TAILIEUCHUNG - Ebook Diabetes in childhood and adolescence (Vol 10): Part 2

(BQ) Part 2 book “Diabetes in childhood and adolescence” has contents: Quality management in pediatric diabetology, diabetic nephropathy in children and adolescents, macrovascular disease, complications and consequences, beta-cell function replacement by islet transplantation and gene therapy, and other contents. | Chiarelli F, Dahl-Jørgensen K, Kiess W (eds): Diabetes in Childhood and Adolescence. Pediatr Adolesc Med. Basel, Karger, 2005, vol 10, pp 181–189 Sports and Physical Activity in Children and Adolescents with Type 1 Diabetes mellitus K. Raile, A. Galler, . Kapellen, V. Noelle, W. Kiess Universitätsklinik und Poliklinik für Kinder und Jugendliche, Universität Leipzig, Leipzig, Deutschland Physical exercise has been one of the basic principles in the management of diabetes, even before the introduction of insulin therapy. Nowadays, all levels of exercise, including leisure activities, recreational sports and competitive performance can be managed by people with type 1 diabetes. Any kind of physical activity is to be highly valued, because exercise improves the known risk factors for macrovascular disease, in particular lipoprotein profile, blood pressure, obesity and cardiovascular fitness. This chapter focuses on first, the rating of physical activity in children and adolescents with type 1 diabetes. Second, the physiology and pathophysiology of muscular activity in type 1 diabetes. Third, how sports and exercise interact with diabetes acute and late complications. Finally, practical guidelines at any level of physical activity are provided. Olympic Gold and Himalayas with Diabetes Nowadays, all levels of physical activity can be performed by individuals with type 1 diabetes [1]. Athletes with type 1 diabetes have managed to win Olympic gold medals, like Steve Redgrave, British champion rower, or Karsten Fischer, player in the national German hockey team. These two athletes and many others are organized in the ‘Diabetes Exercise and Sports Association’ DESA (former IDAA). Their main targets are to educate people with diabetes, to enhance self-care and self-management skills, and to provide a forum to exchange information, experience, and resources (). Also, extreme altitude mountaineering on Himalayas’ summits has been managed by .

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