Monitoring Exercise-Induced Changes in Glycemic Control in Type 2 Diabetes.

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Title: Monitoring Exercise-Induced Changes in Glycemic Control in Type 2 Diabetes.
Authors: MacDonald, Adam L.1,2 alm7@brighton.ac.uk, Philp, Andrew2, Harrison, Moira1, Bone, Adrian J.1, Watt, Peter W.2
Source: Medicine & Science in Sports & Exercise. Feb2006, Vol. 38 Issue 2, p201-207. 7p.
Subject Terms: *Exercise, Type 2 diabetes, Blood sugar monitoring, Venous pressure, Blood sugar, Glycemic index, Confidence intervals, Blood pressure, Medical equipment
Abstract: Purpose: The present study determined the efficacy of the Continuous Glucose Monitoring System (CGMS) during moderate exercise and monitored the changes in whole-day glucose profiles using the CGMS in individuals with and without type 2 diabetes. Methods: Six, obese, diet-treated individuals with and four age-matched individuals without type 2 diabetes were monitored using the CGMS for 3 d. Subjects cycled at 90% of a predetermined lactate threshold for 1 h at approximately 09:00 h on day 2, during which venous blood was sampled at 10-min intervals and immediately analyzed for glucose concentrations. Results: Venous blood glucose and CGMS values declined during exercise in the diabetes (P < 0.001) but not the control group (P = 0.085). The CGMS overestimated blood glucose in the control (P = 0.003) and the diabetes (P = 0.045) groups during exercise. The number of data points outside of the 95% confidence intervals was <5% in both groups, showing that there is a statistically acceptable level of agreement between venous blood glucose and CGMS values during exercise. Moderate exercise improved whole-day average glucose concentrations (P = 0.007) and whole-day area under the glucose curve (P = 0.016) values (AUCglu), and the time spent within ±10% of fasting venous glucose (FVG) increased in the diabetes group (P = 0.021). No such effects were seen in the control group. Conclusion: Using continuous glucose monitoring we were able to demonstrate that a period of moderate exercise improved whole-day glycemic control in obese individuals with type 2 diabetes. The CGMS should only be used as an adjunct and not as an alternative to frequent blood glucose sampling when examining the changes in glucose values during exercise in individuals with and without type 2 diabetes. [ABSTRACT FROM AUTHOR]
Copyright of Medicine & Science in Sports & Exercise is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Monitoring Exercise-Induced Changes in Glycemic Control in Type 2 Diabetes.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22MacDonald%2C+Adam+L%2E%22&quot;&gt;MacDonald, Adam L.&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt;&lt;i&gt; alm7@brighton.ac.uk&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Philp%2C+Andrew%22&quot;&gt;Philp, Andrew&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Harrison%2C+Moira%22&quot;&gt;Harrison, Moira&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bone%2C+Adrian+J%2E%22&quot;&gt;Bone, Adrian J.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Watt%2C+Peter+W%2E%22&quot;&gt;Watt, Peter W.&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Medicine+%26+Science+in+Sports+%26+Exercise%22&quot;&gt;Medicine &amp; Science in Sports &amp; Exercise&lt;/searchLink&gt;. Feb2006, Vol. 38 Issue 2, p201-207. 7p.
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  Data: *&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Exercise%22&quot;&gt;Exercise&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Type+2+diabetes%22&quot;&gt;Type 2 diabetes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Blood+sugar+monitoring%22&quot;&gt;Blood sugar monitoring&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Venous+pressure%22&quot;&gt;Venous pressure&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Blood+sugar%22&quot;&gt;Blood sugar&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Glycemic+index%22&quot;&gt;Glycemic index&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Confidence+intervals%22&quot;&gt;Confidence intervals&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Blood+pressure%22&quot;&gt;Blood pressure&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+equipment%22&quot;&gt;Medical equipment&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The present study determined the efficacy of the Continuous Glucose Monitoring System (CGMS) during moderate exercise and monitored the changes in whole-day glucose profiles using the CGMS in individuals with and without type 2 diabetes. Methods: Six, obese, diet-treated individuals with and four age-matched individuals without type 2 diabetes were monitored using the CGMS for 3 d. Subjects cycled at 90% of a predetermined lactate threshold for 1 h at approximately 09:00 h on day 2, during which venous blood was sampled at 10-min intervals and immediately analyzed for glucose concentrations. Results: Venous blood glucose and CGMS values declined during exercise in the diabetes (P &lt; 0.001) but not the control group (P = 0.085). The CGMS overestimated blood glucose in the control (P = 0.003) and the diabetes (P = 0.045) groups during exercise. The number of data points outside of the 95% confidence intervals was &lt;5% in both groups, showing that there is a statistically acceptable level of agreement between venous blood glucose and CGMS values during exercise. Moderate exercise improved whole-day average glucose concentrations (P = 0.007) and whole-day area under the glucose curve (P = 0.016) values (AUCglu), and the time spent within &#177;10% of fasting venous glucose (FVG) increased in the diabetes group (P = 0.021). No such effects were seen in the control group. Conclusion: Using continuous glucose monitoring we were able to demonstrate that a period of moderate exercise improved whole-day glycemic control in obese individuals with type 2 diabetes. The CGMS should only be used as an adjunct and not as an alternative to frequent blood glucose sampling when examining the changes in glucose values during exercise in individuals with and without type 2 diabetes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Medicine &amp; Science in Sports &amp; Exercise is the property of Lippincott Williams &amp; Wilkins and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1249/01.mss.0000183852.31164.5a
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 7
        StartPage: 201
    Subjects:
      – SubjectFull: Exercise
        Type: general
      – SubjectFull: Type 2 diabetes
        Type: general
      – SubjectFull: Blood sugar monitoring
        Type: general
      – SubjectFull: Venous pressure
        Type: general
      – SubjectFull: Blood sugar
        Type: general
      – SubjectFull: Glycemic index
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Blood pressure
        Type: general
      – SubjectFull: Medical equipment
        Type: general
    Titles:
      – TitleFull: Monitoring Exercise-Induced Changes in Glycemic Control in Type 2 Diabetes.
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            NameFull: MacDonald, Adam L.
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            NameFull: Philp, Andrew
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            NameFull: Harrison, Moira
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            NameFull: Bone, Adrian J.
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            NameFull: Watt, Peter W.
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              Text: Feb2006
              Type: published
              Y: 2006
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              Value: 38
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              Value: 2
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            – TitleFull: Medicine & Science in Sports & Exercise
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