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Diabetes and exercise.

Abstract

Physical activity has acute and chronic effects on glucose, lipid and protein metabolism. Long-term effects of regular exercise are particularly advantageous for Type 2 diabetic patients. Regular aerobic exercise reduces visceral fat mass and body weight without decreasing lean body mass, ameliorates insulin sensitivity, glucose and BP control, lipid profile and reduces the cardiovascular risk. For these reasons, regular aerobic physical activity must be considered as an essential component of the cure of Type 2 diabetes mellitus. In this regard, individual behavioral strategies have been documented to be effective in motivating sedentary Type 2 diabetic subjects to the adoption and the maintenance of regular physical activity. In Type 1 diabetic subjects, the lack of the physiological inhibition of insulin secretion during exercise results in a potential risk of hypoglycemia. On the other hand, exercise-induced activation of counter-regulatory hormones might trigger an acute metabolic derangement in severe insulin-deficient subjects. Thus, diabetic patients, before starting exercise sessions, must be carefully educated about the consequences of physical activity on their blood glucose and the appropriate modifications of diet and insulin therapy.

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  • Authors+Show Affiliations

    ,

    Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic Sciences, University of Perugia, Perugia, Italy. fsant@unipg.it

    , , , , , ,

    Source

    MeSH

    Blood Glucose
    Body Composition
    Body Weight
    Diabetes Mellitus, Type 1
    Diabetes Mellitus, Type 2
    Exercise
    Humans
    Hypoglycemia

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Review

    Language

    eng

    PubMed ID

    14964449

    Citation

    Santeusanio, F, et al. "Diabetes and Exercise." Journal of Endocrinological Investigation, vol. 26, no. 9, 2003, pp. 937-40.
    Santeusanio F, Di Loreto C, Lucidi P, et al. Diabetes and exercise. J Endocrinol Invest. 2003;26(9):937-40.
    Santeusanio, F., Di Loreto, C., Lucidi, P., Murdolo, G., De Cicco, A., Parlanti, N., ... De Feo, P. (2003). Diabetes and exercise. Journal of Endocrinological Investigation, 26(9), pp. 937-40.
    Santeusanio F, et al. Diabetes and Exercise. J Endocrinol Invest. 2003;26(9):937-40. PubMed PMID: 14964449.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Diabetes and exercise. AU - Santeusanio,F, AU - Di Loreto,C, AU - Lucidi,P, AU - Murdolo,G, AU - De Cicco,A, AU - Parlanti,N, AU - Piccioni,F, AU - De Feo,P, PY - 2004/2/18/pubmed PY - 2004/8/19/medline PY - 2004/2/18/entrez SP - 937 EP - 40 JF - Journal of endocrinological investigation JO - J. Endocrinol. Invest. VL - 26 IS - 9 N2 - Physical activity has acute and chronic effects on glucose, lipid and protein metabolism. Long-term effects of regular exercise are particularly advantageous for Type 2 diabetic patients. Regular aerobic exercise reduces visceral fat mass and body weight without decreasing lean body mass, ameliorates insulin sensitivity, glucose and BP control, lipid profile and reduces the cardiovascular risk. For these reasons, regular aerobic physical activity must be considered as an essential component of the cure of Type 2 diabetes mellitus. In this regard, individual behavioral strategies have been documented to be effective in motivating sedentary Type 2 diabetic subjects to the adoption and the maintenance of regular physical activity. In Type 1 diabetic subjects, the lack of the physiological inhibition of insulin secretion during exercise results in a potential risk of hypoglycemia. On the other hand, exercise-induced activation of counter-regulatory hormones might trigger an acute metabolic derangement in severe insulin-deficient subjects. Thus, diabetic patients, before starting exercise sessions, must be carefully educated about the consequences of physical activity on their blood glucose and the appropriate modifications of diet and insulin therapy. SN - 0391-4097 UR - https://www.unboundmedicine.com/medline/citation/14964449/full_citation L2 - https://link.springer.com/article/10.1007/BF03345247 DB - PRIME DP - Unbound Medicine ER -