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Biosensors 2018, 8(1), 22; https://doi.org/10.3390/bios8010022

Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus

1
Institut d’Informàtica i Aplicacions, Universitat de Girona, 17003 Girona, Spain
2
Federal University of Technology—Paraná (UTFPR), Guarapuava 85053-525, Brazil
3
Diabetes Unit, Endocrinology and Nutrition Department, Hospital Clínic Universitari, IDIBAPS (Institut d’investigacions Biomèdiques August Pi i Sunyer), 08036 Barcelona, Spain
4
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), 28029 Madrid, Spain
5
Instituto Universitario de Automática e Informática Industrial, Universitat Politècnica de València, 46022 Valencia, Spain
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Received: 31 January 2018 / Revised: 26 February 2018 / Accepted: 7 March 2018 / Published: 9 March 2018
(This article belongs to the Special Issue Continuous Glucose Monitoring)
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Abstract

Continuous glucose monitoring (CGM) plays an important role in treatment decisions for patients with type 1 diabetes under conventional or closed-loop therapy. Physical activity represents a great challenge for diabetes management as well as for CGM systems. In this work, the accuracy of CGM in the context of exercise is addressed. Six adults performed aerobic and anaerobic exercise sessions and used two Medtronic Paradigm Enlite-2 sensors under closed-loop therapy. CGM readings were compared with plasma glucose during different periods: one hour before exercise, during exercise, and four hours after the end of exercise. In aerobic sessions, the median absolute relative difference (MARD) increased from 9.5% before the beginning of exercise to 16.5% during exercise (p < 0.001), and then decreased to 9.3% in the first hour after the end of exercise (p < 0.001). For the anaerobic sessions, the MARD before exercise was 15.5% and increased without statistical significance to 16.8% during exercise realisation (p = 0.993), and then decreased to 12.7% in the first hour after the cessation of anaerobic activities (p = 0.095). Results indicate that CGM might present lower accuracy during aerobic exercise, but return to regular operation a few hours after exercise cessation. No significant impact for anaerobic exercise was found. View Full-Text
Keywords: continuous glucose monitoring; accuracy; exercise; physical activity; type 1 diabetes continuous glucose monitoring; accuracy; exercise; physical activity; type 1 diabetes
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Biagi, L.; Bertachi, A.; Quirós, C.; Giménez, M.; Conget, I.; Bondia, J.; Vehí, J. Accuracy of Continuous Glucose Monitoring before, during, and after Aerobic and Anaerobic Exercise in Patients with Type 1 Diabetes Mellitus. Biosensors 2018, 8, 22.

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