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Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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Updated: Aug 8, 2025

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Reducing Sitting Time in Type 1 Diabetes: Considerations and Implications.

Anwar M Alobaid1, Paddy C Dempsey2, Monique Francois3

  • 1School of Food Science and Nutrition, University of Leeds, Leeds, United Kingdom; Ministry of Health, Farwaniya Hospital, Kuwait City, Kuwait.

Canadian Journal of Diabetes
|March 5, 2023
PubMed
Summary
This summary is machine-generated.

Reducing sedentary time by taking frequent activity breaks may benefit people with type 2 diabetes (T2D). This review explores if similar benefits apply to type 1 diabetes (T1D) management.

Keywords:
comportement sédentairecontrôle de la glycémiediabète de type 1glycemic managementinterrupted sittingposition assise interrompuesanté vasculairesedentary behaviourtype 1 diabetesvascular health

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Area of Science:

  • Endocrinology
  • Metabolic Health
  • Diabetes Management

Background:

  • Sedentary behaviors are prevalent, linked to poor cardiometabolic health.
  • Interrupting sitting improves glucose control in type 2 diabetes (T2D).
  • Evidence for type 1 diabetes (T1D) is limited.

Purpose of the Study:

  • To review the application of sedentary behavior interventions in T1D.
  • To assess the potential benefits and safety of reducing sitting time in T1D.

Main Methods:

  • Literature review of studies on sedentary behavior and diabetes.
  • Analysis of existing evidence for T2D interventions.
  • Extrapolation of findings to the T1D population.

Main Results:

  • Short activity breaks acutely improve glucose management in T2D.
  • Current guidelines recommend breaking up sedentary time for T2D.
  • Limited data exists on T1D and sedentary behavior reduction.

Conclusions:

  • Further research is needed to establish the efficacy and safety of reducing sedentary behavior in T1D.
  • Interventions targeting sedentary time may offer benefits for T1D management.
  • Tailoring sedentary behavior interventions for T1D is crucial.