Diabetologia ( IF 8.4 ) Pub Date : 2022-08-18 , DOI: 10.1007/s00125-022-05781-8 Jane E Yardley 1, 2, 3, 4
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Recent guidelines suggest that adding anaerobic (high intensity or resistance) activity to an exercise session can prevent blood glucose declines that occur during aerobic exercise in individuals with type 1 diabetes. This theory evolved from earlier study data showing that sustained, anaerobic activity (high intensity cycling) increases blood glucose levels in these participants. However, studies involving protocols where anaerobic (high intensity interval) and aerobic exercise are combined have extremely variable glycaemic outcomes, as do resistance exercise studies. Scrutinising earlier studies will reveal that, in addition to high intensity activity (intervals or weight lifting), these protocols had another common feature: participants were performing exercise after an overnight fast. Based on these findings, and data from recent exercise studies, it can be argued that participant prandial state may be a more dominant factor than exercise intensity where glycaemic changes in individuals with type 1 diabetes are concerned. As such, a reassessment of study outcomes and an update to exercise recommendations for those with type 1 diabetes may be warranted.
Graphical abstract
中文翻译：
重新评估证据：膳食状态决定 1 型糖尿病患者对运动的血糖反应比强度更大
最近的指南表明，在锻炼过程中增加无氧（高强度或阻力）活动可以防止 1 型糖尿病患者在有氧运动期间发生的血糖下降。该理论是从早期的研究数据演变而来的，这些数据表明持续的无氧运动（高强度循环）会增加这些参与者的血糖水平。然而，涉及无氧（高强度间歇）和有氧运动相结合的协议的研究具有极其可变的血糖结果，阻力运动研究也是如此。仔细研究早期的研究会发现，除了高强度活动（间歇或举重）之外，这些方案还有另一个共同特征：参与者在禁食一夜后进行锻炼。基于这些发现，和最近运动研究的数据，可以说参与者的膳食状态可能是比运动强度更主要的因素，其中涉及 1 型糖尿病患者的血糖变化。因此，可能需要重新评估研究结果并更新针对 1 型糖尿病患者的运动建议。
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