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Diabetic Hypoglycemia - an independent electronic journal dedicated to the advancement of hypoglycemia research and clinical management
Diabetic Hypoglycemia Volume 7, Issue 1, June 2014

Feature Article

Hypoglycemia associated with exercise in people with type 1 diabetes

Ian W Gallen

Diabetic Hypoglycemia June 2014, Volume 7, Issue 1: page 3-10

Hypoglycemia during, and following exercise is frequent in people with type 1 diabetes. The increased risk and impaired awareness that can result from exercise-induced nocturnal hypoglycemia are important clinical problems. Varying intensities, durations and forms of exercise produce different patterns of endocrine and glycemic responses, which influence the risk of exercise-related hypoglycemia. Recent clinical studies have characterized the underlying physiology of the glycemic response to exercise, and offer strategies to reduce the risk of exercise-related hypoglycemia. Advances in insulin infusion pump therapy and continuous glucose monitoring are useful adjuncts to the management of people with type 1 diabetes who wish to exercise.


Keywords: continuous glucose monitoring, diabetes, exercise, hypoglycemia, insulin, insulin infusion pump therapy, type 1 diabetes