Aim

Managing blood glucose (BG) levels during intense physical activity is challenging for elite athletes with type 1 diabetes (T1D), as it can lead to unpredictable hyper- or hypoglycemia, which can affect performance. This case study presents an 18-year-old male hockey goalie with hyperglycemia-related anxiety during competition and its impact on his T1D management.

Methods

Mixed-methods approach, incorporating qualitative data from an unstructured interview and responses from the Hyperglycemia Avoidance Scale along with quantitative data retrieved from Diasend and laboratory results.

Results

The athlete experiences physical and cognitive symptoms during hyperglycemia, affecting his performance. Hyperglycemia-related anxiety influences insulin dosage adjustments and eating habits on game days. Glycemic variability analysis reveals lower BG levels during game time.

Conclusion

Hyperglycemia-related anxiety leads to modified therapeutic and lifestyle regimens on competition day. Tailored treatment programs are needed for elite athletes with T1D and hyperglycemia-related anxiety.

中文翻译：

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患有 1 型糖尿病的精英运动员在比赛期间与高血糖相关的焦虑：病例报告

目的

对于患有 1 型糖尿病 (T1D) 的精英运动员来说，在剧烈体力活动期间管理血糖 (BG) 水平具有挑战性，因为它可能导致不可预测的高血糖或低血糖，从而影响表现。本案例研究介绍了一名 18 岁的男性曲棍球守门员，他在比赛期间患有与高血糖相关的焦虑症，及其对他的 T1D 管理的影响。

方法

混合方法，结合来自非结构化访谈的定性数据和来自高血糖避免量表的回答，以及从 Diasend 和实验室结果检索的定量数据。

结果

运动员在高血糖期间会出现身体和认知症状，影响他的表现。高血糖相关的焦虑会影响比赛日的胰岛素剂量调整和饮食习惯。血糖变异性分析显示比赛期间血糖水平较低。

结论

高血糖相关的焦虑会导致比赛当天改变治疗和生活方式。患有 T1D 和高血糖相关焦虑症的精英运动员需要量身定制的治疗方案。