title: Blood glucose levels and performance in a sports cAMP for adolescents with type 1 diabetes mellitus: a field study.
abstract: Background. Acute hypo- and hyperglycemia causes cognitive and psychomotor impairment in individuals with type 1 diabetes mellitus (T1DM) that may affect sports performance. Objective. To quantify the effect of concurrent and antecedent blood glucose concentrations on sports skills and cognitive performance in youth with T1DM attending a sports camp. Design/Methods. 28 youth (ages 6-17 years) attending a sports camp carried out multiple skill-based tests (tennis, basketball, or soccer skills) with glucose monitoring over 4 days. Glucose levels at the time of testing were categorized as (a) hypoglycemic (<3.6 mM); (b) within an acceptable glycemic range (3.6-13.9 mM); or (c) hyperglycemic (>13.9 mM). Results. Overall, sports performance skill was approximately 20% lower when glucose concentrations were hypoglycemic compared to either acceptable or hyperglycemic at the time of skill testing (P < .05). During Stroop testing, "reading" and "color recognition" also degraded during hypoglycemia, while "interference" scores improved (P < .05). Nocturnal hypoglycemia was present in 66% of subjects, lasting an average of 84 minutes, but this did not affect sports skill performance the following day. Conclusions. Mild hypoglycemia markedly reduces sports skill performance and cognition in young athletes with T1DM.
authors.affiliation: School of Kinesiology and Health Science, Muscle Health Research Centre, Physical Activity and Diabetes Unit, York University, 4700 Keele Street, Toronto, ON, Canada M3J 1P3.
authors.forename: Dylan
authors.initials: D
authors.lastname: Kelly
authors.forename: Jill K
authors.initials: JK
authors.lastname: Hamilton
authors.forename: Michael C
authors.initials: MC
authors.lastname: Riddell
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