Managing the athlete with type 1 diabetes.
Type 1 diabetes is a chronic disease that can lead to many serious complications if not properly managed. The patient and physician must work together to optimize glucose control involving both insulin administration and caloric intake. Exercise has numerous benefits and the type 1 diabetic should take advantage of these benefits. Athletes with type 1 diabetes are capable of undertaking a wide array of exercise activities and there are no longer firm contraindications to certain sports for diabetic patients. This article will aid the sports physician in understanding the effects of exercise on diabetes, educating patients to exercise safely, advising when exercise is contraindicated, and providing guidelines for optimal management of the diabetic athlete.
Lisle
David K
DK
Department of Family Medicine, University of Connecticut Health Center/Saint Francis Hospital and Medical Center, Hartford, CT 06105, USA.
Trojian
Thomas H
TH
D015190:Blood Glucose Self-Monitoring / Q000379:methods; D020878:Device Removal / Q000379:methods; D003922:Diabetes Mellitus, Type 1 / Q000378:metabolism / Q000628:therapy*; D015444:Exercise / Q000502:physiology; D005947:Glucose / Q000378:metabolism; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D007332:Insulin Infusion Systems; D010353:Patient Education as Topic / Q000379:methods; D018570:Risk Assessment / Q000379:methods; D013178:Sports Medicine / Q000379:methods*
D007328:Insulin; D005947:Glucose