在马拉松比赛中使用先进的混合闭环系统:案例和临床影响
María T Onetto1, Denise Montt-Blanchard1,2, Cari Berget3
1School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Diabetes/metabolism research and reviews
|February 28, 2025
概括
在使用自动胰岛素输送系统 (AID) 进行马拉松期间管理1型糖尿病 (T1D) 需要个性化策略. 本案例系列强调了在比赛期间使用MiniMed 780G的三名T1D运动员成功控制血糖.
科学领域:
- 内分泌学 在内分泌学.
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 有氧训练和体育比赛对维持1型糖尿病 (T1D) 患者的目标葡萄糖水平构成重大挑战.
- 自动化胰岛素输送系统 (AID) 的使用越来越多,但运动管理仍然是T1D运动员的一个复杂问题.
- 本案例报告系列专注于使用MiniMed 780G AID系统的T1D马拉松运动员.
研究的目的:
- 介绍三例T1D运动员在马拉松比赛中使用MiniMed 780G系统的病例.
- 描述在体育比赛前,期间和之后使用的血糖管理策略.
- 评估这些策略在长时间运动期间对血糖控制的影响.
主要方法:
- 使用Medtronic CareLink平台远程访问胰岛素设置和血糖结果.
- 从体育手表和运动员采访中获得的比赛参数,包括碳水化合物摄入量和胰岛素调整.
- 分析了比赛前的血糖控制指标:范围内的时间 (TIR),范围以上的时间 (TAR) 和范围以下的时间 (TBR).
主要成果:
- 这三个案例的TIR比率分别为89%,76%和82%.
- 在比赛前的零食中应用了显著的胰岛素剂量减少 (-50%至-100%).
- 在比赛期间的碳水化合物消耗范围为0.39至0.5g/kg/小时,整个比赛都使用了临时目标设置.
结论:
- 马拉松期间成功的血糖管理是可以实现的T1D运动员使用AID系统与量身定制的策略.
- 个性化的教育,细致的规划和个性化的方法对于优化性能和安全至关重要.
- 这些见解可以指导医疗保健专业人员在强烈体力活动期间使用AID支持T1D运动员.
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