A qualitative exploration of attitudes towards physical activity, exercise and sport participation in people living with type one diabetes (T1D).

Mapping Intimacies ◽

10.31234/osf.io/nv63q ◽

2021 ◽

Author(s):

Rebecca Blackburn ◽

James Byron-Daniel

Keyword(s):

Physical Activity ◽

Sport Participation ◽

Diabetes Management ◽

Energy Levels ◽

Attitudes And Beliefs ◽

Type One Diabetes ◽

The Media ◽

Qualitative Exploration ◽

Improved Glycaemic Control

Regular exercise has many benefits such as increasing energy levels, reducing depressive symptoms, improving sleep quality and reducing the risk of chronic diseases. For people living with Type 1 diabetes (T1D) there are additional benefits such as increased insulin sensitivity, improved glycaemic control and a reduced risk of diabetes complications. Little research has been published which investigates attitudes towards exercise and sport in those with T1D and who are already active. Seven interviews were undertaken with already active people living with T1D, aged 24-81 years. The aim of the interviews were to explore the attitudes and beliefs that influenced already active people living with T1D towards physical activity, exercise and sport participation. Thematic analysis identified four themes: Motivations, Influences, Deterrents and Normalising participation. Latent analysis of the themes suggests that the factors that influence the attitudes of already active people living with T1D towards physical activity and sport participation are focused around the influence of peers, parents and the media, as stated in the Tripartite Model, motivation and level of diabetes management knowledge

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Association between Physical Activity and Sport Participation on Hemoglobin A1c Among Children and Adolescents with Type 1 Diabetes

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147490 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7490

Author(s):

Kristi M. King ◽

Jason R. Jaggers ◽

Lindsay J. Della ◽

Timothy McKay ◽

Sara Watson ◽

...

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Medical Records ◽

Hemoglobin A1c ◽

Pediatric Patients ◽

Sport Participation ◽

Multiple Linear Regression Model ◽

Significant Difference ◽

Hba1c Levels

Purpose: To determine associations between physical activity (PA) and sport participation on HbA1c levels in children with type 1 diabetes (T1D). Method: Pediatric patients with T1D were invited to complete a PA and sport participation survey. Data were linked to their medical records for demographic characteristics, diabetes treatment and monitoring plans, and HbA1c levels. Results: Participants consisted of 71 females and 81 males, were 13 ± 3 years old with an average HbA1c level of 8.75 ± 1.81. Children accumulating 60 min of activity 3 days or more a week had significantly lower HbA1c compared to those who accumulated less than 3 days (p < 0.01) of 60 min of activity. However, there was no significant difference in HbA1c values based on sport participation groups. A multiple linear regression model indicated that PA, race, age, duration of diagnosis, and CGM use all significantly predicted HbA1c (p < 0.05). Conclusion: This study demonstrated the significant relationship between daily PA and HbA1c. Those in this sample presented with lower HbA1c values even if accumulating less than the recommended number of days of activity. Further, it was shown that sport participation alone may not be adequate enough to impact HbA1c in a similar manner.

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Lost in Knowledge Translation: Media Framing of Physical Activity and Sport Participation

International Journal of Sport Communication ◽

10.1123/ijsc.2019-0040 ◽

2019 ◽

Vol 12 (4) ◽

pp. 509-530

Author(s):

Mark Dottori ◽

Guy Faulkner ◽

Ryan Rhodes ◽

Norm O’Reilly ◽

Leigh Vanderloo ◽

...

Keyword(s):

Physical Activity ◽

Public Relations ◽

Sport Participation ◽

Media Framing ◽

Public Relations Practitioners ◽

Semistructured Interviews ◽

Explanatory Mixed Methods ◽

The Media ◽

High Level

This study explored the frame-setting and frame-sending process of media who reported on the 2015 ParticipACTION Report Card on Physical Activity for Children and Youth. Through the use of a case-study method employing a sequential explanatory mixed-methods approach (content analysis followed by semistructured interviews), the findings revealed a high level of frame-sending characteristics by the media, and the framing of stories was found to be influencing the message being sent, making it different from the original messaging sent by public relations practitioners charged with dispersing information. Theoretical and practical contributions are discussed along with suggestions for future studies.

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Can Smart Pens Help Improve Diabetes Management?

Journal of Diabetes Science and Technology ◽

10.1177/1932296820965600 ◽

2020 ◽

pp. 193229682096560

Author(s):

Sarah L. Sy ◽

Medha M. Munshi ◽

Elena Toschi

Keyword(s):

Physical Activity ◽

Bolus Dose ◽

Diabetes Management ◽

Mobile Apps ◽

The Past ◽

Continuous Glucose Monitors ◽

The Relationship ◽

Insight Into

Smart pen technology has evolved over the past decade with new features such as Bluetooth connectivity, bolus dose calculators, and integration with mobile apps and continuous glucose monitors. While similar in appearance to a traditional insulin pen, smart pens have the ability to record and store data of insulin injections. These devices have the potential to transform diabetes management for clinicians, and patients with type 1 and type 2 diabetes on insulin therapy by improving adherence, glycemic control, and addressing barriers to diabetes management. Smart pens can also highlight the relationship between insulin, food, and physical activity, and provide insight into optimizing insulin regimens. Education of clinicians and patients, and more clinical studies showing the benefits of smart pens and cost-effectiveness, are needed.

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2 Advances in oral and insulin treatments for diabetes

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2019-fpm.2 ◽

2019 ◽

Vol 95 (1130) ◽

pp. 685.2-685

Author(s):

Tahseen A Chowdhury

Keyword(s):

Type 2 Diabetes ◽

Diabetes Management ◽

New Technology ◽

Microvascular Complications ◽

Tight Glucose Control ◽

Cardiovascular Risk Reduction ◽

Important Condition ◽

Improved Glycaemic Control

Prevalence of type 2 diabetes is rising worldwide, and adding significant burdens of morbidity, mortality and financial costs to healthcare systems worldwide. Whilst cardiovascular risk reduction is central to diabetes management, improved glycaemic control remains an important aim of management, in order to reduce the risk of microvascular complications.In this presentation, I hope to remind the audience why diabetes is such an important condition, to review the evidence behind tight glucose control, and to assess the options and evidence behind newer oral and injectable therapies in the management of glucose in type 2 diabetes. I will also discuss recent studies concerning the prevention and remission of type 2 diabetes.Finally, I hope to highlight the huge potential value of new technology in the management of Type 1 diabetes, which is set to change the treatment of this condition completely in the next few years.

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Physical Activity, Dietary Patterns, and Glycemic Management in Active Individuals with Type 1 Diabetes: An Online Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18179332 ◽

2021 ◽

Vol 18 (17) ◽

pp. 9332

Author(s):

Sheri R. Colberg ◽

Jihan Kannane ◽

Norou Diawara

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Online Survey ◽

Diabetes Management ◽

Physically Active ◽

Glucose Levels ◽

Blood Glucose Levels ◽

And Performance ◽

Glycemic Management

Individuals with type 1 diabetes (T1D) are able to balance their blood glucose levels while engaging in a wide variety of physical activities and sports. However, insulin use forces them to contend with many daily training and performance challenges involved with fine-tuning medication dosing, physical activity levels, and dietary patterns to optimize their participation and performance. The aim of this study was to ascertain which variables related to the diabetes management of physically active individuals with T1D have the greatest impact on overall blood glucose levels (reported as A1C) in a real-world setting. A total of 220 individuals with T1D completed an online survey to self-report information about their glycemic management, physical activity patterns, carbohydrate and dietary intake, use of diabetes technologies, and other variables that impact diabetes management and health. In analyzing many variables affecting glycemic management, the primary significant finding was that A1C values in lower, recommended ranges (<7%) were significantly predicted by a very-low carbohydrate intake dietary pattern, whereas the use of continuous glucose monitoring (CGM) devices had the greatest predictive ability when A1C was above recommended (≥7%). Various aspects of physical activity participation (including type, weekly time, frequency, and intensity) were not significantly associated with A1C for participants in this survey. In conclusion, when individuals with T1D are already physically active, dietary changes and more frequent monitoring of glucose may be most capable of further enhancing glycemic management.

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Levels of Physical Activity in Children and Adolescents with Type 1 Diabetes in Relation to the Healthy Comparators and to the Method of Insulin Therapy Used

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16183498 ◽

2019 ◽

Vol 16 (18) ◽

pp. 3498 ◽

Cited By ~ 3

Author(s):

Ewelina Czenczek-Lewandowska ◽

Justyna Leszczak ◽

Joanna Baran ◽

Aneta Weres ◽

Justyna Wyszyńska ◽

...

Keyword(s):

Physical Activity ◽

Insulin Therapy ◽

Children And Adolescents ◽

Insulin Pump ◽

Physical Exertion ◽

Median Number ◽

Activity Level ◽

Type One Diabetes ◽

Glucose Fluctuations

Given the fact that physical exertion leads to blood glucose fluctuations, type one diabetes mellitus (T1D) may potentially constitute a barrier for obtaining a sufficient amount of exercise. The main purpose of the study was to compare the level of physical activity between children with T1D (n = 215) and healthy controls (n = 115) and to assess the physical activity of the study group in relation to the applied method of insulin therapy, i.e., the use of insulin pen vs. insulin pump. The level of physical activity was assessed with a hip-worn tri-axial accelerometer (ActiGraph GT3X+) used by the subjects for an uninterrupted period of seven days. Children with T1D had significantly lower median values of total time of moderate (213.3 vs. 272.1 min), vigorous (135.3 vs. 19.6 min) and moderate-to-vigorous (347.4 vs. 467.4 min) physical activity compared to healthy peers respectively, (p < 0.001) in all cases. In addition, the total median number of steps was significantly lower (53,631 vs. 67,542 steps), (p < 0.001). The method of insulin therapy was not associated with significant differences in physical activity level (p > 0.001). The level of physical activity in children and adolescents with T1D is lower than in their healthy peers and does not depend on the insulin therapy method.

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Is Having Better Knowledge on Type 1 Diabetes Management Associated With Lower Reported Hypoglycemic Risk During and After Physical Activity?

Canadian Journal of Diabetes ◽

10.1016/j.jcjd.2021.09.013 ◽

2021 ◽

Vol 45 (7) ◽

pp. S3

Author(s):

Karine Paiement ◽

Valerie Frenette ◽

Zekai Wu ◽

Corinne Suppere ◽

Virginie Messier ◽

...

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Diabetes Management

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What the COVID-19 Pandemic Showed Us: Limited Time Resources as an Important Factor of Diabetes Management

Kompass Nutrition & Dietetics ◽

10.1159/000512845 ◽

2020 ◽

Vol 1 (1) ◽

pp. 22-24

Author(s):

Zoe Pafili

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Diabetes Management ◽

Health Behaviours ◽

Self Management ◽

Online Questionnaire ◽

Patients With Diabetes ◽

Negative Effect ◽

The Impact

COVID-19 related restrictions aimed at curbing the spread of the coronavirus result in changes in daily routines and physical activity which can have a negative effect on eating and health habits. The aim of the study was to assess the impact of the COVID-19 pandemic on patients with diabetes and their nutrition and health behaviours. A survey conducted in July 2020 included 124 individuals with type 1 (n = 90) and 2 (n = 34) diabetes mellitus from Poland. To assess nutritional and health behaviours, an online questionnaire covering basic information, anthropometric data, and details regarding physical activity, eating, and hygiene habits was used. Almost 40% of all respondents with type 1 and 2 diabetes mellitus (DM) stated that their disease self-management had significantly improved. Over 60% of all participants declared that they had started eating more nutritious and regular meals during the COVID-19 pandemic. Enhanced hygiene, in particular, during the period, a statistically significant increase in hand sanitiser use was reported by respondents (18% vs. 82%, p < 0.001). The study demonstrated that the pandemic had a significant impact on the behaviour of patients with DM. Improved disease self-management and making healthy, informed food and hygiene choices were observed.

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