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Paed Diabetes – Reduces risk of hypoglycaemia, particularly severe hypoglycaemia

Evidence Summary
Quirk et al (1) looked at physical activity interventions in children and young people with Type 1 diabetes mellitus. A total of 26 articles (10 randomized and 16 non-randomized studies), published in the period 1964–2012, were reviewed. There were no severe episodes of hypoglycaemia in studies in this meta-analysis.
Quality of Evidence
Grade A – High quality evidence
Strength of Recommendation
Grade 1 as this finding is consistent amongst multiple studies
Conclusion
Regular physical activity interventions in children and young people with Type 1 diabetes mellitus can be performed safely with a low risk of severe episodes of hypoglycaemia. Different types of exercise will require different adjustments of insulin and this should be discussed with the healthcare team.
References

  1. Quirk H, Blake H, Tennyson R et al. Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis. Diabetes Med 2014;31(10):1163-73

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