Journal article

A Comparison of Glucose and Additional Signals for Three Different Exercise Types in Adolescents with Type 1 Diabetes Using a Hybrid Closed-Loop System

R Seckold, CE Smart, DN O’Neal, MC Riddell, J Rafferty, D Morrison, V Obeyesekere, JL Gooley, B Paldus, SR Valkenborghs, S Vogrin, DP Zaharieva, BR King

Diabetes Technology and Therapeutics | MARY ANN LIEBERT, INC | Published : 2025

Abstract

Objective: To compare glycemic outcomes during and following moderate-intensity exercise (MIE), high-intensity interval exercise (HIE), and resistance exercise (RE) in adolescents with type 1 diabetes (T1D) using a hybrid closed-loop (HCL) insulin pump while measuring additional physiological signals associated with activity. Methods: Twenty-eight adolescents (average age 16.3 – 2.1 years, 50% females, average duration of T1D 9.4 – 4 years) using HCL (Medtronic MiniMed 670G) undertook 40 min of MIE, HIE, and RE. A temporary glucose target (8.3 mmol/L, 150 mg/dL) was set for 2 h prior and during exercise. Heart rate, accelerometer, venous glucose, lactate, ketones, and counter-regulatory horm..

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