ABSTRACT
Practical guidelines to assist the athlete with type 1 diabetes in preventing the
complications of exercise are not well established in the clinical literature. As
a companion paper to "Type 1 Diabetes and Vigorous Exercise: Applications of Exercise
Physiology to Patient Management" in this issue of Canadian Journal of Diabetes (63-71), this review expands on physiological concepts and provides basic approaches for
insulin pump therapy during exercise training. Fundamental insulin pump therapy parameters
are reviewed, the concept of extra carbohydrates for exercise ("ExCarbs") is introduced
and strategies for manipulating prandial and basal insulin to safely accommodate exercise
are outlined.
RÉSUMÉ
Les directives pratiques visant à aider les athlètes atteints de diabète de type 1
à éviter les complications de l'exercice ne sont pas bien établies dans la presse
clinique. À titre d'article parallèle à l'article intitulé Type 1 Diabetes and Vigorous Exercisex Applications of Exercise Physiology to Patient
Management qui figure dans le présent numéro (voir page 63-71), cet article traite de concepts physiologiques et de modes d'approche fondamentaux
du traitement par la pompe à insuline pendant l'entraînement. On y passe en revue
les paramètres de base du traitement par la pompe à insuline, le concept des glucides
supplémentaires pendant l'exercice et les stratégies pour déterminer les doses d'insuline
prandiale et d'insuline de base en toute sécurité compte tenu de l'exercice.
Keywords
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© 2006 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.
