Helping Diabetes Patients Exercise Without Fear

COMMENTARY

Helping Diabetes Patients Exercise Without Fear

Anne L. Peters, MD

Disclosures

October 09, 2017

1

Today I'm going to discuss exercise in individuals with diabetes. There are two papers I want to review. One is an American Diabetes Association (ADA) position statement on exercise,[1] published last year in Diabetes Care, that is incredibly good. It's a very comprehensive review of literature on exercise in people with diabetes. A lot of it is for type 2 diabetes, but some of it applies to patients with type 1 diabetes as well.

It's about as thorough a review as you are going to get. It really goes through all of the principles of exercise in people with diabetes, why people should exercise, and how to approach exercise. It's a very good reference.

The other article,[2] published in The Lancet and Diabetes & Endocrinology, was one I had the good fortune of being part of. It's about exercise in individuals with type 1 diabetes. To my knowledge, there has never been a thorough summary of the literature on exercise in individuals with type 1 diabetes, and trust me—not many studies look at this.

Hypoglycemia is the big reason that patients with diabetes do not exercise.

We give expert advice on how patients with type 1 diabetes should approach exercise, and we give a lot of suggestions for how to teach patients.

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