一名患有1型糖尿病的优秀运动员在比赛中的高血糖相关焦虑：一例报告。

IF 4.6 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes & metabolism Pub Date : 2023-09-01 DOI:10.1016/j.diabet.2023.101476

Alexandra Katz , Aidan Shulkin , Meryem K. Talbo , Asmaa Housni , Jane Yardley , Anne-Sophie Brazeau , Rémi Rabasa-Lhoret

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引用次数: 0

摘要

目的：对于患有1型糖尿病（T1D）的精英运动员来说，在剧烈体育活动中控制血糖（BG）水平是一项挑战，因为它会导致不可预测的高血糖或低血糖，从而影响表现。这项案例研究介绍了一名18岁的男冰球守门员在比赛中出现高血糖相关焦虑及其对T1D管理的影响。方法：混合方法，结合非结构化访谈的定性数据和高血糖回避量表的回答，以及从Diasend和实验室结果中检索的定量数据。结果：运动员在高血糖期间会出现身体和认知症状，影响其表现。高血糖相关的焦虑会影响比赛日的胰岛素剂量调整和饮食习惯。血糖变异性分析显示比赛期间血糖水平较低。结论：高血糖相关的焦虑导致比赛日治疗和生活方式的改变。需要为患有T1D和高血糖相关焦虑症的精英运动员量身定制治疗方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Hyperglycemia-related anxiety during competition in an elite athlete with type 1 diabetes: A case report

Aim

Managing blood glucose (BG) levels during intense physical activity is challenging for elite athletes with type 1 diabetes (T1D), as it can lead to unpredictable hyper- or hypoglycemia, which can affect performance. This case study presents an 18-year-old male hockey goalie with hyperglycemia-related anxiety during competition and its impact on his T1D management.

Methods

Mixed-methods approach, incorporating qualitative data from an unstructured interview and responses from the Hyperglycemia Avoidance Scale along with quantitative data retrieved from Diasend and laboratory results.

Results

The athlete experiences physical and cognitive symptoms during hyperglycemia, affecting his performance. Hyperglycemia-related anxiety influences insulin dosage adjustments and eating habits on game days. Glycemic variability analysis reveals lower BG levels during game time.

Conclusion

Hyperglycemia-related anxiety leads to modified therapeutic and lifestyle regimens on competition day. Tailored treatment programs are needed for elite athletes with T1D and hyperglycemia-related anxiety.

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来源期刊

Diabetes & metabolism 医学-内分泌学与代谢

CiteScore

12.00

自引率

4.20%

发文量

审稿时长

13 days

期刊介绍： A high quality scientific journal with an international readership Official publication of the SFD, Diabetes & Metabolism, publishes high-quality papers by leading teams, forming a close link between hospital and research units. Diabetes & Metabolism is published in English language and is indexed in all major databases with its impact factor constantly progressing. Diabetes & Metabolism contains original articles, short reports and comprehensive reviews.