Physical exercise in type 1 diabetes mellitus: what evidence for better prescribing?
DOI:
https://doi.org/10.33233/rbfe.v18i1.2878Keywords:
type 1 diabetes, exercise, physical activity, glycemic controlAbstract
Regular exercise has assumed a prominent position in the treatment of type 1 diabetes, being awarded several organic adaptations and extremely relevant benefits for disease control. Since diabetes is largely associated with cardiovascular diseases, the importance of exercise in reversing the risk factors for such diseases should be fairly appreciated. Among them, the exercise has played a major role in better glycemic control, reducing blood pressure and improving lipid profile. However, it is important to emphasize that some studies have failed correlating the practice of exercise with better glycemic control or reducing HbA1c in patients with DM1. This study is a literature review aiming to to analyze in detail the benefits – as well as possible adverse reactions – of exercise in individuals with DM1. We discuss their metabolic and physiologic effects, in addition physical activity programs allowing these individuals to exercise pleasantly and safely. Although all the modalities show direct gains on glycemic control and/or related to the improvement of predictors of cardiovascular diseases in the population with DM1, it was observed that better results were achieved in sessions composed by cyclic and neuromuscular exercises.
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