Schumann D
Nurse Pract. 1983 Mar;8(3):13-4, 16, 19-20.
Current research shows that the response to exercise is not identical for insulin dependent and non-insulin dependent diabetic clients. Contrary to what has been practiced, exercise cannot be prescribed in a general way for these individuals. Exercise offers benefits in weight reduction, lowered blood pressure and changes in lipoprotein profile for non-insulin dependent diabetics. For the insulin-dependent person, regularity of exercise must be emphasized to achieve stable metabolic control. Depending on the severity of the pathology, exercise may provoke microvascular and neurological changes or altered absorption of insulin. Illustrative of the known risks are triggering of angina pectoris, foot damage and persistent elevation of blood glucose. Optimally designed exercise programs are based on life style and are preceded by exercise stress testing for determination of cardiovascular fitness.
当前研究表明，胰岛素依赖型和非胰岛素依赖型糖尿病患者对运动的反应并不相同。与以往的做法相反，不能对这些个体一概而论地规定运动方式。运动对非胰岛素依赖型糖尿病患者在减轻体重、降低血压和改变脂蛋白谱方面有益。对于胰岛素依赖型患者，必须强调运动的规律性以实现稳定的代谢控制。根据病情的严重程度，运动可能会引发微血管和神经变化或胰岛素吸收改变。已知的风险包括引发心绞痛、足部损伤和血糖持续升高。优化设计的运动方案基于生活方式，并在进行运动压力测试以确定心血管健康状况之前制定。
