Abstract
Diabetes mellitus affects nearly 15 million Americans and is associated with debilitating complications that include, retinopathy, coronary artery disease, peripheral vascular disease, nephropathy, and autonomic and peripheral neuropathy (1). Recent evidence suggests that programs designed to increase physical activity may be useful in the treatment and prevention of diabetes and diabetic complications. In addition, all of the resultant complications of diabetes may have effects on exercise capacity and physical function. The purpose of the present chapter will be to review the metabolic effects of exercise and physical activity on carbohydrate metabolism and insulin sensitivity with specific reference to the metabolic responses to exercise in patients with insulindependent (IDDM) and non-insulin dependent diabetes mellitus (NIDDM). Secondly, peripheral and autonomic neuropathy in diabetes will be discussed in reference to their influence on exercise capacity and function. The final section of this review will concentrate on exercise recommendations for the diabetic patient (with and without neuropathy) to promote health and encourage an active lifestyle.
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LeBrasseur, N.K., Fielding, R.A. (1998). Exercise and Diabetic Neuropathy. In: Veves, A. (eds) Clinical Management of Diabetic Neuropathy. Contemporary Endocrinology, vol 7. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-1816-6_16
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DOI: https://doi.org/10.1007/978-1-4612-1816-6_16
Publisher Name: Humana Press, Totowa, NJ
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