| Topic: | Diabetes (DM) |
| Title: | Management of Competitive Athletes with Diabetes. |
| Author: | Hornsby, Jr., W.G.; Chetlin, R.D. |
| Source: | Diabetes Spectrum. 18(2): 102-107. Spring 2005. |
| Abstract: | This article describes an effective management plan for an athlete with type 1 diabetes. Such a plan must consider the energy demands of intense competition and training, the athlete's goals, factors related to competitive sports that may affect glucose homeostasis, and strategies that may be employed to allow safe, effective sports participation. One section addresses how to minimize risky behaviors, including omission of insulin for weight loss. The authors focus on nutrition, diet therapy and energy needs. They caution that the most common acute risks for competitive athletes with diabetes are exercise-induced hypoglycemia and deterioration of hyperglycemia and ketosis brought on by physical activity during periods of hypoinsulinemia. The authors conclude that athletes should be appropriately screened, counseled to avoid risky behaviors, and provided with specific recommendations for glucose monitoring and insulin and diet adjustments so that they may anticipate and compensate for glucose responses during sports competition. 1 figure. 38 references. |
| Format: | Journal Article |
| Language: | English. |
| Major Keywords: | Diabetes Mellitus. Type 1 Diabetes. Guidelines. Patient Care Management. Exercise. Sports. Blood Glucose. |
| Minor Keywords: | Risk Factors. Complications. Caloric Intake. Insulin. Hypoglycemia. Hyperglycemia. Metabolism. Weight Loss. Nutrition. SMBG. |
| Publication Number: | DMJA12254 |
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