title: Physical activity and type 1 diabetes: time for a rewire?
abstract: While being physically active bestows many health benefits on individuals with type 1 diabetes, their overall blood glucose control is not enhanced without an effective balance of insulin dosing and food intake to maintain euglycemia before, during, and after exercise of all types. At present, a number of technological advances are already available to insulin users who desire to be physically active with optimal blood glucose control, although a number of limitations to those devices remain. In addition to continued improvements to existing technologies and introduction of new ones, finding ways to integrate all of the available data to optimize blood glucose control and performance during and following exercise will likely involve development of "smart" calculators, enhanced closed-loop systems that are able to use additional inputs and learn, and social aspects that allow devices to meet the needs of the users.
authors.affiliation: Human Movement Sciences Department, Old Dominion University, Norfolk, VA, USA scolberg@odu.edu.
authors.forename: Sheri R
authors.initials: SR
authors.lastname: Colberg
authors.affiliation: William Sansum Diabetes Center, Santa Barbara, CA, USA.
authors.forename: Remmert
authors.initials: R
authors.lastname: Laan
authors.affiliation: Department of Chemical Engineering, University of California, Santa Barbara, CA, USA.
authors.forename: Eyal
authors.initials: E
authors.lastname: Dassau
authors.affiliation: William Sansum Diabetes Center, Santa Barbara, CA, USA.
authors.forename: David
authors.initials: D
authors.lastname: Kerr
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D015190:Blood Glucose Self-Monitoring; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000628:therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D007332:Insulin Infusion Systems; D008991:Monitoring, Physiologic; D009043:Motor Activity
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents
keywords: artificial pancreas; exercise; insulin; physical activity; technology; type 1 diabetes