Research progress of exercise therapy on type 1 diabetes mellitus / 中华内分泌代谢杂志

ABSTRACT

Type 1 diabetes mellitus ( T1DM) is mostly an autoimmune disease. The combined effects of genetic and environmental factors lead to progressive islet beta cell functional failure and lifelong dependence on exogenous insulin therapy. Numerous studies have shown that regular physical exercise may reduce the daily insulin dose in patients with T1DM and patients need to be clear how to safely increase their physical activity, and incorporate more independent physical activity into daily life. At the same time, they should master the contraindications in order to avoid the risks of movement. Currently a recommendation for all T1DM patients is engaging in at least 150 min/week of moderate to vigorous intensity aerobic exercise, sustainability or high-intensity interval training, combined with resistance training such as resistance machines and bands, as well as other stretching and balance exercises such as yoga, tai chi, for 3 to 7 times per week, which is depended on the physical condition of patients and the exercise intensity, besides resistance training can be performed on nonconsecutive days.