Szmigiel C, Dziadkowiak H, Jesionek D, Gasiorowska M, Wojtas M, Cempla J
Instytut Rehabilitacji Akademii Wychowania Fizycznego w Krakowie.
Pediatr Pol. 1996 May;71(5):423-30.
The influence of physical effort of variable intensity on glycaemia in children was analyzed in 61 children (29 girls and 32 boys) from 5-17 years of age with newly diagnosed diabetes and with diabetes lasting from 1-12 years (5.5 on average) was assessed. The children underwent an exercise test on a thread null. The pulse rate was on indicator of effort. Pulse rate before and after the effort was measured using a Sport-Tester apparatus and the level of glucose in the capillary bloodstream was determined using an Ames glucometer. Three tests of increasing intensity were performed, each lasting 20 minutes on three consecutive days. In children with well controlled insulin dependent diabetes with glycaemia up to 150 mg/100 ml in first three hours after test, physical effort of variable intensity caused an individually variable fall in glycaemia from 15-43 mg/100 ml. In children with poorly controlled insulin dependent diabetes with hyperglycaemia from 210 to 300 mg/100 ml, physical effort caused a rise of glycaemia from 20-80 mg/100 ml compared to controls. Up to 3 hours after physical effort, 20 children had hypoglycaemia 60 mg 100 ml and 4 children had hypoglycaemia below 40 mg/100 ml. Hypoglykaemia manifested as a mild complex of clinical signs.
对61名5至17岁新诊断糖尿病以及糖尿病病程为1至12年（平均5.5年）的儿童（29名女孩和32名男孩），分析了不同强度体力活动对其血糖的影响。这些儿童在踏车功量计上进行运动测试。脉率作为运动强度指标。运动前后的脉率使用运动测试仪测量，毛细血管血糖水平使用艾姆斯血糖仪测定。连续三天每天进行三次强度递增的测试，每次持续20分钟。在胰岛素依赖型糖尿病控制良好且测试后前三小时血糖水平达150mg/100ml的儿童中，不同强度的体力活动使血糖个体性地下降了15至43mg/100ml。在胰岛素依赖型糖尿病控制不佳且血糖水平在210至300mg/100ml的儿童中，与对照组相比，体力活动使血糖升高了20至80mg/100ml。体力活动后3小时内，20名儿童血糖低于60mg/100ml，4名儿童血糖低于40mg/100ml。低血糖表现为一组轻度临床体征。
