Type 1 Diagnostic Essay

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Glucose production for a nondiabetic patient can be up to 10mg/kg body mass/min during high intensity aerobic exercise of maximal aerobic capacity with very little change in circulating glucose concentration. “The control of glucose homeostasis during exercise is dictated by a complex interaction between multiple hormonal receptors, insulin, glucagon, catecholamine’s, glucocorticoids, nervous system, skeletal muscle, and liver” (Riddells). People diagnosed with type 1 diabetes have a difficult time being active and find it extremely challenging since their insulin levels do not change in response to exercise, and deficiencies in hormonal responses.
There have been studies that emphasize that regular exercise is very beneficial for people living …show more content…

As adjunct tools, they can have an impact by reducing exposure to hypoglycemia and hyperglycemia and by reducing glycosylated hemoglobin A1c in those with suboptimal control. Continuous glucose monitoring can be used for the evaluation of the effects of exercise on glucose levels and to strategize the timing of insulin adjustments and extra carbohydrates relative to activity, but they may not be useful as tools to detect exercise-induced hypoglycemia because of the time delay associated with the equilibrium between interstitial fluid and the capillary blood. Active patients with type 1 diabetes may feel a higher level of self-efficacy and sense of reassurance, however, in knowing what direction their blood glucose is heading toward during exercise and the ability to respond rapidly to glycemic excursions may improve their exercise recovery. It is currently unclear if CGM technology can help to improve the poor metabolic control that is sometimes observed in athletes with type 1 diabetes. In persons with type 2 diabetes, this technology appears to be a useful adjunct to exercise counseling and lifestyle intervention. This may be because many patients may not be able to sufficiently apply their diabetes knowledge on account of the limited feedback that episodic capillary blood glucose monitors provide. Additional improvements in sensor technology, user interface features, algorithms designed to help detect rapid changes in glycemia, and a reduction in cost will likely further enhance their acceptance into routine

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