The clinical and metabolic benefits of exercise for people with type 1 diabetes

摘要

The symposium 'The Clinical and Metabolic Benefits of Exercise for People with Type 1 Diabetes' was selected by The Physiological Society for presentation at the Experimental Biology 2019 Meeting in Orlando, Florida with Physiological Society sponsorship. The symposium brought together the latest fundamental research on the metabolic impairments that occur in type 1 diabetes (T1D) at the skeletal muscle and whole-body level and the most recent knowledge on nutrition and exercise strategies that can be used to prevent exercise-induced hypoglycaemia. The latter is the most important barrier preventing many people with T1D from engaging in a physically active lifestyle. In their latest position statement, the American Diabetes Association (ADA) considers exercise to be one of the key components for the management of T1D, as there is a positive association between the hours of moderate intensity exercise per week and (1) a reduced risk of cardiovascular disease, (2) decreased daily insulin requirements, and (3) improved quality of life (Colberg et al., 2016). Despite this position statement, adults with T1D have been shown to be less active than their healthy counterparts with fear for exercise-induced hypoglycaemia and lack of time named as major barriers (Colberg et al., 2016; Scott et al. 2020).