Type 1 diabetes management in a competitive athlete: A five-year case report

Physiol Rep. 2023 Jul;11(13):e15740. doi: 10.14814/phy2.15740.

Abstract

Type I diabetes has an incidence of 15 per 100,000 people. Though it is a metabolic disorder, it can be seen in top, even professional athletes. Physical activity is recommended to manage diabetes, but there is a lack of specific knowledge on diabetes management and exercise from dedicated medical staff. This bias leads to suboptimal diabetes management, causing frequent hyper and hypoglycemia, a dysregulation of glycated hemoglobin, blood glucose out of control, and consequent needs to often intervene with extra insulin or carbohydrates. For 5 years, we followed a highly competitive male Caucasian athlete Vovinam Viet Vo Dao, with type I diabetes, aged 17. We monitored his glycated hemoglobin, the insulin drug administered, and glycemia blood level averages. We obtained, over time, a decrease in glycated hemoglobin by almost -22% and insulin administered by -37.33%, and average blood glycemia levels diminished by almost -27%. In addition, we carried out bioimpedance analysis and stratigraphy on the abdomen. Federation trainers supervised all physical training; we recorded an improvement in the general condition, underlined in particular by an increase in phase angle (from bioimpedance) of +17%.

Keywords: Viet Vo Dao; bioimpedance; combat sport; glycated hemoglobin; low-carb; strength training; type I diabetes.

Publication types

  • Case Reports

MeSH terms

  • Athletes
  • Blood Glucose / metabolism
  • Diabetes Mellitus, Type 1* / therapy
  • Glycated Hemoglobin
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Insulin
  • Male

Substances

  • Glycated Hemoglobin
  • Blood Glucose
  • Insulin
  • Hypoglycemic Agents