title: [Protracted blood sugar increase in type 1 diabetics after brief but exhausting muscular exercise].
abstract: In eight type I diabetics-three of them under intensified insulin therapy and five on continuous subcutaneous insulin infusion (CSII)-blood-glucose concentrations fell significantly during 20-minute isometric and dynamic muscle work at about 50% of individual maximal work capacity and subsequent intensive exercise of five minutes until exhaustion. However, 6 1/2 hours later blood-glucose levels (221 +/- 39 mg/dl after isometric exercise and 219 +/- 24 mg/dl after dynamic exercise) were clearly above the mean level measured at the same time of day on the three preceding days of 138 +/- 12 mg/dl (P less than 0.05). No hypoglycaemia occurred. This blood-sugar profile can be explained by a significant rise in cortisol and growth hormone and their long-lasting blood-sugar raising effect.
authors.affiliation: III. Medizinische Abteilung, Klinikum München-Bogenhausen.
authors.forename: K
authors.initials: K
authors.lastname: Böhmer
authors.forename: R
authors.initials: R
authors.lastname: Renner
authors.forename: K D
authors.initials: KD
authors.lastname: Hepp
authors.forename: R
authors.initials: R
authors.lastname: Landgraf
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood*; D015444:Exercise; D005080:Exercise Test; D013006:Growth Hormone / Q000097:blood; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D008875:Middle Aged; D013997:Time Factors
chemical_list: D001786:Blood Glucose; D013006:Growth Hormone; D006854:Hydrocortisone
vernacular_title: Protrahierter Blutzuckeranstieg bei Typ-I-Diabetikern nach kurzdauernder erschöpfender Muskelarbeit.