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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)


1. Adolfsson P., Riddell M.C., Taplin C.E., Davis E.A., et al. ISPAD Clinical Practice Consensus Guidelines 2018: Exercise in children and adolescents with diabetes. Pediatr Diabetes. 2018; 19 (Suppl 27): 205-26. DOI: PMID: 30133095.

2. Kennedy A., Nirantharakumar K., Chimen M., et al. Does exercise improve glycaemic control in type 1 diabetes? A systematic review and meta-analysis. PLoS One. 2013; 8 (3): e58861.

3. Riddell M.C., Gallen I.W., Smart C.E., et al. Exercise management in type 1 diabetes: a consensus statement. Lancet Diabetes Endocrinol. 2017; 5 (5): 377-90.

4. Lin Y.K., Hung M., Sharma A., et al. Impaired awareness of hypoglyce-mia continues to be a risk factor for severe hypoglycemia despitethe use of continuous glucose monitoring system in type 1 diabetes. Endocr Pract. 2019; 25 (6): 517-25. DOI:

5. Campbell M.D., Walker M., Bracken R.M., et al. Insulin therapy and dietary adjustments to normalize glycemia and prevent nocturnal hypoglycemia after evening exercise in type 1 diabetes: a randomizedcontrolled trial. BMJ Open Diabetes Res Care. 2015; 3 (1): e000085. DOI:

6. Moser O., Riddell M.C., Eckstein M.L., Adolfsson P., et al. Glucose management for exercise using continuous glucose monitoring (CGM) and intermittently scanned CGM (isCGM) systems in type 1 diabetes: position statement of the European Association for the Study of Diabetes (EASD) and of the International Society for Pediatric and Adolescent Diabetes (ISPAD) endorsed by JDRF and supported by the American Diabetes Association (ADA). Diabetologia. 2020; 63 (12): 2501-20. DOI:; PMID: 33047169.

7. Salem M.A., Aboelasrar M.A., Elbarbary N.S., Elhilaly R.A., Refaat Y.M. Is exercise a therapeutic tool for improvement of cardiovascular risk factors in adolescents with type 1 diabetes mellitus? A randomised controlled trial. Diabetol Metab Syndr. 2010; 2 (1): 47. DOI:

8. D'hooge R., Hellinckx T., Van Laethem C., et al. Influence of combined aerobic and resistance training on metabolic control, cardiovascular fitness and quality of life in adolescents with type 1 diabetes: a randomized controlled trial. Clin Rehabil. 2011; 25 (4): 349-59. DOI:

9. Abraham M.B., Jones T.W., Naranjo D., Karges B., et al. ISPAD Clinical Practice Consensus Guidelines 2018: Assessment and management of hypoglycemia in children and adolescents with diabetes. Pediatr Diabetes. 2018; 19 (Suppl 27): 178-92. DOI:; PMID: 29869358.

10. Erie C., Van Name M.A., Weyman K., et al. Schooling diabetes: use ofcontin-uous glucose monitoring and remote monitors in the homeand school settings. Pediatr Diabetes. 2018; 19 (1): 92-7. DOI:

11. McTavish L., Corley B., Weatherall M., Wiltshire E., Krebs J.D. Weight-based carbohydrate treatment of hypoglycaemia in people with type 1 diabetes using insulin pump therapy: a randomized crossover clinical trial. Diabet Med. 2018; 35 (3): 339-46. DOI:

12. Battelino T., Danne T., Bergenstal R.M., Amiel S.A., et al. Clinical targets for continuous glucose monitoring data interpretation: recommendations from the international consensus on time in range. Diabetes Care. 2019; 42 (8): 1593-603. DOI:; PMID: 31177185.

13. American Diabetes Association Professional Practice Committee; American Diabetes Association Professional Practice Committee; Draznin B., Aroda V.R., Bakris G., Benson G., et al. 16. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022; 45 (Suppl 1): S 244-53. DOI:; PMID: 34964884.

14. Admon G., Weinstein Y., Falk B., et al. Exercise with and without an insulin pump among children and adolescents with type 1 diabetes mellitus. Pediatrics. 2005; 116 (3): e348-55. DOI:

15. Chetty T., Shetty V., Fournier P.A., Adolfsson P., et al. Exercise management for young people with type 1 diabetes: a structured approach to the exercise consultation. Front Endocrinol. 2019; 10: 326. DOI:

16. Franchini S., Comegna L., Prezioso G., Blasetti A. Hypoglycemia in children with type 1 diabetes: unawareness is a concrete risk. Curr Med Res Opin. 2016; 32 (9): 1487-91. DOI:

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)
Конгресс, посвященный Всемирному дню борьбы с ожирением
Эндокринология столицы - Московский городской съезд эндокринологов
Medicine today

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