Youth with T1D have variable glycemic responses to prolonged aerobic exercise, but this variability is partially explained by their pre‐exercise blood glucose levels. When no implementation strategies are in place to limit the drop in glycemia, the incidence of exercise‐associated hypoglycemia is ~44% and having a high pre‐exercise blood glucose concentration is only marginally protective (Pediatric Diabetes)
Diabetes News
Tag: exercise
Exercise capacity in diabetes mellitus is predicted by activity status and cardiac size rather than cardiac function
Exercise capacity is reduced in T2DM subjects relative to matched controls, whereas exercise capacity is preserved in T1DM. There was no evidence of sub-clinical cardiac dysfunction but, rather, there was an association between impaired exercise capacity, small LV volumes and sedentary behavior (Cardiovascular Diabetology)
Physical activity and exercise on diabetic foot related outcomes: a systematic review
This review suggests evidence that physical activity and exercise is an effective non-pharmacological intervention to improve diabetic foot related outcomes. Combined multi-disciplinary treatments are more effective in the prevention of foot complications in patients with diabetes (Diabetes Research and Clinical Practice)
Interstitial Glucose and Physical Exercise in Type 1 Diabetes: Integrative Physiology, Technology, and the Gap In-Between
We present an understanding of the physiological and metabolic changes taking place with acute exercise and detail the blood and interstitial glucose responses with different forms of exercise, namely sustained endurance, high-intensity, and strength exercises in individuals with type 1 diabetes (Nutrients)
Techniques for Exercise Preparation and Management in Adults with Type 1 Diabetes
These findings highlight the need for exercise-management strategies tailored to individuals’ overall diabetes management, for despite making exercise-specific adjustments for care, many people with type 1 diabetes still report significant difficulties with BG control when it comes to exercise (Canadian Journal of Diabetes)
Exercise prescription for patients with type 2 diabetes—a synthesis of international recommendations: narrative review
Exercise prescription for individuals with type 2 diabetes should include specific information on the type, mode, duration, intensity and weekly frequency. The exercise strategies must be adapted for each individual, based on comorbidities, contraindications and realistic personal goals (British Journal of Sports Medicine)
The Effect of Exercise with or Without Metformin on Glucose Profiles in Type 2 Diabetes: A Pilot Study
The addition of a bout of exercise to metformin led to an increase in postprandial glucose levels without affecting mean glucose concentrations. Removing a metformin dose before or after exercise did not attenuate this negative effect (Canadian Journal of Diabetes)
Similar risk of exercise-related hypoglycaemia for insulin degludec to that for insulin glargine in patients with type 1 diabetes: a randomized cross-over trial
This clinical trial showed that, in patients with T1D treated with a basal-bolus regimen, the risk of hypoglycaemia induced by moderate-intensity exercise was low with IDeg and similar to that with IGlar (Diabetes, Obesity and Metabolism)
Glycemic Load, Exercise, and Monitoring Blood Glucose (GEM): A Paradigm Shift in the Treatment of Type 2 Diabetes Mellitus
Consistent with a patient-centered approach, Glycemic Load, Exercise, and Monitoring Blood Glucose (GEM) appears to be an effective lifestyle modification option for adults recently diagnosed with type 2 diabetes mellitus (Diabetes Research and Clinical Practice)
Type 2 diabetes exaggerates exercise effort and impairs exercise performance in older women
Taken together, physiological measures of exercise effort were greater in older women with T2DM than controls. Exercise effort is a modifiable and thereby targetable end point. In order to facilitate regular exercise, methods to reduce exercise effort in T2DM should be sought (BMJ)
Insulin-based strategies to prevent hypoglycaemia during and after exercise in adult patients with type 1 diabetes on pump therapy: the DIABRASPORT randomized study
To limit hypoglycaemic risk in adult patients associated with 30 minutes of exercise 3hrs after lunch, without carbohydrate supplements, the best options seem to be to reduce basal rate (BR) by 80% or to stop the pump for moderate or intense exercise, or for moderate exercise 90 minutes after lunch, to reduce the prandial bolus rather than the BR (Diabetes, Obesity and Metabolism)
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