A 150-mile ultra-endurance cycling event for people with type 1 diabetes: A qualitative analysis of knowledge, preparation and management strategies
Journal article
King, Andrew, Pringle, Andy, Pickering, Katie and Kime, Nicky 2022. A 150-mile ultra-endurance cycling event for people with type 1 diabetes: A qualitative analysis of knowledge, preparation and management strategies. Practical Diabetes.
| Authors | King, Andrew, Pringle, Andy, Pickering, Katie and Kime, Nicky |
|---|---|
| Abstract | The purpose of this study is to characterise the decision-making and self-management strategies of individuals with Type 1 diabetes (T1D) participating in a 150-mile ultra-endurance cycling event and inform Healthcare Professionals working in T1D. Participation in ultra-endurance exercise is becoming increasingly popular in the T1D community and self-management in this context needs further investigation. Qualitative, semi-structured interviews were conducted with 12 participants with T1D who took part in the ‘Coast to Coast in a Day’ cycling sportive. Event-specific and T1D self-management strategies in the context of endurance exercise were assessed using the Thematic Network Approach to analysis. Participants reported that they took part in the event "as a cyclist rather than a Type 1 diabetic". A range of self-management strategies to manage glycaemic control were identified, but all were grounded in experience of a "trial-and-error" approach to determine "successful practice". Engagement with Healthcare Professionals in preparation for the event was limited due to a perceived lack of endurance exercise knowledge. Participants reflected that T1D can be controlled in ultra-endurance events through careful and practised self-management of energy intake and insulin strategies. Individuals with T1D are capable of taking part and excelling in ultra-endurance events, but current Healthcare Professional advice does not match patient ambition and practice, which is grounded in an identity that is first and foremost as a ‘cyclist and person’. Limitations in participants’ "trial-and-error" practices require further understanding from Healthcare Professionals to provide advice around existing knowledge, preparation and self-management strategies for ultra-endurance exercise. |
| Keywords | Type 1 diabetes; ultra-endurance; exercise; cycling; self-management |
| Year | 2022 |
| Journal | Practical Diabetes |
| Publisher | Wiley |
| ISSN | 2047-2900 |
| Web address (URL) | http://hdl.handle.net/10545/626319 |
| hdl:10545/626319 | |
| Publication dates | 2022 |
| Publication process dates | |
| Deposited | 04 Mar 2022, 15:23 |
| Accepted | 21 Oct 2021 |
| Contributors | Australian Catholic University, University of Derby, Sheffield Hallam University and Bradford Institute of Health |
| File | File Access Level Open |
| File |
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