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Bedeutung von körperlicher Aktivität beim Typ-1-Diabetes

Nutzen oder nur Stoffwechselkapriolen?

The importance of physical activity in type 1 diabetes

Beneficial or just metabolic capers?

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Zusammenfassung

Die bei Menschen mit Typ-1-Diabetes fehlende endogene Insulinsekretion kann zu gefährlichen Hypo- und Hyperglykämien während körperlicher Betätigung führen. Bei zunehmender Prävalenz von Übergewichtigkeit und anderer Zivilisationskrankheiten überwiegen die günstigen Effekte regelmäßig durchgeführter körperlicher Betätigung jedoch die Gefahren der Sportausübung beim Diabetes Typ 1 bei Weitem. Eine Intensivierung der Schulung über die Stoffwechselregulation während körperlicher Betätigung ist allerdings notwendig, um die aus präventiv medizinischer Sicht günstigen Effekte voll nutzen zu können.

Abstract

The lack of endogenous insulin secretion in type 1 diabetes can cause dangerous hypo- and hyperglycemia during exercise in patients with type 1 diabetes. However, because of the increasing prevalence of obesity and lifestyle diseases, the beneficial effects of regular exercise clearly outweigh the dangers of exercising with type 1 diabetes. However, intensified training/education on metabolic regulation during exercise is necessary from the perspective of preventative medicine to be able to benefit fully from its effects.

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Literatur

  1. Margeirsdottir HD, Stensaeth KH, Larsen JR et al (2010) Early signs of arteriosclerosis in diabetic children on intensive insulin treatment. Diabetes Care 33:2043–2048

    Article  PubMed  Google Scholar 

  2. Herbst A, Meißner T (2006) Was bringt Sport bei jungen Typ 1 Diabetikern. MMW Fortschr Med 148:14

    PubMed  CAS  Google Scholar 

  3. Zinman B, Ruderman N, Campaigne BN, Devlin JT; American Diabetes Association (2003) Physical activitiy/exercise and diabetes mellitus. Diabetes Care 26 (Suppl 1):S73–S77

    Article  PubMed  Google Scholar 

  4. Halle M, Kemmer FW, Sturmvoll M et al (2008) Körperliche Aktivität und Diabetes mellitus. In: Scherbaum WA, Raak T (Hrsg) Evidenzbasierte Leitlinie der Deutsche Diabetes Gesellschaft. http://www.deutsche-diabetes-gesellschaft.de/leitlinien/EBL_Bewegung_2008.pdf

  5. Herbst A, Bachran R, Kapellen T et al (2006) Effects of regular physical activitiy on control of glycemia in pediatric patients with type 1 diabetes. Arch Pediatr Adolesc Med 160:573–577

    Article  PubMed  Google Scholar 

  6. Blair SN, Jackson AS (2001) Physical fitness and activity as separate heart disease risk factors: a meta-analysis. Med Sci Sports Exerc 33:762–764

    Article  PubMed  CAS  Google Scholar 

  7. Blair SN, Kampert JB, Kohl HW III et al (1996) Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. JAMA 276:205–210

    Article  PubMed  CAS  Google Scholar 

  8. Blüher M (2009) Adipose tissue dysfunction in obesity. Exp Clin Endocrinol Diabetes 117:241–250

    Article  PubMed  Google Scholar 

  9. Kemmer FW, Halle M, Sturmvoll M et al (2009) Diabetes, Sport und Bewegung. Diabetologie 4:S183–S186

    Article  Google Scholar 

  10. Bergenstal RM, Tamborlane WV, Ahmann A et al (2010) Effectiveness of sensor-augmented insulin pump therapie in type 1 diabetes. N Engl J Med 363:311–320

    Article  PubMed  CAS  Google Scholar 

  11. Bailey T, Zisser H, Chang A (2009) New features and performance of a next-generation seven-day continuous glucose monitoring system with short lag time. Abstract 69th ADA 410–P, http://www.professional.diabetes.ort/Abstract_Display.aspx?TYP=1&CID=72698

  12. Kumar VE, Yates T, Davies MJ et al (2010) Objectively measured sedentary behavior and physical activity in relation to adiposity in a multiethnic population at risk of developing diabetes. Abstract 46th EASD, http://www.easd.org/easdwebfiles/annualmeeting/meetingmain.html

  13. Natham DM, Cleary PA, Backlund JY et al; Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study Research Group (2005) Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. N Engl J Med 353:2643–2653

    Article  Google Scholar 

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  1. Klinikum Ingolstadt, Krumenauerstr. 25, 85049, Ingolstadt, Deutschland

    P. Zimmer

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  1. P. Zimmer
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AG Diabetes und Sport der DDG

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Correspondence to P. Zimmer.

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Zimmer, P., AG Diabetes und Sport der DDG. Bedeutung von körperlicher Aktivität beim Typ-1-Diabetes. Diabetologe 7, 27–30 (2011). https://doi.org/10.1007/s11428-010-0618-3

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  • DOI: https://doi.org/10.1007/s11428-010-0618-3

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