Exercise training and glycemic control in adolescents with poorly controlled type 1 diabetes mellitus

J Pediatr Endocrinol Metab. 2002 May;15(5):621-7. doi: 10.1515/jpem.2002.15.5.621.

Abstract

This study sought to establish whether the glycemic control achieved in exercise-trained adolescents with type 1 diabetes mellitus (DM) is dependent on the quality of glycemic control prior to the initiation of exercise training. Adolescents with type 1 DM were randomly assigned to groups with either lower or higher than 9% glycosylated hemoglobin (HbA1c), and submitted to 12 weeks of supervised training followed by 12 weeks of unsupervised training (n = 12 per group). Supervised training caused a 17% rise in the patients' aerobic capacity which during the ensuing period of unsupervised training decreased to pre-training levels, thus suggesting a poor compliance with unsupervised training. The average levels of HbA1c in poorly and well controlled diabetic patients were not affected by training, a finding indicating that irrespective of the quality of glycemia prior to exercise training, glycemic control in adolescents with type 1 DM does not improve in response to exercise training alone.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Blood Glucose / analysis*
  • Body Mass Index
  • Diabetes Mellitus, Type 1 / blood*
  • Diabetes Mellitus, Type 1 / therapy*
  • Exercise*
  • Glycated Hemoglobin / analysis
  • Humans
  • Insulin / administration & dosage
  • Patient Compliance
  • Skinfold Thickness

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Insulin