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本文引用的文献

1
ISPAD Clinical Practice Consensus Guidelines 2022: Exercise in children and adolescents with diabetes.国际儿童青少年糖尿病研究学会（ISPAD）2022年临床实践共识指南：糖尿病儿童和青少年的运动
Pediatr Diabetes. 2022 Dec;23(8):1341-1372. doi: 10.1111/pedi.13452.
2
A Randomized Crossover Pilot Study Evaluating Glucose Control During Exercise Initiated 1 or 2 h After a Meal in Adults with Type 1 Diabetes Treated with an Automated Insulin Delivery System.一项随机交叉先导研究评估了在使用自动化胰岛素输注系统治疗的 1 型糖尿病成人中，在餐后 1 或 2 小时开始运动时的血糖控制情况。
Diabetes Technol Ther. 2023 Feb;25(2):122-130. doi: 10.1089/dia.2022.0338. Epub 2022 Dec 6.
3
Late Afternoon Vigorous Exercise Increases Postmeal but Not Overnight Hypoglycemia in Adults with Type 1 Diabetes Managed with Automated Insulin Delivery.下午晚些时候剧烈运动增加了 1 型糖尿病患者（接受自动胰岛素输注治疗）餐后但不增加夜间低血糖的风险。
Diabetes Technol Ther. 2022 Dec;24(12):873-880. doi: 10.1089/dia.2022.0279.
4
Consensus Recommendations for the Use of Automated Insulin Delivery Technologies in Clinical Practice.临床应用自动化胰岛素输送技术的共识推荐意见。
Endocr Rev. 2023 Mar 4;44(2):254-280. doi: 10.1210/endrev/bnac022.
5
Anticipated Basal Insulin Reduction to Prevent Exercise-Induced Hypoglycemia in Adults and Adolescents Living with Type 1 Diabetes.预期减少基础胰岛素剂量以预防1型糖尿病成年及青少年患者运动诱发的低血糖症。
Diabetes Technol Ther. 2022 May;24(5):307-315. doi: 10.1089/dia.2021.0375. Epub 2022 Apr 27.
6
Randomized Trial of Closed-Loop Control in Very Young Children with Type 1 Diabetes.1 型糖尿病患儿闭环控制的随机试验。
N Engl J Med. 2022 Jan 20;386(3):209-219. doi: 10.1056/NEJMoa2111673.
7
Gender Differences in Strategies to Prevent Physical Activity-Related Hypoglycemia in Patients With Type 1 Diabetes: A BETTER Study.1型糖尿病患者预防与体育活动相关低血糖策略的性别差异：一项BETTER研究。
Diabetes Care. 2022 Mar 1;45(3):e51-e53. doi: 10.2337/dc21-1899.
8
A Randomized Crossover Trial Comparing Glucose Control During Moderate-Intensity, High-Intensity, and Resistance Exercise With Hybrid Closed-Loop Insulin Delivery While Profiling Potential Additional Signals in Adults With Type 1 Diabetes.一项随机交叉试验比较了在 1 型糖尿病成人中使用混合闭环胰岛素输送进行中等强度、高强度和阻力运动期间的血糖控制，并对潜在的其他信号进行了分析。
Diabetes Care. 2022 Jan 1;45(1):194-203. doi: 10.2337/dc21-1593.
9
Open-source automated insulin delivery: international consensus statement and practical guidance for health-care professionals.开源自动化胰岛素输送：面向医疗保健专业人员的国际共识声明和实用指南。
Lancet Diabetes Endocrinol. 2022 Jan;10(1):58-74. doi: 10.1016/S2213-8587(21)00267-9. Epub 2021 Nov 13.
10
Comparable Glucose Control with Fast-Acting Insulin Aspart Versus Insulin Aspart Using a Second-Generation Hybrid Closed-Loop System During Exercise.在运动期间使用第二代混合闭环系统时，门冬胰岛素快速起效制剂与门冬胰岛素实现可比的血糖控制。
Diabetes Technol Ther. 2022 Feb;24(2):93-101. doi: 10.1089/dia.2021.0221. Epub 2021 Oct 8.

1型糖尿病中自动胰岛素输注系统的实践要点及运动安全益处

Practical Aspects and Exercise Safety Benefits of Automated Insulin Delivery Systems in Type 1 Diabetes.

作者信息

Zaharieva Dessi P, Morrison Dale, Paldus Barbora, Lal Rayhan A, Buckingham Bruce A, O'Neal David N

机构信息

Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.

Department of Medicine, The University of Melbourne, Melbourne, Australia.

出版信息

Diabetes Spectr. 2023 May;36(2):127-136. doi: 10.2337/dsi22-0018. Epub 2023 May 15.

DOI:10.2337/dsi22-0018
PMID:37193203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10182962/
Abstract

Regular exercise is essential to overall cardiovascular health and well-being in people with type 1 diabetes, but exercise can also lead to increased glycemic disturbances. Automated insulin delivery (AID) technology has been shown to modestly improve glycemic time in range (TIR) in adults with type 1 diabetes and significantly improve TIR in youth with type 1 diabetes. Available AID systems still require some user-initiated changes to the settings and, in some cases, significant pre-planning for exercise. Many exercise recommendations for type 1 diabetes were developed initially for people using multiple daily insulin injections or insulin pump therapy. This article highlights recommendations and practical strategies for using AID around exercise in type 1 diabetes.

摘要

规律运动对于1型糖尿病患者的整体心血管健康和幸福感至关重要，但运动也可能导致血糖紊乱加剧。自动胰岛素输送（AID）技术已被证明可适度改善1型糖尿病成年患者的血糖达标时间（TIR），并显著改善1型糖尿病青少年患者的TIR。现有的AID系统仍需要用户对设置进行一些主动更改，并且在某些情况下，需要为运动进行大量预先规划。许多针对1型糖尿病的运动建议最初是为使用每日多次胰岛素注射或胰岛素泵治疗的人群制定的。本文重点介绍了在1型糖尿病运动期间使用AID的建议和实用策略。