title: Recurrent nightly ketosis after prolonged exercise in type 1 diabetes - the need for glycogen replacement strategies. Case report and review of literature.
abstract: Exercise in diabetes patients has many benefits but also several risks, of which hypoglycemia is most often discussed. We present a case with recurrent keto-acidosis post-exercise, in which we hypothesize that glycogen replacement strategies were insufficient. Our experience in this case and review of the literature emphasize the importance of discussing glycogen replacement strategies with your diabetic athletes.
authors.affiliation: Department of Pediatric Endocrinology, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, the Netherlands. m.e.van.albada@umcg.nl.
authors.forename: M E
authors.initials: ME
authors.lastname: van Albada
authors.affiliation: Department of Pediatric Endocrinology, Beatrix Children's Hospital, University Medical Center Groningen, Groningen, the Netherlands.
authors.forename: W M
authors.initials: WM
authors.lastname: Bakker-van Waarde
mesh_terms: D000293:Adolescent; D056352:Athletes; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000188:drug therapy*; D016883:Diabetic Ketoacidosis / Q000209:etiology*; D015444:Exercise / Q000502:physiology*; D006003:Glycogen / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D005082:Physical Exertion / Q000502:physiology; D012008:Recurrence
chemical_list: D006003:Glycogen
keywords: T1DM; exercise; ketosis; liver glycogen