Resources to Guide Exercise Specialists Managing Adults with Diabetes

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Turner, Grant
Quigg, Scott
Davoren, Peter
Basile, Renata
McAuley, Sybil A
Coombes, Jeff S
Griffith University Author(s)
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2019
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Abstract

Exercise is an important element to optimize health and well-being, though navigating exercise safely can be challenging for exercise specialists working with people with diabetes. Measuring glucose levels before an exercise session assists in the determination of whether exercise is safe for a person with diabetes. A number of organizations have recently developed guidelines to provide exercise and diabetes recommendations based on glucose levels and other relevant factors. However, there are limited easy-to-use resources to assist exercise specialists to determine whether exercise should be started and continued by people with diabetes. The type of diabetes, pre-exercise glucose level, medications and their timing, recent food intake and general sense of wellness all warrant consideration when determining the approach to each exercise session. An expert group was convened to review the published literature and develop resources to guide exercise specialists in assessing the safety of an adult with diabetes starting exercise, and indications to cease exercise, based upon glucose levels and other factors. Contraindications to people with diabetes starting or continuing exercise are (1) glucose < 4.0 mmol/L; (2) glucose > 15.0 mmol/L with symptoms of weakness/tiredness, or with ketosis; (3) hypoglycaemic event within the previous 24 h that required assistance from another person to treat and (4) feeling unwell. To optimize diabetes and exercise safety, recommendations (stratified by pre-exercise glucose level) are provided regarding carbohydrate ingestion, glucose monitoring and medication adjustment.

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Sports Medicine - Open

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5

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1

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© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Subject

Sports science and exercise

Exercise

Glucose level

Hypoglycaemia

Type 1 diabetes

Type 2 diabetes

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Turner, G; Quigg, S; Davoren, P; Basile, R; McAuley, SA; Coombes, JS, Resources to Guide Exercise Specialists Managing Adults with Diabetes, Sports Medicine - Open, 2019, 5 (1), pp. 20-

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