000003134 001__ 3134 000003134 005__ 20231214170707.0 000003134 0247_ $$2DOI$$a10.6083/2RAOB3 000003134 037__ $$aETD 000003134 245__ $$aImpact of exercise on sleep and glycemic outcomes in adults with type 1 diabetes: towards predictive models and decision support systems 000003134 260__ $$bOregon Health and Science University 000003134 269__ $$a2018 000003134 336__ $$aDissertation 000003134 502__ $$bPh.D. 000003134 502__ $$gBiomedical Engineering 000003134 520__ $$aType 1 diabetes (T1D) is an autoimmune disease characterized by the destruction of pancreatic β cells and culminating with absolute insulin deficiency. Intensive insulin therapy is the standard of care for individuals with T1D, but attaining optimal glycemic control is extremely onerous and requires multiple daily insulin injections or continuous subcutaneous insulin infusion by an insulin pump, complemented by frequent monitoring of blood glucose (BG). Besides the usual barriers (i.e. lack of time/space, low energy, work etc.) individuals with T1D list fear of hypoglycemia as an important barrier to engage in PA. During PA there is an increased risk of hypoglycemia and pronounced glycemic imbalance. Moreover, exercise me- diated hypoglycemic risk is amplified not only during the bout of exercise but also for many hours after. The objective of this dissertation is to both understand the glycemic challenges associated with physical activity and develop model-based decision support systems to assist these individuals during and after PA. 000003134 540__ $$fCC BY 000003134 542__ $$fIn copyright - single owner 000003134 650__ $$aGlycemic Control$$013452 000003134 650__ $$aAutoimmune Diseases$$015237 000003134 650__ $$aGlycemic Control$$013452 000003134 650__ $$aExercise$$028419 000003134 691__ $$aSchool of Medicine$$041369 000003134 692__ $$aDepartment of Biomedical Engineering$$041397 000003134 7001_ $$aReddy, Ravi K.K.$$uOregon Health and Science University$$041354$$10000-0001-9612-1314 000003134 8564_ $$95e1ab8fe-6a4c-4be0-b7dd-f197f1e1e9ed$$s6848082$$uhttps://digitalcollections.ohsu.edu/record/3134/files/4098_etd.pdf 000003134 905__ $$a/rest/prod/98/80/vr/26/9880vr26p 000003134 909CO $$ooai:digitalcollections.ohsu.edu:3134$$pstudent-work 000003134 980__ $$aTheses and Dissertations