Effectiveness of SmartGuard Technology in the Prevention of Nocturnal Hypoglycemia After Prolonged Physical Activity

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F17%3A10359665" target="_blank" >RIV/00216208:11110/17:10359665 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/17:10359665 RIV/00216208:11140/17:10359665 RIV/00064203:_____/17:10359665

Result on the web

<a href="http://online.liebertpub.com/doi/pdf/10.1089/dia.2016.0459" target="_blank" >http://online.liebertpub.com/doi/pdf/10.1089/dia.2016.0459</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1089/dia.2016.0459" target="_blank" >10.1089/dia.2016.0459</a>

Result language

angličtina

Original language name

Effectiveness of SmartGuard Technology in the Prevention of Nocturnal Hypoglycemia After Prolonged Physical Activity

Original language description

Background: The prevention of postexercise nocturnal hypoglycemia after prolonged physical activity using sensor-augmented pump (SAP) therapy with predictive low-glucose management (PLGM) has not been well studied. We conducted a study at a pediatric diabetes camp to determine whether a SAP with PLGM reduces the frequency of nocturnal hypoglycemia after prolonged physical activity more effectively than a SAP with a carbohydrate intake algorithm. Methods: During a 1-week sport camp, 20 children (aged 10-13 years) with type 1 diabetes (T1D) managed by SAP therapy either with (n=7) or without PLGM (n=13) were studied. The hypoglycemia management strategy and the continuous glucose monitoring (CGM)/PLGM settings were standardized. The incidence, severity, and duration of hypoglycemia and carbohydrate intake were documented and compared. Results: The PLGM system was activated on 78% of all nights (once per night on average). No difference was found between the SAP and PLGM groups in the mean overnight glucose curve or mean morning glucose (7.8 - 2 mmol/L vs. 7.4 - 3 mmol/L). There was no difference in the frequency and severity of hypoglycemia. However, the SAP group consumed significantly more carbohydrates to prevent and treat hypoglycemia than those in the PLGM group; the values were 10-2 and 1-2gS (grams of saccharides or carbohydrates) (P &lt; 0.0001) in the SAP and PLGM groups, respectively. Moreover, the SAP group spent a significantly longer time in hypoglycemia (64 - 2 min vs. 38 - 2 min, P &lt; 0.05). We observed a difference in the time distribution of nocturnal hypoglycemia (10 to 12 p.m. in the PLGM group and 3 to 7 a.m. in the SAP group, P &lt; 0.05). Conclusion: With PLGM system, euglycemia after prolonged physical activity was largely maintained with a minimal carbohydrate intake.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30202 - Endocrinology and metabolism (including diabetes, hormones)

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Diabetes Technology &amp; Therapeutics

ISSN

1520-9156

e-ISSN

—

Volume of the periodical

19

Issue of the periodical within the volume

5

Country of publishing house

US - UNITED STATES

Number of pages

6

Pages from-to

299-304

UT code for WoS article

000401614400007

EID of the result in the Scopus database

2-s2.0-85019549966