Nighttime Hypoglycemia in Children with Type 1 Diabetes after one Day
of Football Tournament

Mikołaj Kamiński; Andrzej Gawrecki; Aleksandra Araszkiewicz; Agnieszka Szadkowska; Bogda Skowrońska; Witold Stankiewicz; Arkadiusz Michalak; Aleksandra Cieluch; Katarzyna Dżygało; Sebastian Seget; Grzegorz Biegański; Anna Adamska; Katarzyna Ksiądz; Elektra Szymańska-Garbacz; Justyna Flotyńska; Dorota Zozulinska-Ziolkiewicz

doi:10.1055/a-1192-5992

International Journal of Sports Medicine, Table of Contents

Int J Sports Med 2020; 41(13): 972-980
DOI: 10.1055/a-1192-5992

Clinical Sciences

Nighttime Hypoglycemia in Children with Type 1 Diabetes after one Day of Football Tournament

Authors

Mikołaj Kamiński‡

¹Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
Andrzej Gawrecki ‡

¹Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
Aleksandra Araszkiewicz

¹Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
Agnieszka Szadkowska

²Department of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland
Bogda Skowrońska

³Department of Pediatric Diabetes and Obesity, Poznan University of Medical Sciences, Poznan, Poland
Witold Stankiewicz

³Department of Pediatric Diabetes and Obesity, Poznan University of Medical Sciences, Poznan, Poland
Arkadiusz Michalak

²Department of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland
Aleksandra Cieluch

¹Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
Katarzyna Dżygało

⁴Department of Pediatrics, Medical University of Warsaw, Warszawa, Poland
Sebastian Seget

⁵Department of Children’s Diabetology, Medical University of Silesia, Katowice, Poland
Grzegorz Biegański

⁶Department of Infectious Diseases and Child Neurology, Poznan University of Medical Sciences, Poznan, Poland
Anna Adamska

¹Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
Katarzyna Ksiądz

¹Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
Elektra Szymańska-Garbacz

⁷Department of Internal Medicine and Nephrodiabetology, Medical University of Lodz, Lodz, Poland
Justyna Flotyńska

¹Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
Dorota Zozulinska-Ziolkiewicz

¹Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland

Abstract

The aim of the study was to investigate factors related to the occurrence of nighttime hypoglycemia after a football tournament in children with type 1 diabetes mellitus. The multicenter study (GoalDiab study) included 189 children and adolescents with type 1 diabetes mellitus, from 11 diabetes care centers in Poland. Hypoglycemia was defined according to the International Hypoglycemia Study Group Statement. We analyzed the data of 95 participants with completed protocols with regards to nighttime hypoglycemia (82% male), aged 11.6 (9.8–14.2) years, diabetes duration 5.0 (2.0–8.0) years. There were 47 episodes of nighttime Level 1 hypoglycemia (≤3.9 mmol/L). Occurrence of clinically important Level 2 hypoglycemia (<3.0 mmol/L) during a game period was positively associated with nighttime hypoglycemia (≤3.9 mmol/L) incident (Odds Ratio=10.7; 95% Confidence Interval: 1.1–100.2; p=0.04). Using Continuous Glucose Monitoring was negatively associated with the occurrence of nighttime hypoglycemia (≤3.9 mmol/L) compared with using glucose meters or Flash Glucose Monitoring (Odds Ratio=0.31; 95% Confidence Interval: 0.12–0.83; p=0.02). The occurrence of clinically important hypoglycemia related to physical activity is associated with the occurrence of hypoglycemia during the night. Continuous Glucose Monitoring is negatively associated with nighttime hypoglycemia after a day of competition.

Key words

type 1 diabetes - exercise - nighttime hypoglycemia - football

Full Text

References

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Supplementary Material

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