Imperial College London
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DrNeilHill

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

n.hill

 
 
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Location

 

East WingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Malcolm:2017:10.1136/bmjsem-2017-000238,
author = {Malcolm, G and Rilstone, S and Sivasubramaniyam, S and Jairam, C and Chew, S and Oliver, N and Hill, NE},
doi = {10.1136/bmjsem-2017-000238},
journal = {BMJ Open Sport and Exercise Medicine},
title = {Managing diabetes at high altitude: Personal experience with support from a Multidisciplinary Physical Activity and Diabetes Clinic},
url = {http://dx.doi.org/10.1136/bmjsem-2017-000238},
volume = {3},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective Physical activity is important for well-being but can be challenging for people with diabetes. Data informing support of specialist activities such as climbing and high-altitude trekking are limited. A 42-year-old man with type 1 diabetes (duration 30 years) attended a Multidisciplinary Physical Activity and Diabetes Clinic planning to climb Mont Blanc during the summer and trek to Everest Base Camp in the autumn. His aims were to complete these adventures without his diabetes impacting on their success. Methods We report the information provided that enabled him to safely facilitate his objectives, in particular, the requirement for frequent checking of blood glucose levels, the effects of altitude on insulin dose requirements, and recognition that acute mountain sickness may mimic the symptoms of hypoglycaemia and vice versa. Real-time continuous glucose monitoring was made available for his treks. Results The effects of high altitude on blood glucose results and glycaemic variability while treated on multiple daily injections of insulin are reported. In addition, we present a first-person account of his experience and lessons learnt from managing diabetes at high altitude. Conclusions A dedicated Multidisciplinary Physical Activity and Diabetes Clinic delivering individualised, evidence-based, patient-focused advice on the effects of altitude on blood glucose levels, and provision of real-time continuous glucose monitoring enabled uneventful completion of a trek to Everest Base Camp in a person with type 1 diabetes.
AU  - Malcolm,G
AU  - Rilstone,S
AU  - Sivasubramaniyam,S
AU  - Jairam,C
AU  - Chew,S
AU  - Oliver,N
AU  - Hill,NE
DO  - 10.1136/bmjsem-2017-000238
PY  - 2017///
SN  - 2055-7647
TI  - Managing diabetes at high altitude: Personal experience with support from a Multidisciplinary Physical Activity and Diabetes Clinic
T2  - BMJ Open Sport and Exercise Medicine
UR  - http://dx.doi.org/10.1136/bmjsem-2017-000238
UR  - http://hdl.handle.net/10044/1/48431
VL  - 3
ER  -
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