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1 . 2022

Effective use of the Flash glycemic monitoring system during exercise in children with type 1 diabetes mellitus


There is no doubt that regular physical activity (PA) is an essential part of the effective treatment of children and adolescents with type 1 diabetes mellitus (T1DM). Regular physical activity can improve insulin sensitivity with reduced insulin requirements, reduce the risk of macrovascular chronic complications of diabetes, achieve desired weight and improve the quality of life of patients with T1DM and their families. The results of recently published studies indicate a statistically significant association of regular physical activity, self-esteem and lower levels of glycated hemoglobin in children and adolescents. The lack of physical activity is closely associated with weight gain and obesity in patients with T1DM, which leads to a deterioration in the metabolic control of the disease.

Despite the obvious positive effects of exercise, fear of hypoglycaemia and other exercise-related fears, similar to those experienced by children without diabetes, are major barriers to an active lifestyle in children and adolescents with T1DM. Parental support is a key factor in involving children in an active lifestyle. However, parents of children with T1DM often report difficulties in compensating for glycemic variability against the background of both planned physical activity and spontaneous daily household activity typical of children.

Teaching the basics of the physiological response to a particular type of motor activity, along with teaching the nuances of insulin therapy, should be an integral part of not only teaching children with diabetes, their parents, friends, guardians, but also doctors who systematically monitor children and adolescents with T1DM.

Keywords:type 1 diabetes; physical activity; adolescents; glucose monitoring; hypoglycemia

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

For citation: Platonov V.V., Patrakeeva E.M., Dubinina T.A., Skorodok Yu.L. Effective use of the Flash glycemic monitoring system during exercise in children with type 1 diabetes mellitus. Endokrinologiya: novosti, mneniya, obuchenie [Endocrinology: News, Opinions, Training]. 2022; 11 (1): 53-64. DOI: (in Russian)


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Ametov Alexander S.
Honored Scientist of the Russian Federation, Doctor of Medical Sciences, Professor, Head of Subdepartment of Endocrinology, Head of the UNESCO Network Chair on the subject «Bioethics of diabetes as a global problem» of the Russian Medical Academy of Continuous Professional Education (Moscow)
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