 minutes); ▲ — aerobic exercise (running at 60% of the maximum calculated heart rate for 45 minutes); a — significant deviation from baseline for aerobic exercise; b — significant deviation from baseline for resistance exercise; c — significant difference between control and aerobic session; d — significant changes during recovery from aerobic exercise; the differences were considered significant only if they remained significant after Bonferroni adjustments
Table. Pre-meal insulin bolus injection reduction recommendations, applicable if training session starts within 90 minutes after bolus administration*
Note: * — compiled from sources [29, 30, 31, 32]; **PR — pulse reserve.