Individuals with IDDM can benefit from an exercise program in the same way nondiabetic individuals can. In addition to lowering insulin requirements and reducing the risk for cardiovas cular disease, exercise can produce many of the same physical adaptations in IDDM patients that nondiabetic individuals achieve. When used in combination with diet and insulin, exercise can produce beneficial effects on metabolic control.
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References
1.
Schade D., Santiago J., Skyler J., Rizza R.Intensive insulin therapy. Princeton: Excerpta Medica, 1983.
2.
McArdle W., Katch F., Katch V.Exercise physiology, energy, nutrition, and human performance. 2nd ed. Philadelphia: Lea & Febiger, 1985.
3.
Clausen JPEffect of physical training on cardiovascular adjustments to exercise in man . Physiol Rev1977;57:779-815.
4.
Convertino V.Heart rate and sweat rate responses associated with exercise-induced hypovolemia. Med Sci Sports Exerc1982; 15:77-82.
5.
Lamb D.Energy metabolism. 2nd ed. New York: Macmillan, 1984.
6.
Wallberg-Henriksson H., Gunnarsson R., Henriksson J., et al. Increased peripheral insulin sensitivity and muscle mitochondrial enzymes but unchanged blood glucose control in type I diabetics after physical training. Diabetes1982;31:1044-50.
7.
Defaux B., Assmann G., Hollman W.Plasma lipoproteins and physical activity: a review. Int J Sports Med1982;3:123-36.
8.
Heath G., Gavin J., Hinderliter J., Hagberg J., Bloomfield S., Holloszy J.Effects of exercise and lack of exercise on glucose tolerance and insulin sensitivity. ApplPhysiol1983;55:512-17.
9.
Seals D., Hagberg J., Allen W., et al. Glucose tolerance in younger and older athletes and sedentary men. J Appl Physiol1984;56:1521-25.
10.
Schneider S. , Ruderman N.Exercise and physical training in the treatment of diabetes mellitus. Compr Ther1986; 12:49-56.
11.
Franz M.Exercise and management of diabetes mellitus. J Am Diet Assoc1987;87:872-80.
12.
Richter E., Ruderman N., Schneider S.Diabetes and exercise. Am J Med1981 ;70:201-9.
13.
Wahren J., Felig P., Hagenfeldt L.Physical exercise and fuel homeostasis in diabetes mellitus. Diabetologia1978; 14:213-22.
14.
Rosenthal M. , Haskell W., Solomon R., Windstrom A., Reaven G.Demonstration of a relationship between level of physical training and insulin-stimulated glucose utilization in normal humans. Diabetes1983;32:408-11.
15.
Jarvinen Y. , Koivisto V.Effects of body composition of insulin sensitivity . Diabetes1983;32:965-69.
16.
Landt K., Campaigne B., James F., Sperling M.Effects of exercise training on insulin sensitivity in adolescents with type I diabetes. Diabetes Care1985;8:461-65.
17.
Felig P., Wahren J.Fuel homeostasis in exercise. N Engl J Med1975;293:1078-84.
18.
Tepperman J.Metabolic and endocrine physiology. 4th ed. Chicago: Year Book Medical Publishers , 1980.
19.
Skyler J.Diabetes and exercise: clinical implications. Diabetes Care1979;2:307-10.
20.
Diabetes Control and Complications Trial (DCCT): results of feasibility study. Diabetes Care1987;10:1-19.
21.
Christensen N., Galbo H., Hansen J., Hess B., Richter E., Trap-Jensen J.Catecholamines and exercise. Diabetes1979;28:59-62.
22.
Vitug A., Schneider S., Ruderman N.Exercise and type I diabetes mellitus. In: Pandolf K, ed. Exercise and sport sciences reviews. New York: Macmillan, 1988:285-304.
23.
Colwell J., Lopes-Virella M., Halushka P.Pathogenesis of atherosclerosis in diabetes mellitus. Diabetes Care1981 ;4:121-33.
Horton E.Role and management of exercise in diabetes mellitus. Diabetes Care1988; 11:201-11.
26.
Trovati M., Carta Q., Cavalot F., et al. Continuous subcutaneous insulin infusion and postprandial exercise in tightly controlled type I (insulin dependent) diabetic patients. Diabetes Care1984;7:327-30.
27.
Guidelines for graded exercise testing and exercise prescription , American College of Sports Medicine, 2nd ed. Philadelphia: Lea & Febiger , 1980.
