Influence of physical exercise on the accuracy of continuousglucose sensors in children and adolescents with Type 1 Diabetes mellitus
DOI:
https://doi.org/10.47197/retos.v74.113751Keywords:
Biomedical Technology, Clinical Medicine, Diabetic Complications, Hypoglycemia, Life Style, Self CareAbstract
Introduction and Objective: The objective of this study was to analyze the effect of duration, intensity and time of day of physical exercise on the accuracy of continuous blood glucose monitoring (CGM) sensors in children or adolescents aged 6 to 19 years with DM1.
Methodology: An observational study with a short follow-up (7 days) was carried out. Exercise was assessed using a physical activity report.
Results: The accuracy of the CGM was analyzed by %MARD considering cutoff points < 10%, ≤ 18% and ≤ 28%. The increase in time in minutes per week of physical exercise was related to the increase in the percentage of %MARD inadequate for clinical decision making for all cutoff points used. However, for the cutoff point of %MARD ≤ 28%, it was observed that days of physical exercise lasting >60 minutes increase inadequate %MARD (20.8%) for clinical decision-making when compared to <60 minutes of exercise on the day (15.2%) and days without exercise (10.4%).
Conclusion: Increasing the time of physical exercise per week can reduce the accuracy of the CGM blood glucose estimate, making it necessary to use capillary blood glucose measurements, especially in the presence of symptoms of hypoglycemia.
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