Individualized Carbohydrate Intake Strategy to Improve Blood Glucose Control
Type 1 Diabetes
About this trial
This is an interventional treatment trial for Type 1 Diabetes focused on measuring Exercise, Physical activity, Carbohydrates, Hypoglycemia
Eligibility Criteria
Inclusion Criteria:
- Males or females between the 7 and 16 years of old.
- Clinical diagnosis of type 1 diabetes for at least 6 months.
- Using continuous subcutaneous insulin infusion therapy or multiple daily injections.
- HbA1c ≤ 12.0%.
- Practicing team sports (soccer, basketball, hockey, tennis) at the summer camp.
Exclusion Criteria:
- Clinically significant nephropathy, neuropathy or retinopathy as judged by the investigator.
- Severe hypoglycemic episode within two weeks of inclusion in the study.
- Using the Medtronic 670G Insulin Pump as a treatment Mode
- Current use of oral glucocorticoid medication (except low stable dose according to investigator judgement). Stable doses of inhaled steroids are acceptable.
- Acute disease in the last 3 months that would affect ability to do physical activity.
- Other serious medical illness likely to interfere with study participation or with the ability to complete the exercise periods by the judgment of the investigator (e.g. orthopedic limitation).
Sites / Locations
- Montreal Clinical Research Institute
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Individualized carbohydrate intake
Usual camp protocol
Based on glucose sensor level, carbohydrate (orange juice, Oasis classic) will then be given as follow: If sensor glucose level is under < 4.5 mmol/L, the camp staff will treat hypoglycemia according to the camp procedure, If sensor glucose level is between 4.5 and 7.0 mol/L, 0.5g of CHO/kg body weight will be given, If sensor glucose level is between 7.1 and 10.0 mmol/L, 0.25g of CHO/kg body weight will be given, If sensor glucose level is between 10.1 and 15.0 mmol/L, no CHO will be given, If sensor glucose level is > 15.1 mmol/L, the camp staff will treat hyperglycemia according to the camp procedure.
As per camp routine care, there will be no mandatory glucose level measurement before the start of physical activity if no symptoms of hypoglycemia or hyperglycemia appear.