Nutrition and Insulin Management Guidelines for Exercise in Type 1 Diabetes
Patients with type 1 diabetes and their providers should recognize how the form and intensity of exercise affects glucose control, according to a recent consensus statement published in the Lancet Diabetes & Endocrinology.
"Regular exercise has long been known to be beneficial from a cardiometabolic perspective for people living with type 1 diabetes. It has also been known to make glucose control more difficult," Michael C. Riddell, PhD, professor and graduate program director at the School of Kinesiology and Health Science at the Muscle Health Research Centre at York University in Toronto, Ontario, Canada, told Endocrinology Advisor in an interview.
"This recent consensus document highlights the known beneficial effects of regular exercise in type 1 diabetes and how different forms and intensities of exercise impact immediate glucose homeostasis."
Dr Riddell and colleagues performed a PubMed search of nutrition and glycemic-based terms for studies involving patients with type 1 diabetes or insulin-dependent diabetes between January 1990 and July 2016 in which physical activity or exercise was involved. The review of the literature was divided into sections involving management of glycemia, exercise, and nutrition, as well as goals for exercise, contraindications of exercise, and tools for exercise management in patients with type 1 diabetes.
"Acute aerobic exercise [typically causes] increases in glucose disposal that cannot be matched by increased hepatic glucose production in type 1 diabetes because circulating insulin levels do not drop rapidly enough at the time of exe Continue reading