Exercise comes in a variety of forms and intensities and is important for health and fitness in diabetes . however, in people with diabetes, short term alterations in glucose homeostasis is often caused by increased exercise levels. The aimof this presentation is to highlight the general glycemic patters caused by the different types of exercise in people lving with diabetes who are taking insulin. The technical challenges to simulate the normal neuroendocrine responses to exercise in diabetes are also highlighted.
An overview of normal and abnormal physiology is examined
Prolonged aerobic exercise increases insulin stimulated and non-insulin stimulated glucose disposal and hypoglycemia develops. With intensive and competaive exercise events, particularly in the morning, stress hormones levels rise and hyperglycemia ensues.
Insulin delivery strategies for prolonged exercise and for short intense activities are needed to manage glycemia in patients living with diabetes