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Updated: Mar 9, 2026

Author Spotlight: Exploring the Impact of Reduced Resistance Exercise Volume on Metabolic Health
Published on: December 1, 2023
Update on Management of Type 1 Diabetes and Type 2 Diabetes in Athletes
Jane E Yardley1, Sheri R Colberg
11Department of Social Sciences, University of Alberta, Augustana Faculty, Camrose, AB, CANADA; and 2Human Movement Sciences Department, Old Dominion University, Norfolk, VA.
Abstract:
Optimal blood glucose management still remains the biggest challenge in active individuals with diabetes, particularly in insulin users, but some newer strategies have been introduced to maintain blood glucose control. Recent studies emphasize the importance of exercise intensity on glycemic balance. In individuals with type 1 and type 2 diabetes, both resistance and high-intensity intermittent exercise have been shown to confer beneficial physiological adaptations in training studies, while also showing acute glycemic benefits from single sessions. At the same time, anyone training at higher intensities also should take into consideration potential impairments in thermoregulation in individuals with diabetes, which can increase the risk of heat stress during exercise in hot and/or humid conditions. Recent studies of medication effects on electrolyte balance and hydration give a more complete picture of potential exercise risks for athletes with diabetes. Use of the latest diabetes-related technologies also may benefit the athlete with diabetes.
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