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Clin Nutr ESPEN. 2021 Oct;45:141-149. doi: 10.1016/j.clnesp.2021.07.024. Epub 2021 Aug 3.
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通过手臂测力计运动对2型糖尿病血糖控制的综述

A Review on Glycemic Control in Type 2 Diabetes Mellitus by Arm Ergometer Exercise.

作者信息

Dhait Shubhada R, Vardhan Vishnu, Walke Rashmi R

机构信息

Cardiovascular and Respiratory Physiotherapy Department, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Jul 30;14(7):e27476. doi: 10.7759/cureus.27476. eCollection 2022 Jul.

DOI:10.7759/cureus.27476
PMID:36060389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9421095/
Abstract

It has been suggested that regular physical activity has become a part of rehabilitation in controlling blood glucose levels in type 2 diabetes mellitus patients. In type 2 diabetes mellitus the cells become resistant to insulin, which leads to elevated blood glucose over time and leads to prediabetes and type 2 diabetes mellitus (T2DM). The typical adult's blood contains about 5-10 grams of glucose when their blood glucose content is 100 milligrams per decilitre. About half a billion individuals are at risk for diabetes worldwide. Physical exercise has been proved to be better therapy for controlling blood glucose in persons at risk for diabetes, preventing further body complications. Three significant interests in exercising to delay the onset of T2DM. First, increased blood flow into the muscle is triggered by skeletal muscle activity, which promotes glucose absorption from the bloodstream. Second, it reduces abdominal adipose tissue, a well-known risk of metabolic disease. Third, physical exercise with moderate intensity has been proven to boost glucose uptake by 40 percent. Globally and in developing nations like India, the burden of diabetes is expanding, attributable to a rise in overweight/obesity and sedentary lifestyles. It is difficult to provide healthcare for diseases like diabetes since it requires a consistent commitment to the prescribed course of treatment. Based on the correlation between fasting plasma glucose (FPG) or hemoglobin A1c (HbA1c) and retinopathy, cut-off values for glucose and HbA1c are estimated.

摘要

有人认为,规律的体育活动已成为2型糖尿病患者控制血糖水平康复治疗的一部分。在2型糖尿病中,细胞对胰岛素产生抵抗,随着时间的推移会导致血糖升高,并引发糖尿病前期和2型糖尿病(T2DM)。当典型成年人的血糖含量为每分升100毫克时,其血液中约含有5 - 10克葡萄糖。全球约有5亿人面临糖尿病风险。体育锻炼已被证明是控制糖尿病高危人群血糖、预防身体进一步并发症的更好疗法。锻炼对延缓T2DM发病有三个重要作用。首先,骨骼肌活动会引发更多血液流入肌肉,从而促进葡萄糖从血液中吸收。其次,它能减少腹部脂肪组织,而腹部脂肪组织是代谢疾病的一个众所周知的风险因素。第三,中等强度的体育锻炼已被证明能使葡萄糖摄取量提高40%。在全球以及像印度这样的发展中国家,糖尿病负担正在加重,这归因于超重/肥胖和久坐生活方式的增加。为糖尿病等疾病提供医疗保健很困难,因为这需要对规定的治疗疗程始终如一地坚持。基于空腹血糖(FPG)或糖化血红蛋白(HbA1c)与视网膜病变之间的相关性,估计了血糖和HbA1c的临界值。