Abstract
Objective:
To identify the role that exercise plays in the management of diabetes mellitus and to provide the reader with guidelines for preventing and treating exercise-related complications.
Data Sources:
MEDLINE was searched from 1985 to 1996 using the key words “diabetes,” “exercise,” “Type I diabetes,” and “athlete.”
Data Synthesis:
Diabetes mellitus is a chronic metabolic disorder characterized by an abnormally elevated blood glucose level. It is a disease that has long-term ramifications for the body's organ systems. The primary goal of diabetes management is to normalize the blood glucose level. Exercise, along with dietary modifications and insulin, is an important component of the management scheme. While exercise is not consistently associated with improvements in long-term blood glucose control, it does lead to other benefits that may reduce the severity and number of diabetes-related complications.
Conclusions/Recommendations:
The athletic trainer can help athletes with diabetes to compete safely by understanding their unique physiologic responses to exercise, as well as the risks and benefits of exercise.
Keywords: diabetes mellitus, blood glucose control, Type I diabetes
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Armstrong J. J. A brief overview of diabetes mellitus and exercise. Diabetes Educ. 1991 May-Jun;17(3):175–178. doi: 10.1177/014572179101700312. [DOI] [PubMed] [Google Scholar]
- Franz M. J. Exercise and the management of diabetes mellitus. J Am Diet Assoc. 1987 Jul;87(7):872–880. [PubMed] [Google Scholar]
- Horton E. S. Exercise and diabetes mellitus. Med Clin North Am. 1988 Nov;72(6):1301–1321. doi: 10.1016/s0025-7125(16)30708-8. [DOI] [PubMed] [Google Scholar]
- Kemmer F. W. Prevention of hypoglycemia during exercise in type I diabetes. Diabetes Care. 1992 Nov;15(11):1732–1735. doi: 10.2337/diacare.15.11.1732. [DOI] [PubMed] [Google Scholar]
- Landry G. L., Allen D. B. Diabetes mellitus and exercise. Clin Sports Med. 1992 Apr;11(2):403–418. [PubMed] [Google Scholar]
- Maynard T. Exercise: Part I. Physiological response to exercise in diabetes mellitus. Diabetes Educ. 1991 May-Jun;17(3):196–206. doi: 10.1177/014572179101700316. [DOI] [PubMed] [Google Scholar]
- McCargar L. J., Taunton J., Paré S. Benefits of exercise training for men with insulin-dependent diabetes mellitus. Diabetes Educ. 1991 May-Jun;17(3):179–184. doi: 10.1177/014572179101700313. [DOI] [PubMed] [Google Scholar]
- Moy C. S., Songer T. J., LaPorte R. E., Dorman J. S., Kriska A. M., Orchard T. J., Becker D. J., Drash A. L. Insulin-dependent diabetes mellitus, physical activity, and death. Am J Epidemiol. 1993 Jan 1;137(1):74–81. doi: 10.1093/oxfordjournals.aje.a116604. [DOI] [PubMed] [Google Scholar]
- Richter E. A., Turcotte L., Hespel P., Kiens B. Metabolic responses to exercise. Effects of endurance training and implications for diabetes. Diabetes Care. 1992 Nov;15(11):1767–1776. doi: 10.2337/diacare.15.11.1767. [DOI] [PubMed] [Google Scholar]
- Rodnick K. J., Piper R. C., Slot J. W., James D. E. Interaction of insulin and exercise on glucose transport in muscle. Diabetes Care. 1992 Nov;15(11):1679–1689. doi: 10.2337/diacare.15.11.1679. [DOI] [PubMed] [Google Scholar]
- Schneider S. H., Khachadurian A. K., Amorosa L. F., Clemow L., Ruderman N. B. Ten-year experience with an exercise-based outpatient life-style modification program in the treatment of diabetes mellitus. Diabetes Care. 1992 Nov;15(11):1800–1810. doi: 10.2337/diacare.15.11.1800. [DOI] [PubMed] [Google Scholar]
- Schneider S. H., Vitug A., Ananthakrishnan R., Khachadurian A. K. Impaired adrenergic response to prolonged exercise in type I diabetes. Metabolism. 1991 Nov;40(11):1219–1225. doi: 10.1016/0026-0495(91)90219-m. [DOI] [PubMed] [Google Scholar]
- Sonnenberg G. E., Kemmer F. W., Berger M. Exercise in type 1 (insulin-dependent) diabetic patients treated with continuous subcutaneous insulin infusion. Prevention of exercise induced hypoglycaemia. Diabetologia. 1990 Nov;33(11):696–703. doi: 10.1007/BF00400572. [DOI] [PubMed] [Google Scholar]