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Diabetes and exercise.
J Endocrinol Invest 2003; 26(9):937-40JE

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.

Authors+Show Affiliations

Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic Sciences, University of Perugia, Perugia, Italy. fsant@unipg.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -