. "Does physical activity produce clinically significant changes during discontinuation of insulin pump in type 1 diabetic patients?"@en . "Vede fyzick\u00E1 aktivita p\u0159i p\u0159eru\u0161en\u00ED dod\u00E1vky inzulinu inzulinovou pumpou u pacient\u016F s diabetem 1. typu ke klinicky v\u00FDznamn\u00FDm zm\u011Bn\u00E1m?" . "RIV/00669806:_____/13:10139877" . . "59" . "CZ - \u010Cesk\u00E1 republika" . "6"^^ . . "5"^^ . "113728" . "Kr\u010Dma, Michal" . . . "Introduction: Discontinuation of insulin pump treatment (CSII) before, during and after physical activity is a common practice among a number of patients. The aim of the study was to evaluate the course of insulinemia during a 3- hour insulin pump suspension and after consecutive insulin bolus administration, and additionally, to assess the effect of physical activity (mid- intensity aerobic exercise). Patient and methods: We enrolled 12 patients with diabetes mellitus type 1 in the study (men, mean age 33.4 +- 8.66 years, diabetes duration 16.3 +- 8.76 years, CSII treatment duration 6.9 +- 4.60 years, BMI 25.7 +- 3.75 mg/ m2, HbA1c 8.4 +- 0.95%, total insulin dose 50.3 +- 12.50 IU/ day). The tests were performed after night fasting at usual insulin doses, without serving breakfast and morning bolus dose. In the course of the test, insulin administration by a pump was suspended for 3 hours. Blood for assessment of blood glucose and insulinemia was taken in 30- minute intervals during the test. A test with or without physical exercise on bicycle ergometer was performed in each patient 2 weeks later. Results: We did not prove any influence of physical exercise on insulinemia during suspended insulin delivery by an insulin pump. Insulinemia of approximately 50% of the original value persisted for another 90 minutes following insulin pump suspension. A rapid increase in insulinemia occurred after bolus administration in the 180th minute of the test. However, the decrease in blood glucose level did not occur until after another 90 minutes. Conclusion: When modifying CSII treatment by reduction or suspension of insulin delivery it is essential to bear in mind the gradual decrease in insulinemia as well as the delay in insulin action following bolus administration."@en . . . "I" . "6"^^ . "\u010Ces\u00E1k, Vojt\u011Bch" . . "\u00DAvod: U \u0159ady pacient\u016F se setk\u00E1v\u00E1me s p\u0159eru\u0161en\u00EDm l\u00E9\u010Dby inzulinovou pumpou (CSII) p\u0159ed, v pr\u016Fb\u011Bhu a po fyzick\u00E9 aktivit\u011B. C\u00EDlem pr\u00E1ce bylo posoudit v\u00FDvoj inzulinemie b\u011Bhem 3hodinov\u00E9ho zastaven\u00ED inzulinov\u00E9 pumpy a po n\u00E1sledn\u00E9m pod\u00E1n\u00ED bolusu inzulinu a porovnat i vliv fyzick\u00E9 aktivity (aerobn\u00ED z\u00E1t\u011B\u017E st\u0159edn\u00ED intenzity). Pacienti a metody: Do studie jsme za\u0159adili 12 pacient\u016F s diabetem 1. typu (mu\u017Ei, pr\u016Fm\u011Brn\u00FD v\u011Bk 33,4 +- 8,66 roku, trv\u00E1n\u00ED diabetu 16,3 +- 8,76 roku, trv\u00E1n\u00ED l\u00E9\u010Dby CSII 6,9 +- 4,60 roku, BMI 25,7 +- 3,75 mg/ m2, HbA1c 8,4 +- 0,95 %, celkov\u00E1 d\u00E1vka inzulinu 50,3 +- 12,50 IU/ den). Testy byly provedeny po no\u010Dn\u00EDm la\u010Dn\u011Bn\u00ED p\u0159i zaveden\u00FDch d\u00E1vk\u00E1ch inzulinu, bez pod\u00E1n\u00ED sn\u00EDdan\u011B a rann\u00ED bolusov\u00E9 d\u00E1vky. B\u011Bhem testu byla na 3 hod zastavena dod\u00E1vka inzulinu pumpou. Po dobu testu byly v 30minutov\u00FDch intervalech prov\u00E1d\u011Bny n\u00E1b\u011Bry na stanoven\u00ED glykemie a inzulinemie. U ka\u017Ed\u00E9ho pacienta byl v n\u00E1hodn\u00E9m po\u0159ad\u00ED s odstupem 2 t\u00FDdn\u016F proveden test s nebo bez fyzick\u00E9 z\u00E1t\u011B\u017Ee na bicyklov\u00E9m ergometru. V\u00FDsledky: Neprok\u00E1zali jsme vliv fyzick\u00E9 aktivity na inzulinemii p\u0159i zastaven\u00E9 dod\u00E1vce inzulinu inzulinovou pumpou. Po zastaven\u00ED inzulinov\u00E9 pumpy p\u0159etrv\u00E1vala po dobu dal\u0161\u00EDch 90 min inzulinemie na asi 50 % v\u00FDchoz\u00ED hodnoty. Po aplikaci bolusu v 180. min testu do\u0161lo rychle k vzestupu inzulinemie. K poklesu hodnot glykemie v\u0161ak do\u0161lo a\u017E b\u011Bhem dal\u0161\u00EDch 90 min. Z\u00E1v\u011Br: P\u0159i \u00FAprav\u00E1ch terapie CSII formou sn\u00ED\u017Een\u00ED nebo zastaven\u00ED dod\u00E1vky inzulinu je nutno br\u00E1t v \u00FAvahu postupn\u00FD pokles inzulinemie i zpo\u017Ed\u011Bn\u00ED vlastn\u00EDho \u00FA\u010Dinku inzulinu po aplikaci bolusu."@cs . "Ru\u0161av\u00FD, Zden\u011Bk" . "Vede fyzick\u00E1 aktivita p\u0159i p\u0159eru\u0161en\u00ED dod\u00E1vky inzulinu inzulinovou pumpou u pacient\u016F s diabetem 1. typu ke klinicky v\u00FDznamn\u00FDm zm\u011Bn\u00E1m?"@cs . . . . . . "[2FD7F7A2A06E]" . "Vede fyzick\u00E1 aktivita p\u0159i p\u0159eru\u0161en\u00ED dod\u00E1vky inzulinu inzulinovou pumpou u pacient\u016F s diabetem 1. typu ke klinicky v\u00FDznamn\u00FDm zm\u011Bn\u00E1m?"@cs . "Vede fyzick\u00E1 aktivita p\u0159i p\u0159eru\u0161en\u00ED dod\u00E1vky inzulinu inzulinovou pumpou u pacient\u016F s diabetem 1. typu ke klinicky v\u00FDznamn\u00FDm zm\u011Bn\u00E1m?" . "\u010Cechurov\u00E1, Daniela" . . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" . "Does physical activity produce clinically significant changes during discontinuation of insulin pump in type 1 diabetic patients?"@en . . . "\u017Dourek, Michal" . "physical exercise; insulinemia; insulin pump; CSII; type 1 diabetes mellitus"@en . . "Jankovec, Zden\u011Bk" . "RIV/00669806:_____/13:10139877!RIV14-MZ0-00669806" . "9" . . . . . "0042-773X" . "\u00DAvod: U \u0159ady pacient\u016F se setk\u00E1v\u00E1me s p\u0159eru\u0161en\u00EDm l\u00E9\u010Dby inzulinovou pumpou (CSII) p\u0159ed, v pr\u016Fb\u011Bhu a po fyzick\u00E9 aktivit\u011B. C\u00EDlem pr\u00E1ce bylo posoudit v\u00FDvoj inzulinemie b\u011Bhem 3hodinov\u00E9ho zastaven\u00ED inzulinov\u00E9 pumpy a po n\u00E1sledn\u00E9m pod\u00E1n\u00ED bolusu inzulinu a porovnat i vliv fyzick\u00E9 aktivity (aerobn\u00ED z\u00E1t\u011B\u017E st\u0159edn\u00ED intenzity). Pacienti a metody: Do studie jsme za\u0159adili 12 pacient\u016F s diabetem 1. typu (mu\u017Ei, pr\u016Fm\u011Brn\u00FD v\u011Bk 33,4 +- 8,66 roku, trv\u00E1n\u00ED diabetu 16,3 +- 8,76 roku, trv\u00E1n\u00ED l\u00E9\u010Dby CSII 6,9 +- 4,60 roku, BMI 25,7 +- 3,75 mg/ m2, HbA1c 8,4 +- 0,95 %, celkov\u00E1 d\u00E1vka inzulinu 50,3 +- 12,50 IU/ den). Testy byly provedeny po no\u010Dn\u00EDm la\u010Dn\u011Bn\u00ED p\u0159i zaveden\u00FDch d\u00E1vk\u00E1ch inzulinu, bez pod\u00E1n\u00ED sn\u00EDdan\u011B a rann\u00ED bolusov\u00E9 d\u00E1vky. B\u011Bhem testu byla na 3 hod zastavena dod\u00E1vka inzulinu pumpou. Po dobu testu byly v 30minutov\u00FDch intervalech prov\u00E1d\u011Bny n\u00E1b\u011Bry na stanoven\u00ED glykemie a inzulinemie. U ka\u017Ed\u00E9ho pacienta byl v n\u00E1hodn\u00E9m po\u0159ad\u00ED s odstupem 2 t\u00FDdn\u016F proveden test s nebo bez fyzick\u00E9 z\u00E1t\u011B\u017Ee na bicyklov\u00E9m ergometru. V\u00FDsledky: Neprok\u00E1zali jsme vliv fyzick\u00E9 aktivity na inzulinemii p\u0159i zastaven\u00E9 dod\u00E1vce inzulinu inzulinovou pumpou. Po zastaven\u00ED inzulinov\u00E9 pumpy p\u0159etrv\u00E1vala po dobu dal\u0161\u00EDch 90 min inzulinemie na asi 50 % v\u00FDchoz\u00ED hodnoty. Po aplikaci bolusu v 180. min testu do\u0161lo rychle k vzestupu inzulinemie. K poklesu hodnot glykemie v\u0161ak do\u0161lo a\u017E b\u011Bhem dal\u0161\u00EDch 90 min. Z\u00E1v\u011Br: P\u0159i \u00FAprav\u00E1ch terapie CSII formou sn\u00ED\u017Een\u00ED nebo zastaven\u00ED dod\u00E1vky inzulinu je nutno br\u00E1t v \u00FAvahu postupn\u00FD pokles inzulinemie i zpo\u017Ed\u011Bn\u00ED vlastn\u00EDho \u00FA\u010Dinku inzulinu po aplikaci bolusu." . .