Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2016) 41 EP469 | DOI: 10.1530/endoabs.41.EP469

ECE2016 Eposter Presentations Diabetes (to include epidemiology, pathophysiology) (83 abstracts)

The differences in insulin doses and the risk of hypoglycemia in 2 distinct days in the Romania diabetes futsal team

Daniel-Tudor Cosma 1 , Alina Cristina Silaghi 2 , Horatiu Silaghi 3 & Ioan Andrei Veresiu 1


1Diabetes, Nutrition and Metabolic Diseases Clinical Center, Cluj-Napoca, Cluj County, Romania; 2Endocrinology Clinic, Emergency Clinical County Hospital, Cluj-Napoca, Cluj County, Romania; 3The Vth Department of Surgery, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, Cluj-Napoca, Romania.


In type 1 diabetes athletes, the proper adjustments of insulin doses and carbs intake are essential in order to avoid a hypoglycemic event that could affect the sport performances.

The aim of the study was to assess the risk of hypoglycemia, the insulin and glycemic variability in 2 different days (with and without physical activity) in a group of nine players with type 1 diabetes, members of the Romania diabetes futsal team (twice European champion).

The evaluation was achieved by means of a self monitoring journal in which the players were asked to note at least 7 glycemic values (at least one during the night, at 0300 h) in 2 different days. The relative risk (RR) and the odds ratio (OR) were used to compare the risk of hypoglycemia between the 2 days and the Pearson coefficient (r) to establish the correlations between the insulin doses and, respectively the average glucose levels.

The average age was 27.77±4.57, with a glycated hemoglobin of 7.6%±0.9% and 11.22±6.38 age of diabetes. There were strong correlations in the total (r=0.858), basal (r=0.784) and prandial (r=0.884) insulin doses between the 2 days. Also, a weak positive correlation (r=0.473) between the average glucose levels in the 2 days was observed. According to OR there is a 4.375 higher risk of developing a hypoglycemic event in the day with physical activity (RR=75%).

Our study confirms that physical activity it is an important risk factor for hypoglycemia in type 1 diabetes athletes. Our study also suggests that individualized strategies (including higher insulin doses reductions and proper carbs intake) are needed to avoid hypoglycemia and increase the athlete’s performances.

Article tools

My recent searches

No recent searches.