Exercise and Sport in Diabetes provides a practical guide to the risks and benefits of undertaking sport and general exercise for patients with diabetes.

Features:

• Reflects the progress and understanding in the field
• Features new chapters and material on insulin pump therapy and exercise, physical activity and prevention of type 2 diabetes, dietary advice for exercise and sport in type 1diabetes, and fluid and electrolyte replacement

Contents

Physiological responses to exercise

• Maximal exercise
• Submaximal exercise
• Endurance training
• Muscle fibre composition
• Muscle metabolism during exercise
• Anaerobic and lactate thresholds
• Fatigue and carbohydrate metabolism
• Carbohydrate nutrition and exercise
• Fluid intake before exercise

Exercise in type 1 diabetes

• Exercise physiology
• Insulin absorption
• Hypoglycaemia
• Hyperglycaemia
• Strategy for treatment adjustments
• Evaluation of the intensity and duration of the effort
• Nutritional treatments and adaptations
• Insulin dose adjustment

Diet and nutritional strategies during sport and exercise in type 1 diabetes

• What is exercise
• The athlete with diabetes
• Nutritional principles for optimizing sports performance
• Puttting theory into practice
• Identifying nutritional goals
• Energy
• Carbohydrate
• Guidelines for carbohydrate intake before, during and after exercise
• Protein
• Fat
• Vitamins and minerals
• Fluid and hydration
• Pulling it all together

The role of physical activity in the prevention of type 2 diabetes

• Exercise and prevention of type 2 diabetes

Exercise, metabolic syndrome and type 2 diabetes

• Physical activity in type 2 diabetes
• Type 2 diabetes, insulin resistance and the metabolic syndrome
• Effect of exercise on the metabolic syndrome of type 2 diabetes
• What kind of exercise, aerobic or resistance training
• Effects on cardiovascular risk factors
• Regulation of carbohydrate metabolism during exercise in type 2 diabetes
• Effect of physical activity on insulin sensitivity

The role of exercise in the management of type 2 diabetes

• Benefits of regular physical activity in type 2 diabetes
• Effects on long-term mortality
• Risks of physical activity

Exercise in children and adolescents

• Metabolic effects of exercise
• Attitudes to exercise in young adults with type 1 diabetes
• The Firbush camp
• Precautions during exercise

Insuling pump therapy and exercise

• Potential advantages of CSII
• CSII usage
• Benefits of CSII over multiple daily injections
• Potential advantages for CSII use with exercise
• Studies of response to exercise in CSII users
• Practicalities for using CSII with exercise
• Cautions for using CSII with exercise

Diabetes and the marathon

• Guidelines.
• Personal views

Diabetes and specific sports

• General principles.
• Canoeing.
• Golf.
• Hillwalking.
• Extreme altitude mountaineering.
• Rowing.
• Soccer and rugby.
• Tennis.
• Sub-aqua (scuba) diving.
• Skiing.
• Restrictions imposed by sports governing bodies

Becoming and staying physically active

• Recommendations for physical activity and exercise
• Essential attributes of a physical activity programme for people with diabetes
• Preparation for exercise
• Changing behaviour

The role of the diabetes team in promoting physical activity

• Educating the diabetes team.
• Exercise therapist as part of the team.
• Assessment of patients.
• The exercise prescription.
• Patient education.
• Motivating patients and changing behaviour

Index

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