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Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes

The importance of adopting healthy exercise routines has been repeatedly emphasized to individuals with diabetes mellitus (DM). However, knowledge about the risk of exercise-induced hypoglycemia is limited. Regular exercise reduces and delays the onset of DM-related complications particularly in ind...

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Autores principales: Jung, Ah Reum, Kim, Hyunah, Kim, Hun-Sung, Kim, Churlmin, Choi, Whan-Seok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Family Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010442/
https://www.ncbi.nlm.nih.gov/pubmed/32397690
http://dx.doi.org/10.4082/kjfm.19.0043
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author Jung, Ah Reum
Kim, Hyunah
Kim, Hun-Sung
Kim, Churlmin
Choi, Whan-Seok
author_facet Jung, Ah Reum
Kim, Hyunah
Kim, Hun-Sung
Kim, Churlmin
Choi, Whan-Seok
author_sort Jung, Ah Reum
collection PubMed
description The importance of adopting healthy exercise routines has been repeatedly emphasized to individuals with diabetes mellitus (DM). However, knowledge about the risk of exercise-induced hypoglycemia is limited. Regular exercise reduces and delays the onset of DM-related complications particularly in individuals who already have DM. However, an excessive exercise can lead to hypoglycemia. Excessive exercise in the evening can cause hypoglycemia while sleeping. Furthermore, if individuals with DM want to have a greater amount of exercise, the exercise duration rather than intensity must be increased. In weight resistance exercises, it is beneficial to first increase the number of repetitions, followed by the number of sets and gradually the weight of resistance. When performing intermittent high-intensity training within a short time period, hypoglycemia may develop for an extended period after exercise. In addition to adjusting exercise regimens, the medication doses must be modified accordingly. Delaying exercise, adjusting the number of snacks consumed prior to exercise, reducing insulin dose before exercise, and injecting insulin into the abdomen rather than the limbs prevent exercise-induced hypoglycemia prior to a spontaneous exercise. Ultimately, with personal knowledge on how to prevent hypoglycemia, the effects of exercise can be maximized in individuals with DM, and a healthy lifestyle can prevent future complications.
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spelling pubmed-80104422021-04-06 Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes Jung, Ah Reum Kim, Hyunah Kim, Hun-Sung Kim, Churlmin Choi, Whan-Seok Korean J Fam Med Review Article The importance of adopting healthy exercise routines has been repeatedly emphasized to individuals with diabetes mellitus (DM). However, knowledge about the risk of exercise-induced hypoglycemia is limited. Regular exercise reduces and delays the onset of DM-related complications particularly in individuals who already have DM. However, an excessive exercise can lead to hypoglycemia. Excessive exercise in the evening can cause hypoglycemia while sleeping. Furthermore, if individuals with DM want to have a greater amount of exercise, the exercise duration rather than intensity must be increased. In weight resistance exercises, it is beneficial to first increase the number of repetitions, followed by the number of sets and gradually the weight of resistance. When performing intermittent high-intensity training within a short time period, hypoglycemia may develop for an extended period after exercise. In addition to adjusting exercise regimens, the medication doses must be modified accordingly. Delaying exercise, adjusting the number of snacks consumed prior to exercise, reducing insulin dose before exercise, and injecting insulin into the abdomen rather than the limbs prevent exercise-induced hypoglycemia prior to a spontaneous exercise. Ultimately, with personal knowledge on how to prevent hypoglycemia, the effects of exercise can be maximized in individuals with DM, and a healthy lifestyle can prevent future complications. Korean Academy of Family Medicine 2021-03 2020-05-13 /pmc/articles/PMC8010442/ /pubmed/32397690 http://dx.doi.org/10.4082/kjfm.19.0043 Text en Copyright © 2021 The Korean Academy of Family Medicine This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Jung, Ah Reum
Kim, Hyunah
Kim, Hun-Sung
Kim, Churlmin
Choi, Whan-Seok
Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes
title Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes
title_full Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes
title_fullStr Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes
title_full_unstemmed Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes
title_short Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes
title_sort exercise strategies to prevent hypoglycemia in patients with diabetes
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010442/
https://www.ncbi.nlm.nih.gov/pubmed/32397690
http://dx.doi.org/10.4082/kjfm.19.0043
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