Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus

Continuous glucose monitoring (CGM) plays an important role in treatment decisions for patients with type 1 diabetes under conventional or closed-loop therapy. Physical activity represents a great challenge for diabetes management as well as for CGM systems. In this work, the accuracy of CGM in the...

Descripción completa

Detalles Bibliográficos
Autores: Biagi, Lyvia, Bertachi, Arthur Hirata, Quirós, Carmen, Giménez, Marga, Conget, Ignacio, Bondia, Jorge, Vehí, Josep
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/15257
Acceso en línea:http://hdl.handle.net/10256/15257
Access Level:acceso abierto
Palabra clave:Diabetis -- Tractament
Diabetes -- Treatment
Glucèmia
Blood sugar
Monitoratge de pacients
Patient monitoring
id ES_53e352eafadde92805e2ea3078bec738
oai_identifier_str oai:recercat.cat:10256/15257
network_acronym_str ES
network_name_str España
repository_id_str
spelling Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes MellitusBiagi, LyviaBertachi, Arthur HirataQuirós, CarmenGiménez, MargaConget, IgnacioBondia, JorgeVehí, JosepDiabetis -- TractamentDiabetes -- TreatmentGlucèmiaBlood sugarMonitoratge de pacientsPatient monitoringContinuous glucose monitoring (CGM) plays an important role in treatment decisions for patients with type 1 diabetes under conventional or closed-loop therapy. Physical activity represents a great challenge for diabetes management as well as for CGM systems. In this work, the accuracy of CGM in the context of exercise is addressed. Six adults performed aerobic and anaerobic exercise sessions and used two Medtronic Paradigm Enlite-2 sensors under closed-loop therapy. CGM readings were compared with plasma glucose during different periods: one hour before exercise, during exercise, and four hours after the end of exercise. In aerobic sessions, the median absolute relative difference (MARD) increased from 9.5% before the beginning of exercise to 16.5% during exercise (p < 0.001), and then decreased to 9.3% in the first hour after the end of exercise (p < 0.001). For the anaerobic sessions, the MARD before exercise was 15.5% and increased without statistical significance to 16.8% during exercise realisation (p = 0.993), and then decreased to 12.7% in the first hour after the cessation of anaerobic activities (p = 0.095). Results indicate that CGM might present lower accuracy during aerobic exercise, but return to regular operation a few hours after exercise cessation. No significant impact for anaerobic exercise was foundThis project was partially supported by the Spanish Government through grants DPI2013-46982-C2-1-R, DPI2013-46982-C2-2-R, DPI2016-78831-C2-1-R, and DPI2016-78831-C2-2-R, and by the National Council of Technological and Scientific Development, CNPq Brazil through grants 202050/2015-7 and 207688/2014-1MDPI (Multidisciplinary Digital Publishing Institute)Ministerio de Economía y Competitividad (Espanya)2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer-reviewedapplication/pdfhttp://hdl.handle.net/10256/15257http://hdl.handle.net/10256/15257Biosensors, 2018, vol. 8, núm.1, p. 22Articles publicats (D-EEEiA)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Inglésinfo:eu-repo/semantics/altIdentifier/doi/10.3390/bios8010022info:eu-repo/semantics/altIdentifier/eissn/2079-6374DPI2013‐46982‐C2‐2‐RDPI2016-78831-C2-2-Rinfo:eu-repo/grantAgreement/MINECO//DPI2013-46982-C2-2-Rinfo:eu-repo/grantAgreement/MINECO/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016/DPI2016-78831-C2-2-RAttribution 3.0 Spainhttp://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:10256/152572026-05-29T05:05:01Z
dc.title.none.fl_str_mv Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus
title Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus
spellingShingle Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus
Biagi, Lyvia
Diabetis -- Tractament
Diabetes -- Treatment
Glucèmia
Blood sugar
Monitoratge de pacients
Patient monitoring
title_short Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus
title_full Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus
title_fullStr Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus
title_full_unstemmed Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus
title_sort Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus
dc.creator.none.fl_str_mv Biagi, Lyvia
Bertachi, Arthur Hirata
Quirós, Carmen
Giménez, Marga
Conget, Ignacio
Bondia, Jorge
Vehí, Josep
author Biagi, Lyvia
author_facet Biagi, Lyvia
Bertachi, Arthur Hirata
Quirós, Carmen
Giménez, Marga
Conget, Ignacio
Bondia, Jorge
Vehí, Josep
author_role author
author2 Bertachi, Arthur Hirata
Quirós, Carmen
Giménez, Marga
Conget, Ignacio
Bondia, Jorge
Vehí, Josep
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Ministerio de Economía y Competitividad (Espanya)
dc.subject.none.fl_str_mv Diabetis -- Tractament
Diabetes -- Treatment
Glucèmia
Blood sugar
Monitoratge de pacients
Patient monitoring
topic Diabetis -- Tractament
Diabetes -- Treatment
Glucèmia
Blood sugar
Monitoratge de pacients
Patient monitoring
description Continuous glucose monitoring (CGM) plays an important role in treatment decisions for patients with type 1 diabetes under conventional or closed-loop therapy. Physical activity represents a great challenge for diabetes management as well as for CGM systems. In this work, the accuracy of CGM in the context of exercise is addressed. Six adults performed aerobic and anaerobic exercise sessions and used two Medtronic Paradigm Enlite-2 sensors under closed-loop therapy. CGM readings were compared with plasma glucose during different periods: one hour before exercise, during exercise, and four hours after the end of exercise. In aerobic sessions, the median absolute relative difference (MARD) increased from 9.5% before the beginning of exercise to 16.5% during exercise (p < 0.001), and then decreased to 9.3% in the first hour after the end of exercise (p < 0.001). For the anaerobic sessions, the MARD before exercise was 15.5% and increased without statistical significance to 16.8% during exercise realisation (p = 0.993), and then decreased to 12.7% in the first hour after the cessation of anaerobic activities (p = 0.095). Results indicate that CGM might present lower accuracy during aerobic exercise, but return to regular operation a few hours after exercise cessation. No significant impact for anaerobic exercise was found
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
peer-reviewed
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10256/15257
http://hdl.handle.net/10256/15257
url http://hdl.handle.net/10256/15257
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.3390/bios8010022
info:eu-repo/semantics/altIdentifier/eissn/2079-6374
DPI2013‐46982‐C2‐2‐R
DPI2016-78831-C2-2-R
info:eu-repo/grantAgreement/MINECO//DPI2013-46982-C2-2-R
info:eu-repo/grantAgreement/MINECO/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016/DPI2016-78831-C2-2-R
dc.rights.none.fl_str_mv Attribution 3.0 Spain
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 3.0 Spain
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI (Multidisciplinary Digital Publishing Institute)
publisher.none.fl_str_mv MDPI (Multidisciplinary Digital Publishing Institute)
dc.source.none.fl_str_mv Biosensors, 2018, vol. 8, núm.1, p. 22
Articles publicats (D-EEEiA)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869408147335020544
score 15,812429

Similares en LA Referencia