Int J Sports Med
DOI: 10.1055/a-1192-5992
Clinical Sciences

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

Mikołaj Kamiński
1  Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
1  Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
Aleksandra Araszkiewicz
1  Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
Agnieszka Szadkowska
2  Department of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland
,
Bogda Skowrońska
3  Department of Pediatric Diabetes and Obesity, Poznan University of Medical Sciences, Poznan, Poland
,
Witold Stankiewicz
3  Department of Pediatric Diabetes and Obesity, Poznan University of Medical Sciences, Poznan, Poland
,
2  Department of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland
,
Aleksandra Cieluch
1  Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
Katarzyna Dżygało
4  Department of Pediatrics, Medical University of Warsaw, Warszawa, Poland
,
Sebastian Seget
5  Department of Children’s Diabetology, Medical University of Silesia, Katowice, Poland
,
Grzegorz Biegański
6  Department of Infectious Diseases and Child Neurology, Poznan University of Medical Sciences, Poznan, Poland
,
Anna Adamska
1  Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
Katarzyna Ksiądz
1  Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
Elektra Szymańska-Garbacz
7  Department of Internal Medicine and Nephrodiabetology, Medical University of Lodz, Lodz, Poland
,
Justyna Flotyńska
1  Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
,
Dorota Zozulinska-Ziolkiewicz
1  Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
› Author Affiliations
Funding Statement Novo Nordisk, Medtronic, and Ascensia were sponsors of the First Polish Football Championship for Children and Adolescents with Type 1 Diabetes. The sponsors were not involved in the study design, in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. We want to thank Proper Medical Writing for editorial and language assistance.

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.

Appendix



Publication History

Received: 00 00 2020

Accepted: 18 May 2020

Publication Date:
07 July 2020 (online)

© Georg Thieme Verlag KG
Stuttgart · New York