Landry G L, Allen D B
Department of Pediatrics, University of Wisconsin Medical School, Madison.
Clin Sports Med. 1992 Apr;11(2):403-18.
Physical exercise is traditionally considered beneficial in the treatment of IDDM. Attainment and maintenance of ideal body weight, improvement in self-image, and decreases in hypertension and lipid-related cardiovascular risk factors can all be achieved by the diabetic patient who exercises. Although the value of exercise in improving long-term glycemic control remains controversial, athletic participation by individuals with IDDM is encouraged to achieve the same health benefits enjoyed by exercising nondiabetic individuals. Knowledge of the metabolic responses to exercise in IDDM patients is required for appropriate guidance and management. Careful monitoring and adjustment of insulin doses and nutrition plans can then make possible the safe and successful participation of IDDM patients in virtually any athletic activity.
传统上认为体育锻炼对胰岛素依赖型糖尿病（IDDM）的治疗有益。进行锻炼的糖尿病患者能够实现理想体重的达成与维持、自我形象的改善，以及高血压和脂质相关心血管危险因素的降低。尽管运动在改善长期血糖控制方面的价值仍存在争议，但仍鼓励IDDM患者参与体育活动，以获得与非糖尿病锻炼者相同的健康益处。为了进行适当的指导和管理，需要了解IDDM患者运动时的代谢反应。通过仔细监测和调整胰岛素剂量及营养计划，IDDM患者几乎可以安全、成功地参与任何体育活动。
