Olympic diabetes

Gallen, Ian W.; Redgrave, Ann; Redgrave, Steven

doi:10.7861/clinmedicine.3-4-333

Cited by 11 publications

(7 citation statements)

References 20 publications

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“…Physiological investigations identified a specific defect in gluconeogenesis during exercise, leading to a deficit in glucose flux to the exercising muscle. This was managed by an innovative technique in the post‐exercise period of relative muscle insulin resistance which was used to take a large glucose load with bolus analogue insulin to promote and replenish hepatic glucose storage 46. This technique improved his performance significantly, and is now used by many endurance athletes with diabetes.…”

Section: Famous Athletes With Diabetesmentioning

confidence: 99%

The management of insulin treated diabetes and sport

Gallen

2005

Pract Diab Int

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People with insulin treated diabetes should be encouraged to exercise, and many will want to perform sports, some at a competitive level. Whilst cardiovascular and muscle physiology is normal in uncomplicated diabetes, the effects of insulin treatment and the various abnormalities in the endocrine response with exercise seen in diabetes may impact on glycaemic control and increase the risk of hypoglycaemia. At higher levels of performance, diabetes may impair maximum performance. Understanding normal physiology of exercise and the changes seen with diabetes enables the athlete and their health care professional to predict the pattern of change in blood glucose with various forms of effort, and thus with appropriate changes in insulin therapy and food intake to manage these changes so that hypoglycaemia is avoided and performance is normalised. Examples of outstanding performance from athletes with insulin treated diabetes are presented and the implications of the use of insulin in competitive sport are discussed. This article reviews these issues and suggests potential strategies for the management of insulin treated diabetes with sport.

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Section: Famous Athletes With Diabetesmentioning

confidence: 99%

The management of insulin treated diabetes and sport

Gallen

2005

Pract Diab Int

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“…Diabetes is not a barrier to regular physical activity, even for those who wish to compete in sport at international level 8. Indeed, for patients with diabetes, exercise helps to reduce excess weight, improve insulin sensitivity and glycaemic control, and reduce the likelihood of cardiovascular disease 9.…”

Section: Effects Of Physical Activitymentioning

confidence: 99%

Matching diabetes treatment and lifestyle

2005

DTB

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Strict glycaemic control reduces the likelihood of complications in patients with type 1 or type 2 diabetes mellitus.1,2 However, achieving such control as part of normal daily life can be difficult and may be further complicated by changes to daily routine. Here we highlight key ways of achieving good control without unduly restricting the patient's day-to-day activities. We also discuss the impact exercise, travel, changes in working patterns, and fasting can have on diabetic control and consider what practical advice healthcare professionals can offer to individuals facing such lifestyle changes.

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“…Diabetic societies recommend physical recreation and even sports as a part of treatment that could have positive influence on acute and chronic vascular complications prevention [ 8 , 9 , 10 ]. There are many examples of top-level athletes in whom type 1 diabetes did not prevent them from achieving spectacular sports successes (Sir Steve Redgrave, a five-time Olympic gold medalist in rowing; Kris Freeman, a four-time participant in cross-country skiing at the Winter Olympics; and American swimmer Gary Hall, a gold medalist at the Athens Olympic Games) [ 10 , 11 ]. As a result, there is an increasing demand for new therapeutic solutions that will enable patients to engage in physical activity, including sports, safely.…”

Section: Introductionmentioning

confidence: 99%

Responses to Low- and High-Intensity Exercise in Adolescents with Type 1 Diabetes in Relation to Their Level of VO2 Max

Myśliwiec

Skalska

Michalak

et al. 2021

IJERPH

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The purpose of this study was to investigate the influence of maximal oxygen uptake (VO2 max) on the glycemic changes during low and high intensity exercises in young type 1 diabetic patients. Twenty boys (age: 14.3 ± 1.6 years; height: 171.0 ± 11.3 cm; weight; 59.5 ± 12.8 kg) were divided into low-fit group (LFG, n = 10) and high-fit group (HFG, n = 10). According to the experimental design, participants performed three physical efforts (VO2 max test, mixed aerobic–anaerobic effort and aerobic effort) on the cycloergometer, during which real-time glycemia was measured. Mixed aerobic–anaerobic exercise demanded significantly smaller carbohydrate supplementation (0.2 ± 0.2 g/kg during exercise) than the aerobic test session (0.4 ± 0.3 g/kg during exercise). Moreover, patients with higher VO2 max had lower tendency for glycemic changes during the aerobic effort. The results of the current study suggest that young type 1 diabetic patients should perform different intensity activities using continuous glycemic monitoring system to avoid acute and chronic complications of the disease.

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Olympic diabetes

Cited by 11 publications

References 20 publications

The management of insulin treated diabetes and sport

The management of insulin treated diabetes and sport

Matching diabetes treatment and lifestyle

Responses to Low- and High-Intensity Exercise in Adolescents with Type 1 Diabetes in Relation to Their Level of VO2 Max

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