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Journal of Clinical Exercise Physiology CASE STUDY: MANAGEMENT OF TYPE 1 DIABETES IN AN ELITE ENDURANCE ATHLETE
Abstract:
Type 1 Diabetes Mellitus (T1DM) poses unique challenges for athletes, particularly in endurance sports like gravel cycling. This case study explores the intricate balance required to manage blood glucose levels during a 100-mile gravel race for a T1DM athlete. The study emphasizes the importance of maintaining stable blood glucose levels to prevent exercise induced complications while optimizing performance. The athlete's 100 mile gravel race is documented through meticulous monitoring of nutrition, exercise, and physiological parameters, including heart rate, power output, and blood glucose levels. The findings underscore the effectiveness of carbohydrate intake in preventing hypoglycemia during prolonged exertion. However, challenges such as fatigue and hyperglycemic events post-carbohydrate consumption are observed, indicating the need for refined strategies. The study reveals the impact of hydration on performance and blood glucose dynamics, highlighting the necessity for comprehensive guidelines tailored to athletes with T1DM engaging in endurance activities. This case study sheds light on the complexities of managing T1DM in endurance cycling, underscoring the demand for further research to optimize nutritional strategies and hydration guidelines for enhanced athletic performance while safeguarding against adverse glycemic events.
Key Words: Type 1 Diabetes, endurance athlete, T1DM, endurance cycling
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A. Young, A. Habegger, T. W. Griffin, L. Traywick, B. Metcalf, D. K. James

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