OpenLB
Open Library of Bioscience
Advanced Search
Diabetes spectrum : a publication of the American Diabetes Association
May, 2023;36 (2): 114-126.

Clinical Considerations and Practical Advice for People Living With Type 2 Diabetes Who Undertake Regular Exercise or Aim to Exercise Competitively.

Sam N Scott, Charlotte Hayes, Thomas Zeuger, Andrew P Davies, Rob C Andrews, Matthew Cocks
Author Information
  1. Sam N Scott: Team Novo Nordisk Professional Cycling Team, Atlanta, GA. ORCID
  2. Charlotte Hayes: Team Novo Nordisk Professional Cycling Team, Atlanta, GA.
  3. Thomas Zeuger: Department of Endocrinology and Metabolic Diseases, Kantonsspital Olten, Olten, Switzerland.
  4. Andrew P Davies: Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, U.K.
  5. Rob C Andrews: Institute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, U.K.
  6. Matthew Cocks: Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, U.K.
PMID: 37193206 DOI: 10.2337/dsi22-0015

Abstract

This article provides practical tips for advising people with type 2 diabetes on how to engage in regular exercise safely and effectively. Its focus is on individuals who wish to exceed the minimum physical activity recommendation of 150 minutes/week of moderate-intensity exercise or even compete in their chosen sport. Health care professionals who work with such individuals must have a basic understanding of glucose metabolism during exercise, nutritional requirements, blood glucose management, medications, and sport-related considerations. This article reviews three key aspects of individualized care for physically active people with type 2 diabetes: ) initial medical assessment and pre-exercise screenings, ) glucose monitoring and nutritional considerations, and ) the combined glycemic effects of exercise and medications.

References

  1. JAMA Pediatr. 2022 Oct 1;176(10):1037-1039 [PMID: 35877133]
  2. Diabetes Obes Metab. 2020 Sep;22(9):1619-1627 [PMID: 32364674]
  3. Diabetologia. 2018 Oct;61(10):2087-2097 [PMID: 30132032]
  4. Sports Med. 2017 Mar;47(Suppl 1):51-63 [PMID: 28332115]
  5. Am J Physiol Endocrinol Metab. 2006 Jun;290(6):E1109-17 [PMID: 16403779]
  6. Biochem J. 2000 Jun 15;348 Pt 3:607-14 [PMID: 10839993]
  7. Diabetes. 2002 Dec;51(12):3479-85 [PMID: 12453903]
  8. Am J Geriatr Psychiatry. 2015 Nov;23(11):1106-16 [PMID: 25648055]
  9. Diabetes Care. 1999 Oct;22(10):1647-54 [PMID: 10526729]
  10. Sports Med. 1986 Sep-Oct;3(5):346-56 [PMID: 3529283]
  11. Med Sci Sports Exerc. 2007 Aug;39(8):1401-7 [PMID: 17762374]
  12. J Diabetes Res. 2017;2017:8927473 [PMID: 29387731]
  13. Med Sci Sports Exerc. 2022 Feb 1;54(2):353-368 [PMID: 35029593]
  14. Int J Sport Nutr Exerc Metab. 2018 Mar 1;28(2):212-219 [PMID: 29565185]
  15. Curr Diab Rep. 2019 Nov 14;19(11):127 [PMID: 31728651]
  16. J Postgrad Med. 2017 Oct-Dec;63(4):242-251 [PMID: 29022562]
  17. Nutrition. 2015 Jan;31(1):1-13 [PMID: 25287761]
  18. JAMA. 2008 Sep 3;300(9):1027-37 [PMID: 18768414]
  19. Med Sci Sports Exerc. 2006 Aug;38(8):1526-34 [PMID: 16888470]
  20. Am Heart J. 2020 Oct;228:47-56 [PMID: 32798787]
  21. Prog Lipid Res. 2008 Sep;47(5):307-18 [PMID: 18396172]
  22. Arch Intern Med. 2009 Jan 26;169(2):163-71 [PMID: 19171813]
  23. Med Sci Sports Exerc. 2009 Mar;41(3):709-31 [PMID: 19225360]
  24. JAMA Cardiol. 2021 Jul 1;6(7):836-840 [PMID: 33404637]
  25. Diabetes Obes Metab. 2017 Feb;19(2):172-180 [PMID: 27717126]
  26. Diabetologia. 2016 Dec;59(12):2527-2545 [PMID: 27747395]
  27. Diabetes Care. 2018 Dec;41(12):2669-2701 [PMID: 30291106]
  28. Appl Physiol Nutr Metab. 2008 Feb;33(1):61-7 [PMID: 18347654]
  29. Physiol Rep. 2022 Jul;10(13):e15375 [PMID: 35822420]
  30. Curr Opin Nephrol Hypertens. 2020 Mar;29(2):190-198 [PMID: 31815757]
  31. Am Heart J. 2021 Mar;233:86-91 [PMID: 33385359]
  32. Phys Sportsmed. 2009 Apr;37(1):106-10 [PMID: 20048494]
  33. Diabetes Care. 2022 Jan 1;45(Suppl 1):S60-S82 [PMID: 34964866]
  34. Arch Neurol. 2010 Jan;67(1):71-9 [PMID: 20065132]
  35. J Physiol. 2001 Oct 1;536(Pt 1):295-304 [PMID: 11579177]
  36. Metabolism. 2013 May;62(5):717-24 [PMID: 23318051]
  37. Diabetes Care. 2005 Apr;28(4):799-805 [PMID: 15793176]
  38. Crit Pathw Cardiol. 2017 Sep;16(3):93-95 [PMID: 28742644]
  39. J Diabetes Complications. 2006 Jul-Aug;20(4):216-23 [PMID: 16798472]
  40. Front Endocrinol (Lausanne). 2017 Jan 24;8:6 [PMID: 28167928]
  41. Diabetes Technol Ther. 2019 May;21(5):286-294 [PMID: 31017497]
  42. Diabet Med. 2020 Apr;37(4):564-572 [PMID: 31849092]
  43. Diabetologia. 2017 Sep;60(9):1586-1593 [PMID: 28770321]
  44. JAMA. 2019 May 21;321(19):1926-1927 [PMID: 31009043]
  45. Diabetes Care. 2015 Sep;38(9):1638-42 [PMID: 26294774]
  46. Physiol Rep. 2018 Apr;6(8):e13681 [PMID: 29687959]
  47. J Endocrinol. 2017 Dec;235(3):193-205 [PMID: 28870887]
  48. Med Sci Sports Exerc. 2016 Mar;48(3):543-68 [PMID: 26891166]
  49. Diabetes Care. 2016 Nov;39(11):2065-2079 [PMID: 27926890]
  50. Diabetologia. 2015 May;58(5):929-36 [PMID: 25634228]
  51. J Am Med Dir Assoc. 2014 Dec;15(12):873-80 [PMID: 25444575]
  52. Aging Cell. 2019 Feb;18(1):e12880 [PMID: 30548390]
  53. Diabetes Technol Ther. 2019 Jun;21(6):313-321 [PMID: 31059282]
  54. Int J Sport Nutr Exerc Metab. 2018 Mar 1;28(2):104-125 [PMID: 29589768]
  55. Am J Physiol Endocrinol Metab. 2014 Feb;306(3):E300-10 [PMID: 24326426]
  56. Can J Appl Physiol. 1999 Apr;24(2):164-72 [PMID: 10198142]
  57. Med Sci Sports Exerc. 2015 Jan;47(1):40-8 [PMID: 24824772]
  58. Diabetes Technol Ther. 2022 May;24(5):332-337 [PMID: 35104159]
  59. Exp Physiol. 2021 Dec;106(12):2304-2323 [PMID: 34762329]
  60. Diabetes. 2000 Nov;49(11):1897-903 [PMID: 11078457]
  61. Endocr Pract. 2008 Jul-Aug;14(5):576-83 [PMID: 18753100]
  62. Metabolism. 2019 May;94:39-46 [PMID: 30653978]
  63. Diabetes Care. 2014 Jun;37(6):1544-53 [PMID: 24855155]
  64. Nat Rev Endocrinol. 2018 Jul;14(7):390-403 [PMID: 29728598]
  65. Diabetes. 2013 Dec;62(12):4083-7 [PMID: 24009261]
  66. J Diabetes Investig. 2016 Mar;7(2):135-8 [PMID: 27042263]
  67. J Int Soc Sports Nutr. 2017 Aug 29;14:33 [PMID: 28919842]
  68. Diabetologia. 2017 Sep;60(9):1566-1576 [PMID: 28776081]
  69. Clin J Am Soc Nephrol. 2014 Dec 5;9(12):2044-51 [PMID: 25301857]
  70. Diabetes Care. 2019 May;42(5):731-754 [PMID: 31000505]
  71. Diabetes Care. 2012 Jan;35(1):131-6 [PMID: 22040838]
  72. Prim Care Companion J Clin Psychiatry. 2004;6(3):104-111 [PMID: 15361924]
  73. Eur J Epidemiol. 2015 Jul;30(7):529-42 [PMID: 26092138]
  74. J Clin Endocrinol Metab. 2019 Jun 1;104(6):1953-1966 [PMID: 30597042]
  75. Diabetes Care. 2022 Jan 1;45(Suppl 1):S125-S143 [PMID: 34964831]
  76. Clin Med (Lond). 2003 Jul-Aug;3(4):333-7 [PMID: 12938747]
  77. Scand J Med Sci Sports. 2010 Oct;20 Suppl 2:112-21 [PMID: 20840569]
  78. Diabetes Care. 2011 Jul;34(7):1469-74 [PMID: 21602430]
  79. J Endocrinol. 2009 Dec;203(3):357-64 [PMID: 19737911]
  80. Diabetes Care. 2015 Feb;38(2):293-301 [PMID: 25468944]
  81. J Phys Ther Sci. 2015 Oct;27(10):3063-8 [PMID: 26644644]
  82. Proc Natl Acad Sci U S A. 2011 Feb 15;108(7):3017-22 [PMID: 21282661]
  83. Diabetes Care. 2007 Mar;30(3):744-52 [PMID: 17327354]
  84. MMWR Morb Mortal Wkly Rep. 2004 Feb 6;53(4):80-2 [PMID: 14762332]
  85. Phys Sportsmed. 2014 Feb;42(1):15-23 [PMID: 24565817]
  86. Sports Health. 2015 May;7(3):270-6 [PMID: 26131307]
  87. Diabet Med. 2019 Mar;36(3):349-358 [PMID: 30536728]
  88. Arch Intern Med. 2010 Jan 25;170(2):170-8 [PMID: 20101012]
  89. World J Diabetes. 2016 Oct 15;7(18):441-448 [PMID: 27795818]
  90. Diabetes Care. 2015 Dec;38(12):2344-53 [PMID: 26604280]
Journal Article
Article has an altmetric score of 15

Word Cloud

Created with Highcharts 10.0.0exercise2glucosearticlepeopletypeindividualscarenutritionalmedicationsconsiderationsExerciseprovidespracticaltipsadvisingdiabetesengageregularsafelyeffectivelyfocuswishexceedminimumphysicalactivityrecommendation150minutes/weekmoderate-intensityevencompetechosensportHealthprofessionalsworkmustbasicunderstandingmetabolismrequirementsbloodmanagementsport-relatedreviewsthreekeyaspectsindividualizedphysicallyactivediabetes:initialmedicalassessmentpre-exercisescreeningsmonitoringcombinedglycemiceffectsClinicalConsiderationsPracticalAdvicePeopleLivingTypeDiabetesUndertakeRegularAimCompetitively

Similar Articles

Cited By

No available data.