Exercise and Sport in Diabetes

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Regular exercise is an essential component of any treatment plan for people who have type 2 diabetes. The UK's National Service Framework for Diabetes Standards states: 'Regular physical activity lowers the risk of developing type 2 diabetes by increasing insulin sensitivity'. There are two main issues in implementing the recommended strategy: one is motivating patients to 'get moving' and 'stay active'. The other is dealing with the risks associated with exercise, especially the risk of hypoglycaemia in those who are treated with insulin. Thus some people with diabetes may be reluctant to undertake physical activity for fear of the consequences. This book contains valuable information for healthcare professionals who are managing patients with either type 1 or type 2 diabetes to enable them to provide help and support to those patients who wish to undertake regular activity, sporting or otherwise. The book describes the physiological responses during exercise in patients with type 1 diabetes and discusses suitable nutritional strategies for these people. New chapters address the role of physical activity in the prevention and management of type 2 diabetes, as well as how to combine insulin pump therapy and exercise. Other chapters cover the role of the diabetes team in promoting exercise, encouraging patients to become and stay physically active. The book will prove helpful to all members of the diabetes specialist team: clinicians, Diabetes Specialist Nurses, psychologists, GPs, sports scientists and patients. "What is really useful about this book is the wealth of practical advice. ... This is an excellent book which should be on the shelves in every diabetic clinic." Robert Tattersall, Special Professor of Metabolic Medicine, University of Nottingham, UK