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Diabetes and exercise

E A Richter, N B Ruderman, S H Schneider

    The American Journal of Medicine
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Exercise impacts blood glucose differently in people with diabetes. Physical training offers benefits like improved glucose control and reduced cardiovascular risk, but requires precautions for diabetic individuals.

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    Area of Science:

    • Endocrinology
    • Metabolic Science
    • Sports Medicine

    Background:

    • Exercise elicits varied metabolic and hormonal responses in individuals.
    • Diabetes mellitus presents unique challenges regarding exercise's impact on glycemic control.
    • Understanding these responses is crucial for managing diabetes effectively.

    Purpose of the Study:

    • To review the metabolic and hormonal responses to exercise in normal and diabetic individuals.
    • To explore the potential benefits of physical training for diabetes management.
    • To highlight safety considerations for exercise in diabetic populations.

    Main Methods:

    • Literature review of studies on exercise physiology in diabetes.
    • Analysis of hormonal and metabolic data during physical activity.

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  • Synthesis of evidence on the effects of physical training on glucose tolerance and insulin requirements.

    • Main Results:

    • Exercise can cause significant plasma glucose fluctuations in insulin-dependent diabetics, including hypoglycemia.
    • Glycemic response is linked to ambient insulin levels and exercise effects on insulin absorption.
    • Physical training can improve glucose tolerance in non-insulin-dependent diabetes and potentially reduce insulin needs in insulin-dependent diabetes.

    Conclusions:

    • Physical training offers significant benefits for diabetes management, including improved glycemic control and cardiovascular health.
    • Exercise response in diabetes is complex and influenced by insulin levels, absorption, and autonomic function.
    • While beneficial, physical training in diabetic individuals necessitates careful monitoring and specific precautions to mitigate risks.