Physical activity and exercise in patients with diabetes mellitus

Kempf, Patrick; Laimer, Markus; Stettler, Christoph (2018). Physical activity and exercise in patients with diabetes mellitus. Therapeutische Umschau, 74(8), pp. 417-422. Huber 10.1024/0040-5930/a000935

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Abstract. Physical activity and exercise are important components of a healthy lifestyle, especially in patients with diabetes mellitus. It has been shown that physical activity generally reduces cardiovascular risk and improves glycaemic control as well as additional parameters such as blood pressure, cholesterol levels, and body composition. Therefore, frequent aerobic exercise and moderate resistance training are currently recommended for diabetic patients. While even short activities may have a positive metabolic effect for up to one day, overcoming the obstacle of inactivity and implementing regular exercise is often difficult in daily life. Depending on the type of the activity, blood glucose levels may not only decrease during exercise, but even increase in case of higher exercise intensity. This is of particular importance for patients with insulin therapy and, specifically, in type 1 diabetes. While exercise has been shown to have similarly beneficial effects on cardiovascular risk in patients with type 1 diabetes, physical activity is associated with an increased risk of exercise-associated hypoglycaemia. As a consequence, appropriate measures (e. g. adaptation of insulin doses and / or ingestion of additional carbohydrates) are usually recommended in these patients. Modern technical devices such as insulin pumps and / or continuous glucose monitoring systems are important in supporting active patients with diabetes to optimize glucose control during and after exercise.

Item Type:	Journal Article (Review Article)
Division/Institute:	04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition
UniBE Contributor:	Kempf, Patrick, Laimer, Markus, Stettler, Christoph
Subjects:	600 Technology > 610 Medicine & health
ISSN:	0040-5930
Publisher:	Huber
Language:	German
Submitter:	Markus Laimer
Date Deposited:	07 Mar 2019 12:40
Last Modified:	05 Dec 2022 15:25
Publisher DOI:	10.1024/0040-5930/a000935
PubMed ID:	29461149
Uncontrolled Keywords:	Diabetes mellitus, Sport, Training, körperliche Aktivität
URI:	https://boris.unibe.ch/id/eprint/125377