TY - JOUR AU - Kamiński, Mikołaj; Gawrecki, Andrzej; Araszkiewicz, Aleksandra; Szadkowska, Agnieszka; Skowrońska, Bogda; Stankiewicz, Witold; Michalak, Arkadiusz; Cieluch, Aleksandra; Dżygało, Katarzyna; Seget, Sebastian; Biegański, Grzegorz; Adamska, Anna; Ksiądz, Katarzyna; Szymańska-Garbacz, Elektra; Flotyńska, Justyna; Zozulinska-Ziolkiewicz, Dorota TI - Nighttime Hypoglycemia in Children with Type 1 Diabetes after one Day of Football Tournament SN - 0172-4622 SN - 1439-3964 PY - 2020 JO - Int J Sports Med JF - International Journal of Sports Medicine LA - EN VL - 41 IS - 13 SP - 972 EP - 980 DA - 2020/07/07 KW - type 1 diabetes KW - exercise KW - nighttime hypoglycemia KW - football AB - 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. PB - Georg Thieme Verlag KG DO - 10.1055/a-1192-5992 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-1192-5992 ER -