title: Metabolic control in type 1 diabetes patients practicing combat sports: at least two-year follow-up study.
abstract: BACKGROUND
  It is well recognized that physical activity should be an integral part of the management of diabetes. It remains controversial, however, whether combat sports, often preferred by young individuals type 1 diabetes mellitus (T1DM), may be performed without high risk of metabolic decompensation. The aim of this observational study was to summarize a two-year follow-up period of five young male patients with T1DM practicing combat sports under the care of a physical-activity oriented specialist diabetes outpatient clinic. Of the five patients, three mixed martial arts and two kick-boxing competitors were included in the study. To control glucose in each patient, an individual approach was used that took into consideration the type of training, the sequence of the exercises, and the relative proportion of different forms of exercise.
  
  
  RESULTS
  During the follow-up, glycemic control was improved and maintained in all individuals. Neither an episode of hospitalization-requiring diabetic ketoacidosis nor severe hypoglycemia occurred in these patients during the follow-up.
  
  
  CONCLUSIONS
  In conclusion, an individual approach for T1DM patients practicing combat sports may result in achieving and maintaining satisfactory glycemic control without increased risk of metabolic decompensation.
authors.affiliation: DiabWay Educational Enterprise, Krakow, Poland.
authors.forename: Teresa
authors.initials: T
authors.lastname: Benbenek-Klupa
authors.affiliation: Department of Metabolic Diseases, Jagiellonian University Medical College, Kopernika 15, Krakow, 31-501 Poland ; University Hosptal, Krakow, Poland.
authors.forename: Bartlomiej
authors.initials: B
authors.lastname: Matejko
authors.affiliation: Department of Metabolic Diseases, Jagiellonian University Medical College, Kopernika 15, Krakow, 31-501 Poland ; University Hosptal, Krakow, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Klupa
keywords: CSII; Combat sports; Diabetes; Insulin pump
references.citation: Diabetes Technol Ther. 2013 Jan;15(1):84-8
references.pmid: 23216304
references.citation: Int J Sports Physiol Perform. 2009 Dec;4(4):485-93
references.pmid: 20029099
references.citation: Diabetes Care. 2005 Jun;28(6):1289-94
references.pmid: 15920041
references.citation: Diabetes Care. 1987 Nov-Dec;10(6):716-21
references.pmid: 3322728
references.citation: J Athl Train. 2007 Oct-Dec;42(4):536-45
references.pmid: 18176622
references.citation: Diabetes Care. 2013 Dec;36(12):4163-5
references.pmid: 24130362
references.citation: Diabetes Care. 2013 Mar;36(3):537-42
references.pmid: 23172972
references.citation: Endocrine. 2015 Feb;48(1):164-9
references.pmid: 24798448
references.citation: Diabetes Care. 2006 Mar;29(3):601-6
references.pmid: 16505513
references.citation: Diabetes Care. 2007 May;30(5):1269-71
references.pmid: 17325264
references.citation: Diabetes Care. 2014 Jul;37(7):2034-54
references.pmid: 24935775
references.citation: Metabolism. 2004 Sep;53(9):1126-30
references.pmid: 15334372
references.citation: J Diabetes Sci Technol. 2008 Nov;2(6):1030-53
references.pmid: 19885292
references.citation: J Sports Med Phys Fitness. 2010 Dec;50(4):506-10
references.pmid: 21178938
references.citation: Diabetes Care. 2012 Apr;35(4):669-75
references.pmid: 22374639
references.citation: Ann Agric Environ Med. 2013;20(1):152-4
references.pmid: 23540230
references.citation: Am J Physiol Endocrinol Metab. 2007 Mar;292(3):E865-70
references.pmid: 17339500
references.citation: Can J Diabetes. 2013 Apr;37 Suppl 1:S40-4
references.pmid: 24070962
references.citation: Asian J Sports Med. 2014 Mar;5(1):21-9
references.pmid: 24868428
references.citation: Clin Sports Med. 2009 Jul;28(3):479-95
references.pmid: 19505628
references.citation: Scand J Med Sci Sports. 2015 Feb;25(1):e99-109
references.pmid: 24646137