Type 1 diabetes

Fear of hypoglycemia relates to glycemic levels during and after real‐world physical activity in adolescents with type 1 diabetes

Diabet MedPublished Secondary analysis of the T1DEXIP study

Authors' conclusion

FH relates to glycaemia during and after exercise in adolescents with T1D and may signal an inclination for some youth to engage in avoidance behaviours to reduce their vulnerability to exercise-induced hypoglycaemia.

Study context

Population
Physically active youth with T1D; mean age 14 ± 2 years, 55% closed loop pump, 42% women
Participants
251 participants
Comparison
Higher vs lower fear of hypoglycaemia
Primary endpoint
Glycaemia during and after exercise sessions by fear of hypoglycaemia (HFS-C)
Methodological detailsreal-world, Self-reported food intake and insulin dosing (MDI only) via smartphone app; pump and CGM data collected from device
  • Real-world
  • Self-reported food intake and insulin dosing (MDI only) via smartphone app; pump and CGM data collected from device

Primary result

As reported in the abstract

  • Highest Maintain High Blood Glucose scores: lowest % time in range, higher mean glucose and higher % time above range during exercise
  • Highest Maintain High Blood Glucose scores: tended to higher mean glucose post-exercise and smaller glucose drop during exercise
  • Higher Hypoglycaemia Fear Survey-Child (HFS-C) Total and Helplessness/Worry scores: slightly fewer competitive and fewer high intensity exercise events vs lower scores

Original publication

Fear of hypoglycemia relates to glycemic levels during and after real‐world physical activity in adolescents with type 1 diabetes. Diabet Med. Published 8 December 2024. doi:10.1111/dme.15482

Composed by AI from the published abstract and checked against it. How Briefs are made →

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