Journal of Endocrinological Investigation

, Volume 26, Issue 9, pp 937–940

Diabetes and exercise

Authors

    • Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic SciencesUniversity of Perugia
  • C. Di Loreto
    • Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic SciencesUniversity of Perugia
  • P. Lucidi
    • Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic SciencesUniversity of Perugia
  • G. Murdolo
    • Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic SciencesUniversity of Perugia
  • A. De Cicco
    • Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic SciencesUniversity of Perugia
  • N. Parlanti
    • Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic SciencesUniversity of Perugia
  • F. Piccioni
    • Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic SciencesUniversity of Perugia
  • P. De Feo
    • Department of Internal Medicine, Section Internal Medicine, Endocrine and Metabolic SciencesUniversity of Perugia
Article

DOI: 10.1007/BF03345247

Cite this article as:
Santeusanio, F., Di Loreto, C., Lucidi, P. et al. J Endocrinol Invest (2003) 26: 937. doi:10.1007/BF03345247

Abstract

Physical activity has acute and chronic effects on glucose, lipid and protein metabolism. Long-term effects of regular exercise are particularly advantageous for Type 2 diabetic patients. Regular aerobic exercise reduces visceral fat mass and body weight without decreasing lean body mass, ameliorates insulin sensitivity, glucose and BP control, lipid profile and reduces the cardiovascular risk. For these reasons, regular aerobic physical activity must be considered as an essential component of the cure of Type 2 diabetes mellitus. In this regard, individual behavioral strategies have been documented to be effective in motivating sedentary Type 2 diabetic subjects to the adoption and the maintenance of regular physical activity. In Type 1 diabetic subjects, the lack of the physiological inhibition of insulin secretion during exercise results in a potential risk of hypoglycemia. On the other hand, exercise-induced activation of counter-regulatory hormones might trigger an acute metabolic derangement in severe insulin-deficient subjects. Thus, diabetic patients, before starting exercise sessions, must be carefully educated about the consequences of physical activity on their blood glucose and the appropriate modifications of diet and insulin therapy.

Key-words

Metabolismenergy expenditureinsulin treatmentbehavioral science

Copyright information

© Italian Society of Endocrinology (SIE) 2003