РУСЕНСКИ УНИВЕРСИТЕТ "АНГЕЛ КЪНЧЕВ"
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Научни трудове за 2025
Факултет ОБЩЕСТВЕНО ЗДРАВЕ И ЗДРАВНИ ГРИЖИСерия 8.1 · Здравна промоция

TRU-2K.101-HP-09

THE ROLE OF MODERN TECHNOLOGIES IN BLOOD SUGAR CONTROL IN TYPE 1 DIABETES DURING SPORTS AND PHYSICAL EXERCISE

Език: BGСтраници: 58-65

Цитиране на доклада

Assoc. Prof. Irina Karaganova, PhD

Department of Public Health University of Ruse “Angel Kanchev”

ORCID: 0000-0003-2164-174X

E-mail: ikaraganova@uni-ruse.bg

Assoc. Prof. Stefka Mindova, PhD

Department of Public Health University of Ruse “Angel Kanchev”

ORCID: 0000-0002-7863-9416

E-mail: smindova@uni-ruse.bg

Abstract

Physical activity is a key component in the management of type 1 diabetes, as it improves insulin sensitivity, reduces cardiovascular risk, and enhances quality of life. However, sports and exercise carry risks of hypoglycemia or hyperglycemia due to specific metabolic changes.
The present report examines blood glucose control during different types of physical activity and the role of modern monitoring technologies.
Combining proper insulin adjustment, nutritional strategies, and the use of modern technologies (CGM, closed-loop insulin pumps) enables safer and more effective blood glucose control during exercise.
Continuous glucose monitoring (CGM) supports early detection of hypo- and hyperglycemia but does not replace capillary measurements. Automated closed-loop systems are promising, as they apply adaptive insulin delivery and reduce the risk of hypoglycemia during physical activity. Some algorithms that integrate insulin correction and carbohydrate intake improve the predictability of glycemic responses during moderate exercise.
The use of CGM, algorithms, and adaptive insulin regimens greatly facilitates safe physical activity. This dynamic field continues to evolve, with future technologies promising even more effective strategies for maintaining optimal glycemic control during activity. However, further research is needed to optimize algorithms according to the type of activity and individual responsiveness.

Keywords

Physical Activity, Type 1 Diabetes, Modern Monitoring Technologies, CGM, Blood Glucose Control

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