Use of Clinical Practice Recommendations for Exercise by Individuals With Type 1 Diabetes

Abstract

PURPOSE

The purposes of this study were to determine the extent to which physically active individuals with type 1 diabetes actually follow exercise recommendations and to compare their use of current with previous recommendations.

METHODS

A questionnaire was developed consisting of the American Diabetes Association's current clinical practice recommendations for exercise and some previous recommendations. The questionnaire was mailed to approximately 1700 members of the International Diabetic Athletes Association; responses from 238 questionnaires were included in the results. Respondents indicated to what extent they currently use all of these recommendations and any modifications that they employ.

RESULTS

The responses indicated that individuals with type 1 diabetes closely followed the majority of the current clinical exercise recommendations and did so to a greater extent than previous ones. Individuals' specific modifications to the current recommendations are summarized.

CONCLUSIONS

The current clinical practice recommendations are used by exercisers with diabetes and are followed more closely than previous ones. The significant number of reported modifications made by individuals indicates, however, that a substantial need still exists to modify and individualize the recommendations.

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References

1. National Diabetes Data Group . Diabetes in America. 2nd ed.

National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Disorder

1995. NIH publication 95-1468.

2. Berger M . Berchtold P, Cuppers H, et al. Metabolic and hormonal effects of muscular exercise in juvenile type diabetes. Diabetologia. 1977;13:355-365.

3. Kemmer F . Prevention of hypoglycemia during exercise in type 1 diabetes. Diabetes Care. 1992;15(suppl 4):1732-1735.

4. Vitug A , Schneider S , Ruderman N . Exercise and type 1 diabetes mellitus. In: Pandolf KB , ed. Exercise and Sports Science Reviews. Vol 16. New York: Macmillan; 1988.

5. American Diabetes Association . Position statement. Clinical practice recommendations 1999. Diabetes mellitus and exercise. Diabetes Care. 1999;22(suppl 1):S49-S53.

6. Loman D , Galgani C . Physical activity in adolescents with diabetes. Diabetes Educ. 1996;22:121-125.

7. Bielamowicz M , Miller W , Elkins E , Ladewig H . Monitoring behavioral changes in diabetes care with the diabetes self-management record. Diabetes Educ. 1995;21:426-431.

8. Ruggiero L , Glasgow R , Dryfoos J , et al. Diabetes self-management: self-reported recommendations and patterns in a large population. Diabetes Care. 1997;20:568-576.

9. Peyrot M , Rubin R . Modeling the effect of diabetes education on glycemic control. Diabetes Educ. 1994;20:143-148.

10.

10. Cradock S . The role of exercise in diabetes management. Community Nurs. 1997;3:23-24.

11.

11. Fahey P , Stallkamp E , Kwatra S . The athlete with type I diabetes: managing insulin, diet, and exercise. Am Fam Physician. 1996;53:1611-1624.

12.

12. Wasserman D , Zinman B . Exercise in individuals with IDDM. Diabetes Care. 1994;17:924-937.