Type 1 Diabetes Mellitus Clinical Trial
Official title:
Reducing Risks and Improving Glucose Control During Extended Exercise in Youth With T1DM: The AP Ski Camp
The biggest challenges for glycemic control during the day time involve meals and exercise variations, which are impacted by age, fitness level, duration, intensity and history of exercise. Meal variability has the benefit that meals are typically announced and quantified. Glucose control around exercise, on the other hand, is more complicated if the patient doesn't announce a change in activity level.
The object of this study is to evaluate the Closed-Loop Control (CLC) in an environment where
muscle glycogen is systematically depleted, glucose uptake systematically increased, and meal
sizes are naturally larger than normal: a week of camp at high altitude, with the concomitant
variable of oxygen consumption that this environment involves; during the winter, that will
expose and challenge the different components of the system during cold temperatures, and
with twice daily practice of physical activity designed to deplete glycogen reserves such as
skiing.
This proposal aims to demonstrate the superiority of the CLC, also known as Artificial
Pancreas (AP), compared to the state-of-the art system available on the market:
Sensor-augmented pump (SAP). This system has shown to diminish hypoglycemic events by setting
the alarms on the continues glucose monitor (CGM) and taken action, such as performing
self-monitoring blood glucose (SMBG) and treating if it is confirm to be low.
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