MMPAD Milan Meeting Report

14 European Roadshow - Milan, 29 June 2018 MEETING REPORT • lack of information/instructions to the patient • duration and intensity of physical activity • quality of metabolic control • stress. To be fully informed, young patients with T1D and their families should understand : 18 • the role and action of insulin • the effects of muscular activity on blood glucose • metabolic changes that are related to physical activity • late hypoglycaemia • suitable monitoring procedures • signs and symptoms of hypo/hyperglycaemia • methods for correcting hypoglycaemia. Reflection: Prevention of hypoglycaemia in children/adolescents who play sports You can prevent hypoglycaemia by adopting certain measures : 19 • Adapt insulin schedule to physical/sport activity • Decide the insulin dose reduction before exercise • Decide on the type and amount of CHO to be taken depending on the type of exercise • Keep a glucagon emergency kit available • Consider the risk of hypoglycaemia and consider whether to reduce the basic insulin dose As for the ingestion of glucose, it is good to keep to the maximum limit of 1.5 g CHO per kg body weight per hour of intense or prolonged exercise. Glucose should be in the form of glucose tablets or boiled sweets, biscuits, crackers, energy drinks or fruit juices, while avoiding chocolate, dairy products and crisps. The general recommendation to prevent hypoglycaemic episodes is to control glycometabolic alignment before exercise (glycaemia >250 mg/dL with ketosis avoid exercise; about 300 mg/dL blood glucose without ketosis exercise with caution; blood glucose around 100 mg/dL take CHO), measure your blood glucose during effort and take CHO (but not lipids) for prevention and treatment of hypoglycaemia . 20