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Quality in Sport

Barriers to Exercise in Type 1 Diabetes Patients and the Impact of Aerobic and Anaerobic Exercises on Blood Glucose Management: A Current Literature Review
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  • Barriers to Exercise in Type 1 Diabetes Patients and the Impact of Aerobic and Anaerobic Exercises on Blood Glucose Management: A Current Literature Review
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  3. Vol. 20 (2024) /
  4. Medical Sciences

Barriers to Exercise in Type 1 Diabetes Patients and the Impact of Aerobic and Anaerobic Exercises on Blood Glucose Management: A Current Literature Review

Authors

  • Karina Lissak Lower Silesian Oncology Center https://orcid.org/0009-0000-9084-4060
  • Bianka Nowińska 4. Military Clinical Hospital, Weigla Str. 5, 53-114 Wrocław, Poland https://orcid.org/0000-0003-2335-3207
  • Wiktoria Bińczyk Wrocław Medical University, Clinical Department of Diabetology and Internal Diseases, Borowska Str. 213, 50-566 Wrocław, Poland https://orcid.org/0009-0004-6600-9259
  • Olgierd Dróżdż Wrocław Medical University, Clinical Department of Diabetology and Internal Diseases, Borowska Str. 213, 50-556 Wrocław, Poland https://orcid.org/0009-0006-6134-9101
  • Bartosz Siudek A. Falkiewicz Specialist Hospital, Warszawska Str. 2, 52-114 Wrocław, Poland https://orcid.org/0009-0002-4053-9724
  • Anna Wiśniewska A. Falkiewicz Specialist Hospital, Warszawska Str. 2, 52-114 Wrocław, Poland https://orcid.org/0009-0000-6001-2167
  • Agata Konopka . Falkiewicz Specialist Hospital, Warszawska Str. 2, 52-114 Wrocław, Poland https://orcid.org/0009-0000-1004-0629
  • Zuzanna Szczepaniak Provincial Specialist Hospital in Wrocław, H. Kamieńskiego Str. 73a, 51-124 Wrocław, Poland https://orcid.org/0009-0004-8025-6037
  • Milena Orzeł Wrocław Medical University, wyb. Ludwika Pasteura 1, 50-367 Wrocław, Poland https://orcid.org/0009-0005-1303-2778
  • Bartłomiej Orzeł https://orcid.org/0009-0005-1303-2778 https://orcid.org/0009-0003-1442-6790
  • Maria Myślicka Wrocław Medical University, wyb. Ludwika Pasteura 1, 50-367 Wrocław, Poland https://orcid.org/0009-0000-6190-9128
  • Klaudia Włodarczyk Wrocław Medical University, wyb. Ludwika Pasteura 1, 50-367 Wrocław, Poland https://orcid.org/0009-0002-0779-8564

DOI:

https://doi.org/10.12775/QS.2024.20.54135

Keywords

physical activity, exercise, type 1 diabetes, aerobic exercise, anaerobic exercise, fear of hypoglycemia, continuous glucose monitoring system

Abstract

Engaging in regular physical activity (PA) is crucial for managing type 1 diabetes (T1D) effectively. PA helps reduce the risk of cardiovascular disease (CVD), lower total daily insulin requirements, improve endothelial function, enhance muscular strength, and boost psychological well-being and quality of life. However, individuals with T1D tend to engage in PA less frequently than their healthy peers due to various barriers, with the fear of hypoglycemia (FOH) being a significant factor that impacts quality of life and diabetes outcomes.

Understanding these barriers can increase awareness, improve comprehension, and enhance better support from non-diabetology specialists. This article aims to review the current literature on the primary limitations to regular PA, including continuous glucose management (CGM), in individuals with T1D. Additionally, we explore the impact of various types of PA on blood glucose management and overall well-being.

References

Katsarou, A., Gudbjörnsdottir, S., Rawshani, A. et al. Type 1 diabetes mellitus. Nat Rev Dis Primers 3, 17016 (2017). https://doi.org/10.1038/nrdp.2017.16

Bloomgarden Z., "Can type 1 diabetes be prevented or reversed?" J Diabetes. 2024 May;16(5):e13572. https://doi.org/10.1111/1753-0407.13572

Lu X, Zhao C. Exercise and Type 1 Diabetes. Adv Exp Med Biol. 2020;1228:107-121. https://doi.org/10.1007/978-981-15-1792-1_7

Akil AA, Yassin E, Al-Maraghi A, Aliyev E, Al-Malki K, Fakhro KA. Diagnosis and treatment of type 1 diabetes at the dawn of the personalized medicine era. J Transl Med. 2021 Apr 1;19(1):137. https://doi.org/10.1186/s12967-021-02778-6

Gregory GA, Robinson TIG, Linklater SE, Wang F, Colagiuri S, de Beaufort C, Donaghue KC; International Diabetes Federation Diabetes Atlas Type 1 Diabetes in Adults Special Interest Group; Magliano DJ, Maniam J, Orchard TJ, Rai P, Ogle GD. Global incidence, prevalence, and mortality of type 1 diabetes in 2021 with projection to 2040: a modelling study. Lancet Diabetes Endocrinol. 2022 Oct;10(10):741-760. https://doi.org/10.1016/S2213-8587(22)00218-2

Scott S, Kempf P, Bally L, Stettler C. Carbohydrate Intake in the Context of Exercise in People with Type 1 Diabetes. Nutrients. 2019 Dec 10;11(12):3017. https://doi.org/10.3390/nu11123017

Lascar N, Kennedy A, Hancock B, Jenkins D, Andrews RC, Greenfield S, Narendran P. Attitudes and barriers to exercise in adults with type 1 diabetes (T1DM) and how best to address them: a qualitative study. PLoS One. 2014 Sep 19;9(9):e108019. https://doi.org/10.1371/journal.pone.0108019

Patel H, Alkhawam H, Madanieh R, Shah N, Kosmas CE, Vittorio TJ. Aerobic vs anaerobic exercise training effects on the cardiovascular system. World J Cardiol. 2017 Feb 26;9(2):134-138. https://dx.doi.org/10.4330/wjc.v9.i2.134

Chamari K, Padulo J. 'Aerobic' and 'Anaerobic' terms used in exercise physiology: a critical terminology reflection. Sports Med Open. 2015 Dec;1(1):9. https://doi.org/10.1186/s40798-015-0012-1

Colberg SR, Laan R, Dassau E, Kerr D. Physical activity and type 1 diabetes: time for a rewire? J Diabetes Sci Technol. 2015 May;9(3):609-18. https://doi.org/10.1177/1932296814566231

Riddell MC, Zaharieva DP, Tansey M, Tsalikian E, Admon G, Li Z, Kollman C, Beck RW. Individual glucose responses to prolonged moderate intensity aerobic exercise in adolescents with type 1 diabetes: The higher they start, the harder they fall. Pediatr Diabetes. 2019 Feb;20(1):99-106. https://doi.org/10.1111/pedi.12799

Physical activity. Available online: https://www.who.int/news-room/fact-sheets/detail/physical-activity (accessed on 4.06.2024)

Fitzpatrick R, Davison G, Wilson JJ, McMahon G, McClean C. Exercise, type 1 diabetes mellitus and blood glucose: The implications of exercise timing. Front Endocrinol (Lausanne). 2022 Sep 28;13:1021800. https://doi.org/10.3389/fendo.2022.1021800

Przezak A, Bielka W, Molęda P. Fear of hypoglycemia-An underestimated problem. Brain Behav. 2022 Jul;12(7):e2633. https://doi.org/10.1002/brb3.2633

Understanding and Managing Low Blood Glucose (Hypoglycemia). Available online: https://diabetes.org/living-with-diabetes/treatment-care/hypoglycemia (accessed on 7.06.2024)

Cigrovski Berkovic M, Bilic-Curcic I, La Grasta Sabolic L, Mrzljak A, Cigrovski V. Fear of hypoglycemia, a game changer during physical activity in type 1 diabetes mellitus patients. World J Diabetes. 2021 May 15;12(5):569-577. https://dx.doi.org/10.4239/wjd.v12.i5.569

Rory H. Maclean, Peter Jacob, Pratik Choudhary, Simon R. Heller, Elena Toschi, Dulmini Kariyawasam, Augustin Brooks, Mike Kendall, Nicole de Zoysa, Linda A. Gonder-Frederick, Stephanie A. Amiel; Hypoglycemia Subtypes in Type 1 Diabetes: An Exploration of the Hypoglycemia Fear Survey-II. Diabetes Care 1 March 2022; 45 (3): 538–546. https://doi.org/10.2337/dc21-1120

Fear of Hypoglycemia (and Other Diabetes-Specific Fears). Available online: https://professional.diabetes.org/sites/default/files/media ada_mental_health_workbook_chapter_4.pdf (accessed on 11.06.2024)

Yardley JE, Kenny GP, Perkins BA, Riddell MC, Malcolm J, Boulay P, Khandwala F, Sigal RJ. Effects of performing resistance exercise before versus after aerobic exercise on glycemia in type 1 diabetes. Diabetes Care. 2012 Apr;35(4):669-75. https://doi.org/10.2337/dc11-1844

Houlder SK, Yardley JE. Continuous Glucose Monitoring and Exercise in Type 1 Diabetes: Past, Present and Future. Biosensors (Basel). 2018 Aug 3;8(3):73. https://doi.org/10.3390/bios8030073

Nwokolo M, Hovorka R. The Artificial Pancreas and Type 1 Diabetes. J Clin Endocrinol Metab. 2023 Jun 16;108(7):1614-1623. https://doi.org/10.1210/clinem/dgad068

Peters AL. The Evidence Base for Continuous Glucose Monitoring. 2018 Aug. In: Role of Continuous Glucose Monitoring in Diabetes Treatment. Arlington (VA): American Diabetes Association; 2018 Aug. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538970/ https://doi.org/10.2337/db20181-3

Moser O, Riddell MC, Eckstein ML, Adolfsson P, Rabasa-Lhoret R, van den Boom L, Gillard P, Nørgaard K, Oliver NS, Zaharieva DP, Battelino T, de Beaufort C, Bergenstal RM, Buckingham B, Cengiz E, Deeb A, Heise T, Heller S, Kowalski AJ, Leelarathna L, Mathieu C, Stettler C, Tauschmann M, Thabit H, Wilmot EG, Sourij H, Smart CE, Jacobs PG, Bracken RM, Mader JK. 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). Pediatr Diabetes. 2020 Dec;21(8):1375-1393. https://doi.org/10.1111/pedi.13105

Schubert-Olesen O, Kröger J, Siegmund T, Thurm U, Halle M. Continuous Glucose Monitoring and Physical Activity. Int J Environ Res Public Health. 2022 Sep 28;19(19):12296. https://doi.org/10.3390/ijerph191912296

Dovc K, Macedoni M, Bratina N, Lepej D, Nimri R, Atlas E, Muller I, Kordonouri O, Biester T, Danne T, Phillip M, Battelino T. Closed-loop glucose control in young people with type 1 diabetes during and after unannounced physical activity: a randomised controlled crossover trial. Diabetologia. 2017 Nov;60(11):2157-2167. https://doi.org/10.1007/s00125-017-4395-z

Breton MD, Brown SA, Karvetski CH, Kollar L, Topchyan KA, Anderson SM, Kovatchev BP. Adding heart rate signal to a control-to-range artificial pancreas system improves the protection against hypoglycemia during exercise in type 1 diabetes. Diabetes Technol Ther. 2014 Aug;16(8):506-11. https://doi.org/10.1089/dia.2013.0333

Jane E. Yardley, Glen P. Kenny, Bruce A. Perkins, Michael C. Riddell, Janine Malcolm, Pierre Boulay, Farah Khandwala, Ronald J. Sigal; Effects of Performing Resistance Exercise Before Versus After Aerobic Exercise on Glycemia in Type 1 Diabetes. Diabetes Care 1 April 2012; 35 (4): 669–675. https://doi.org/10.2337/dc11-1844

Yang, Z., Scott, C.A., Mao, C. et al. Resistance Exercise Versus Aerobic Exercise for Type 2 Diabetes: A Systematic Review and Meta-Analysis. Sports Med 44, 487–499 (2014). https://doi.org/10.1007/s40279-013-0128-8

Paldus B, Morrison D, Lee M, Zaharieva DP, Riddell MC, O'Neal DN. Strengths and Challenges of Closed-Loop Insulin Delivery During Exercise in People With Type 1 Diabetes: Potential Future Directions. J Diabetes Sci Technol. 2023 Jul;17(4):1077-1084. https://doi.org/10.1177/19322968221088327

Seget, S., Tekielak, A., Rusak, E., & Jarosz-Chobot, P. (2023). Commercial hybrid closed-loop systems available for a patient with type 1 diabetes in 2022. Pediatric Endocrinology Diabetes and Metabolism, 29(1), 30-36. https://doi.org/10.5114/pedm.2023.126359

Riddell MC, Gallen IW, Smart CE, Taplin CE, Adolfsson P, Lumb AN, Kowalski A, Rabasa-Lhoret R, McCrimmon RJ, Hume C, Annan F, Fournier PA, Graham C, Bode B, Galassetti P, Jones TW, Millán IS, Heise T, Peters AL, Petz A, Laffel LM. Exercise management in type 1 diabetes: a consensus statement. Lancet Diabetes Endocrinol. 2017 May;5(5):377-390. doi: 10.1016/S2213-8587(17)30014-1. Epub 2017 Jan 24. Erratum in: Lancet Diabetes Endocrinol. 2017 May;5(5):e3. https://doi.org/10.1016/S2213-8587(17)30014-1

Bally L, Zueger T, Pasi N, Carlos C, Paganini D, Stettler C. Accuracy of continuous glucose monitoring during differing exercise conditions. Diabetes Res Clin Pract. 2016 Feb;112:1-5. https://doi.org/10.1016/j.diabres.2015.11.012

Fazeli Farsani S, Brodovicz K, Soleymanlou N, Marquard J, Wissinger E, Maiese BA. Incidence and prevalence of diabetic ketoacidosis (DKA) among adults with type 1 diabetes mellitus (T1D): a systematic literature review. BMJ Open. 2017 Aug 1;7(7):e016587. https://doi.org/10.1136/bmjopen-2017-016587

Evans K. Diabetic ketoacidosis: update on management. Clin Med (Lond). 2019 Sep;19(5):396-398. https://doi.org/10.7861/clinmed.2019-0284

Salasa, Weronika, Seredyński, Tomasz, Mądry, Wojciech, Mazurkiewicz, Aleksandra, Kołodziej, Magdalena, Męczyńska, Joanna, Saiuk, Nazarii, Kozicz, Michał Andrzej, Wojciechowska, Adriana and Marcicka, Justyna. The impact of new glucose monitoring systems on parameters of diabetes metabolic control. Literature review. Journal of Education, Health and Sport. Online. 10 May 2024. Vol. 67, p. 50885. https://doi.org/10.12775/JEHS.2024.67.50885

Kwaśniak, Ksenia, Magierska, Agata, Foryś, Angelika, Miłek, Magdalena, Banach, Mariola, Ślusarczyk, Monika, Stawska, Weronika, Niemczyk, Anna, Kmiotek, Weronika and Kotowicz, Zuzanna. The effects of sugar addiction on health and the importance of exercise. Quality in Sport. Online. 5 June 2024. Vol. 19, p. 50908. https://doi.org/10.12775/QS.2024.19.50908

Alarcón-Gómez J, Chulvi-Medrano I, Martin-Rivera F, Calatayud J. Effect of High-Intensity Interval Training on Quality of Life, Sleep Quality, Exercise Motivation and Enjoyment in Sedentary People with Type 1 Diabetes Mellitus. Int J Environ Res Public Health. 2021 Nov 30;18(23):12612. https://doi.org/10.3390/ijerph182312612

Driscoll KA, Raymond J, Naranjo D, Patton SR. Fear of Hypoglycemia in Children and Adolescents and Their Parents with Type 1 Diabetes. Curr Diab Rep. 2016 Aug;16(8):77. https://doi.org/10.1007/s11892-016-0762-2

Ester Yeoh, Pratik Choudhary, Munachiso Nwokolo, Salma Ayis, Stephanie A. Amiel; Interventions That Restore Awareness of Hypoglycemia in Adults With Type 1 Diabetes: A Systematic Review and Meta-analysis. Diabetes Care 1 August 2015; 38 (8): 1592–1609. https://doi.org/10.2337/dc15-0102

Available online: https://diatribe.org/diabetes-management/bgat-blood-glucose-awareness-training (accessed on 13.07.2024)

Choudhary P, Rickels MR, Senior PA, Vantyghem MC, Maffi P, Kay TW, Keymeulen B, Inagaki N, Saudek F, Lehmann R, Hering BJ. Evidence-informed clinical practice recommendations for treatment of type 1 diabetes complicated by problematic hypoglycemia. Diabetes Care. 2015 Jun;38(6):1016-29. https://doi.org/10.2337/dc15-0090

Macon EL, Devore MH, Lin YK, Music MB, Wooten M, McMullen CA, Woodcox AM, Marksbury AR, Beckner Z, Patel BV, Schoeder LA, Iles AN, Fisher SJ. Current and future therapies to treat impaired awareness of hypoglycemia. Front Pharmacol. 2023 Oct 24;14:1271814. https://doi.org/10.3389/fphar.2023.1271814

Forga L, Chueca MJ, Tamayo I, Oyarzabal M, Toni M, Goñi MJ. Cyclical variation in the incidence of childhood-onset type 1 diabetes during 40 years in Navarra (Spain). Pediatr Diabetes. 2018 Dec;19(8):1416-1421. https://doi.org/10.1111/pedi.12758

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Published

2024-08-26

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LISSAK, Karina, NOWIŃSKA, Bianka, BIŃCZYK, Wiktoria, DRÓŻDŻ, Olgierd, SIUDEK, Bartosz, WIŚNIEWSKA, Anna, KONOPKA, Agata, SZCZEPANIAK, Zuzanna, ORZEŁ, Milena, ORZEŁ, Bartłomiej, MYŚLICKA, Maria and WŁODARCZYK, Klaudia. Barriers to Exercise in Type 1 Diabetes Patients and the Impact of Aerobic and Anaerobic Exercises on Blood Glucose Management: A Current Literature Review. Quality in Sport. Online. 26 August 2024. Vol. 20, p. 54135 . [Accessed 28 June 2025]. DOI 10.12775/QS.2024.20.54135.
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Vol. 20 (2024)

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Copyright (c) 2024 Karina Lissak, Bianka Nowińska, Wiktoria Bińczyk, Olgierd Dróżdż, Bartosz Siudek, Anna Wiśniewska, Agata Konopka, Zuzanna Szczepaniak, Milena Orzeł, Bartłomiej Orzeł, Maria Myślicka, Klaudia Włodarczyk

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