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Diabetes in Sports

CONTEXT: Exercise is recommended for individuals with diabetes mellitus, and several facets of the disease must be considered when managing the diabetic athlete. The purpose of this article is to review diabetes care in the context of sports participation. EVIDENCE ACQUISITION: Relevant studies were...

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Detalles Bibliográficos
Autores principales: Shugart, Christine, Jackson, Jonathan, Fields, Karl B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438860/
https://www.ncbi.nlm.nih.gov/pubmed/23015921
http://dx.doi.org/10.1177/1941738109347974
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author Shugart, Christine
Jackson, Jonathan
Fields, Karl B.
author_facet Shugart, Christine
Jackson, Jonathan
Fields, Karl B.
author_sort Shugart, Christine
collection PubMed
description CONTEXT: Exercise is recommended for individuals with diabetes mellitus, and several facets of the disease must be considered when managing the diabetic athlete. The purpose of this article is to review diabetes care in the context of sports participation. EVIDENCE ACQUISITION: Relevant studies were identified through a literature search of MEDLINE and the Cochrane database, as well as manual review of reference lists of identified sources. RESULTS: Diabetics should be evaluated for complications of long-standing disease before beginning an exercise program, and exercise should be modified appropriately if complications are present. Athletes who use insulin or oral insulin secretogogues are at risk for exercise-induced immediate or delayed hypoglycemia. Diabetics are advised to engage in a combination of regular aerobic and resistance exercise. Insulin-dependent diabetics should supplement carbohydrate before and after exercise, as well as during exercise for events lasting longer than 1 hour. Adjustment of insulin dosing based on planned exercise intensity is another strategy to prevent hypoglycemia. Insulin-dependent athletes should monitor blood sugar closely before, during, and after exercise. Significant hyperglycemia before exercise should preclude exercise because the stress of exercise can paradoxically exacerbate hyperglycemia and lead to ketoacidosis. Athletes should be aware of hypoglycemia symptoms and have rapidly absorbable glucose available in case of hypoglycemia. CONCLUSION: Exercise is an important component of diabetes treatment, and most people with diabetes can safely participate in sports at recreational and elite levels with attention to appropriate precautions.
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spelling pubmed-34388602012-09-26 Diabetes in Sports Shugart, Christine Jackson, Jonathan Fields, Karl B. Sports Health Primary Care CONTEXT: Exercise is recommended for individuals with diabetes mellitus, and several facets of the disease must be considered when managing the diabetic athlete. The purpose of this article is to review diabetes care in the context of sports participation. EVIDENCE ACQUISITION: Relevant studies were identified through a literature search of MEDLINE and the Cochrane database, as well as manual review of reference lists of identified sources. RESULTS: Diabetics should be evaluated for complications of long-standing disease before beginning an exercise program, and exercise should be modified appropriately if complications are present. Athletes who use insulin or oral insulin secretogogues are at risk for exercise-induced immediate or delayed hypoglycemia. Diabetics are advised to engage in a combination of regular aerobic and resistance exercise. Insulin-dependent diabetics should supplement carbohydrate before and after exercise, as well as during exercise for events lasting longer than 1 hour. Adjustment of insulin dosing based on planned exercise intensity is another strategy to prevent hypoglycemia. Insulin-dependent athletes should monitor blood sugar closely before, during, and after exercise. Significant hyperglycemia before exercise should preclude exercise because the stress of exercise can paradoxically exacerbate hyperglycemia and lead to ketoacidosis. Athletes should be aware of hypoglycemia symptoms and have rapidly absorbable glucose available in case of hypoglycemia. CONCLUSION: Exercise is an important component of diabetes treatment, and most people with diabetes can safely participate in sports at recreational and elite levels with attention to appropriate precautions. SAGE Publications 2010-01 /pmc/articles/PMC3438860/ /pubmed/23015921 http://dx.doi.org/10.1177/1941738109347974 Text en © 2010 The Author(s)
spellingShingle Primary Care
Shugart, Christine
Jackson, Jonathan
Fields, Karl B.
Diabetes in Sports
title Diabetes in Sports
title_full Diabetes in Sports
title_fullStr Diabetes in Sports
title_full_unstemmed Diabetes in Sports
title_short Diabetes in Sports
title_sort diabetes in sports
topic Primary Care
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438860/
https://www.ncbi.nlm.nih.gov/pubmed/23015921
http://dx.doi.org/10.1177/1941738109347974
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