Integrating Physical Activity Strategies to Lower Hyperglycaemia in Structured Education Programmes for Children and Young People with Type 1 Diabetes Improves Glycaemic Control without Augmenting the Risk of Hypoglycaemia
Authors' conclusion
Increasing the use of moderate-intensity activity to lower hyperglycaemia between meals is associated with improved glucose control without increasing hypoglycaemia for CYPD.
Study context
- Population
- Children and young people with T1D attending CGM education, taught moderate-intensity activity to lower high glucose between meals; single tertiary centre, 2019–2022; mean age 12.3 years
- Participants
- 125 children
- Exposure
- Moderate vs mild vs low activity to lower hyperglycaemia between meals
- Moderaten = 45
- Mildn = 43
- Lown = 37reference
- Outcome
- Glucose metrics by activity group
- Follow-up
- 6 months
Methodological detailssingle tertiary centre
- Single tertiary centre
Main finding
As reported in the abstract
Glucose metrics by activity group · 6 months
TIR Moderate 68.0% · Mild 59.71 · Low 51.1% · P < 0.001
TAR Moderate 29.9% · Mild 38.3% · Low 45.3% · P < 0.001
- Between Moderate and Low: P < 0.001 — HbA1c across moderate, mild and low groups
Observational data: associations, not effects.
Further findings
HbA1c, whole cohort · baseline to 6 months
Mmol/mol
- HbA1c at baseline (mean ±SD)
- 58.5 (±8.6)
- HbA1c at 6 months (mean ±SD)
- 54.9 (±7.2)
- p < 0.001
Safety
| Outcome | P value |
|---|---|
| TBR (<3.9 mmol/L) · 6 monthsBetween Moderate and Low · across moderate, mild and low activity groups | P = 0.408 |
Time below range (TBR) (<3.9 mmol/L) · 6 months
- No association found for TBR across activity groups
Original publication
Integrating Physical Activity Strategies to Lower Hyperglycaemia in Structured Education Programmes for Children and Young People with Type 1 Diabetes Improves Glycaemic Control without Augmenting the Risk of Hypoglycaemia. Pediatr Diabetes. Published 5 July 2023. doi:10.
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