Lopes Souto D, Paes de Miranda M
Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Nutr Hosp. 2011 May-Jun;26(3):425-9. doi: 10.1590/S0212-16112011000300001.
Type 1 diabetes is a metabolic diseases characterized by hyperglycemia, results from the destruction of insulin-producing pancreatic beta cells. Diabetes management usually by insulin, dietary and physical activity.
Assess the relationship between physical activity and glycemic control in type 1 diabetes subjects.
The literature search conducted in Pubmed and ScienceDirect databases and was initially identified 24 articles and we applied the inclusion criteria that considered original, full-text, remaining thirteen articles published between 1992 and 2009.
Two studies found a positive association between physical exercises and adequacy of glycemic control on long-term, determining by glycated hemoglobin (HbAlc) and increase the insulin sensitivity, whereas three articles didn't found relations between exercises and glucose, insulin sensitivity and formation of ketone bodies.
There are positive influences of exercise of long-term glycemic control in type 1 diabetes, however results are contradictory with respect to insulin sensitivity and fasting glucose. Glycemic control in diabetes should be based on HbA1c values, self-monitoring of blood glucose and reduction of insulin requirement, such as have been demonstrated in several studies. Thus physical exercise, along with dietary therapy and medication, are important to control diabetes.
1型糖尿病是一种以高血糖为特征的代谢性疾病，由产生胰岛素的胰腺β细胞被破坏所致。糖尿病管理通常包括胰岛素治疗、饮食和体育活动。
评估1型糖尿病患者体育活动与血糖控制之间的关系。
在PubMed和ScienceDirect数据库中进行文献检索，最初识别出24篇文章，我们应用了纳入标准，筛选出1992年至2009年发表的原创、全文的13篇文章。
两项研究发现体育锻炼与长期血糖控制达标之间存在正相关，通过糖化血红蛋白（HbAlc）测定，可提高胰岛素敏感性，而三篇文章未发现运动与血糖、胰岛素敏感性和酮体形成之间的关系。
运动对1型糖尿病患者的长期血糖控制有积极影响，然而在胰岛素敏感性和空腹血糖方面结果相互矛盾。糖尿病的血糖控制应基于HbA1c值、血糖自我监测和胰岛素需求的降低，正如在多项研究中所证明的那样。因此，体育锻炼与饮食治疗和药物治疗一样，对控制糖尿病很重要。
