Zaev A P, Khar'kov S A, Morozova T P, Zhizhina S A, Khovanskaia T P
Probl Endokrinol (Mosk). 1989 Nov-Dec;35(6):9-15.
The results of bicycle ergometry testing were studied in 20 patients with diabetes mellitus of type II without clinical signs of circulatory insufficiency, 21 patients with postinfarction cardiosclerosis with undisturbed carbohydrate tolerance, and in 18 healthy persons. The blood level of glucose in patients with diabetes mellitus was investigated on an empty stomach and 30, 60 and 120 min. after physical exercising. Similar changes of bicycle ergometry results were found in diabetic and CHD patients. In compensation of diabetes in response to graded physical exercise glycemic changes were absent, in decompensation glycemia increased in 30 and 60 min. and returned to the basal level 120 min. after testing. Since the results of bicycle exercises in diabetic (compensated) and CHD patients were the same, the principles of their physical rehabilitation must be identical. In patients with decompensated diabetes mellitus a hyperglycemic reaction to graded physical exercise serves the basis for reduction of motor activity in patients with decompensated diabetes mellitus.
对20例无循环功能不全临床体征的II型糖尿病患者、21例心肌梗死后心肌硬化且糖耐量正常的患者以及18名健康人进行了自行车测力计测试。对糖尿病患者在空腹时以及体育锻炼后30、60和120分钟的血糖水平进行了研究。糖尿病患者和冠心病患者的自行车测力计测试结果出现了类似变化。在糖尿病代偿期，分级体育锻炼后血糖无变化；在失代偿期，血糖在30和60分钟时升高，并在测试后120分钟恢复到基础水平。由于糖尿病（代偿期）患者和冠心病患者的自行车运动测试结果相同，因此他们的身体康复原则必须相同。在失代偿性糖尿病患者中，分级体育锻炼引起的高血糖反应是失代偿性糖尿病患者运动活动减少的基础。
