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- Title
Physical exercise impact on the risk of hypoglycemia in insulin-dependent patients.
- Authors
Branea, Cristina
- Abstract
Background. Studies of recent decades in the field of diabetology reveal the importance of physical exercise in achieving an adequate metabolic control of insulin-dependent patients. An effective therapeutic approach involves ongoing and personalized assessment of patients, related to the intensity and duration of physical exercise, as well as an appropriate adjustment of insulin dosage and diet, pre- and post-exercise, in order to lower the frequency and severity of hypoglycemic episodes. Aims. Studying the glycemic response to exercise of 14-15 year old diabetic patients, as well as optimizing long term metabolic control, by a six month longitudinal experiment. Methods. Clustered sampling brought about two investigated groups: the experimental group (A-12 subjects), to which a program of 45 minute moderate intensity exercise was applied, 4 sessions per week, with the duration of 6 months, and the control group (B-12 subjects), in which physical activity was limited to ADL (Activities of Daily Living). Glycemic control was accomplished by the initial and final evaluation of glycosylated hemoglobin (HbA1c) values. The frequency of hypo-glycemic episodes was reported monthly by the questionnaire method. Inferential statistics results were assigned using the GraphPad InStat 3 statistical software. Results. The mean HbA1c values were significantly different between the two groups, being decreased in the experimental group compared to the control group, in the final evaluation. Also, the frequency of reported hypoglycemic episodes decreased from 58% in the first month of the experiment to 17% at its end. Conclusions. Moderate intensity exercise, systematically applied, induces significant decreases in blood glucose levels. Consequently, adjustments related to insulin requirements and carbohydrate intake significantly reduce the frequency of hypoglycemic episodes, ensuring the long-term adequacy of metabolic control of diabetes.
- Publication
Palestrica of the Third Millennium Civilization & Sport, 2013, Vol 14, Issue 3, p186
- ISSN
1582-1943
- Publication type
Academic Journal