| Topic: | Diabetes (DM) |
| Title: | Nutrition, Physical Activity, and Diabetes. |
| Author: | Franz, M.J. |
| Source: | In: Devlin, J.T. and Schneider, S.H., eds. Handbook of Exercise in Diabetes. Alexandria, VA: American Diabetes Association. 2002. p.321-337. |
| Availability: | Available from American Diabetes Association (ADA). Order Fulfillment Department, P.O. Box 930850, Atlanta, GA 31193-0850. (800) 232-6733. Fax (770) 442-9742. Website: www.diabetes.org. PRICE: $69.95 plus shipping and handling. ISBN: 1580400191. |
| Abstract: | This chapter on nutrition, physical activity and diabetes is from a book that provides a practical, comprehensive guide to diabetes and exercise for health care professionals involved in patient care. In individuals with diabetes, many factors influence the glycemic (blood glucose or sugar) response to physical activities, making it impossible to give precise nutrition (and insulin) guidelines that will apply to everyone with diabetes. Furthermore, few studies have been done examining the need for carbohydrate, fluids, and calories for exercise in individuals with diabetes. Therefore, recommendations are usually extrapolated from studies on exercisers without diabetes. To meet individual needs, frequent blood glucose monitoring is important to modify general guidelines to ingest carbohydrate after (or before) exercise and to reduce insulin doses before (and possibly after) exercise. A higher carbohydrate intake (about 60 percent of daily calories) on a fairly consistent basis during training with adequate blood glucose control is necessary to maintain maximal muscle and liver glycogen stores. Consuming carbohydrate immediately after exercise optimizes repletion of these muscle and liver glycogen stores. In addition, fluids are important for all exercisers. An adequate caloric intake should be planned for the person with diabetes who participates in regular exercise. A nutrition assessment of usual food intake followed by monitoring of weight, growth (if pertinent), and appetite (hunger) is the best way to judge adequacy of caloric intake. 4 tables. 33 references. |
| Format: | Book Chapter |
| Language: | English. |
| Major Keywords: | Diabetes Mellitus. Exercise. Patient Selection. Patient Care Management. Guidelines. Prevention. Complications. Risk Factors. Therapy. Nutrition. Caloric Intake. |
| Minor Keywords: | Insulin. Diet Therapy. Cardiovascular Diseases. Activities of Daily Living. Blood Glucose. Lifestyle. SMBG. Monitoring. Carbohydrates. Fluids. |
| Publication Number: | DMBK10127 |
| Return to Search Results | |