Management of Competitive Athletes With Diabetes

Abstract

In Brief An effective management plan for an athlete with type 1 diabetes must consider the energy demands of intense competition and training,the athlete's goals, factors related to competitive sports that may affect glucose homeostasis, and strategies that may be employed to allow safe,effective sports participation. Athletes should be appropriately screened,counseled to avoid risky behaviors, and provided with specific recommendations for glucose monitoring and insulin and diet adjustments so that they may anticipate and compensate for glucose responses during sports competition.

Characteristics of somatic build and physical activity and evaluation of hand grip strength in patients with type 1 diabetes

“…Tym samym przedzielanie ciągłych wysiłków o małej intensywności krótkimi ćwiczeniami anaerobowymi może pomóc w zapobieganiu hipoglikemii podczas umiarkowanej AF. Jednakże może również zwiększać ryzyko wystą-pienia powysiłkowej hipoglikemii nocnej [8,25].…”

“…Therefore, implementing short anaerobic exercises in long low-intensity effort with may help prevent hypoglycaemia during moderate physical activity. However, it may also increase the risk of post-exercise nocturnal hypoglycaemia [8,25].…”

“…Regular participation in organised forms of physical activity enables patients with diabetes to benefit from better physical fitness, improvement in cardiorespiratory function, a lower risk of cardiovascular complications, a better control of blood glucose level as well as positive social relations and life comfort [6,7]. Apart from pro-health values and the willingness to improve physical fitness, the dominating factors which motivate young people with T1DM to participate in physical activity include such emotional aspects as competition and peer acceptance [8].…”

O papel do exercício no tratamento do diabetes melito tipo 1

“…Algumas situações tornam a realização do exercício físico requerente de maior atenção. De acordo com recomendações anteriores da Associação Americana de Diabetes (ADA), indivíduos com glicemia maior que 250 mg/dL com presença confirmada de cetose devem evitar a realização do exercício físico e como precaução, glicemia > 300 mg/dL mesmo sem confirmação de cetose o exercício deve ser realizado com bastante cautela ou de preferência evitado (4,6). As recomendações atuais da ADA enfocam não o nível glicêmico, mas sim a presença de cetose e a ausência do uso de insulina por 12 a 48 horas.…”

“…As quantidades são identificadas facilmente nos rótulos. As bebidas que contêm o hidrato de carbono de 10% podem causar desconforto gastrintestinal e devem ser diluídas (6).…”