https://www.oru.se/kalendarium/disputationer-och-spikningar/disputation-stig-mattsson-medicinsk-vetenskap-med-inriktning-mot-medicin/
https://oru.diva-portal.org/smash/record.jsf?aq2=%5B%5B%5D%5D&c=4&af=%5B%5D&searchType=SIMPLE&sortOrder2=title_sort_asc&query=stig+mattsson&language=sv&pid=diva2%3A1996463&aq=%5B%5B%5D%5D&sf=all&aqe=%5B%5D&sortOrder=author_sort_asc&onlyFullText=false&noOfRows=50&dswid=7931
Disputation: Stig Mattsson, medicinsk vetenskap med inriktning mot medicin
05 december 2025 13:00 Tidefeltsalen (X2502), X-huset, Campus USÖ
Stig Mattsson disputerar i medicinsk vetenskap med inriktning mot medicin vid Institutionen för medicinska vetenskaper.
Avsedd examen: Medicine doktorsexamen
Avhandlingens titel: Optimizing Glycemic Stability in Type 1 Diabetes Prior to, During and After Prolonged Physical Activity
Opponent: Abram Katz, professor, Gymnastik- och idrottshögskolan
Digitalt deltagande: Klicka här för att följa disputation via Zoom 5/12 kl 13
https://oru-se.zoom.us/j/63646461882?pwd=kbA4EmE5FNEuAfl4TyqLrvWaSYfMC0.1#success
Strategies for Glycemic Control in Type 1 Diabetes Before, During and After Prolonged Exercise
Mattsson, Stig
Örebro universitet, Institutionen för medicinska vetenskaper.ORCID-id: 0000-0001-8444-1505
2025 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
LÄS AVHABDLINGENS RAM pdf free
https://oru.diva-portal.org/smash/get/diva2:1996463/FULLTEXT01.pdf
Abstract
Background:
Physical exercise (PE) represents a challenge in achieving stable glycemic control in individuals with type 1 diabetes (T1D), especially during prolonged PE. Achieving euglycemia requires careful adjustments of carbohydrate (CHO) intake and insulin doses before, during, and after PE, by proactive use of continuous glucose monitoring (CGM).
Aim:
This thesis evaluated strategies for achieving glucose control in T1D before, during, and after prolonged PE, focusing on CHO intake, insulin adjustments assisted by CGM, and education intended to improve self-management.
Methods:
Four studies were conducted: (1) High CHO intake with insulin adjustments during prolonged PE; (2) CHO loading, tailored pre-race insulin dose, and high CHO intake during PE; (3) CHO replenishment after evening exercise on nocturnal glucose regulation in healthy individuals; and (4) impact of a diabetes sports camp for adults integrating education and exercise and long-term self-management.
Results:
Before PE: CHO loading with basal insulin adjustment maintained stable glycemia. Tailored pre-race insulin supported euglycemia. During PE: High CHO intake (75–100 g/h) with individualized insulin strategies enabled stable glucose levels. After PE: The timing of CHO intake did not affect nocturnal glucose levels when daily energy and CHO needs were met. Self-management: The diabetes sports camp was associated with improvements in perceived diabetes self-management skills.
Conclusion:
Glycemic stability in T1D before, during, and after prolonged PE is achievable through individualized CHO and insulin strategies, supported by CGM and structured education.
Ort, förlag, år, upplaga, sidor
Örebro: Örebro University , 2025. , s. 139
Serie
Örebro Studies in Medicine, ISSN 1652-4063 ; 342
Nyckelord [en]
Carbohydrates, Continuous glucose monitoring, Diabetes self-management, Diabetes sports camps, Education, Exercise, Hypoglycemia, Insulin, Type 1 diabetes
Nationell ämneskategori
Allmänmedicin
Identifikatorer
URN: urn:nbn:se:oru:diva-123540ISBN: 9789175297156 (tryckt)ISBN: 9789175297163 (digital)OAI: oai:DiVA.org:oru-123540DiVA, id: diva2:1996463
Disputation
2025-12-05, Örebro universitet, Campus USÖ, Tidefeltsalen, Södra Grev Rosengatan 32, Örebro, 13:00 (Svenska)
Opponent
Katz, Abram, professor
Handledare
Jendle, Johan, professor
Adolfsson, Peter
Tillgänglig från: 2025-09-09 Skapad: 2025-09-09 Senast uppdaterad: 2025-11-17Bibliografiskt granskad
Delarbeten läs dessa från www
1. Evaluation of glucose control when a new strategy of increased carbohydrate supply is implemented during prolonged physical exercise in type 1 diabetes
2. Carbohydrate Loading Followed by High Carbohydrate Intake During Prolonged Physical Exercise and Its Impact on Glucose Control in Individuals With Diabetes Type 1-An Exploratory Study
3. Empowered by Intertwined Theory and Practice: Experiences From a Diabetes Sports Camp for Physically Active Adults With Type 1 Diabetes
4. Impact of carbohydrate timing on glucose metabolism and substrate oxidation following high-intensity evening aerobic exercise in athletes: a randomized controlled study
https://orcid.org/0000-0001-8444-1505
Nyhetsinfo
www red DiabetologNytt