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Open AccessArticle

Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification?

1
Clinical Department of Endocrinology, Diabetes and Metabolism, University Hospital Centre “Sestre Milosrdnice”, 10000 Zagreb, Croatia
2
Faculty of Medicine, J. J. Strossmayer University Osijek, Clinical Hospital Center Osijek, 31000 Osijek, Croatia
3
Department of Internal medicine, General Hospital Čakovec, 40101 Čakovec, Croatia
4
Faculty of Kinesiology, University of Zagreb, 10000 Zagreb, Croatia
*
Author to whom correspondence should be addressed.
Sports 2017, 5(3), 58; https://doi.org/10.3390/sports5030058
Received: 9 July 2017 / Revised: 1 August 2017 / Accepted: 4 August 2017 / Published: 7 August 2017
(This article belongs to the Special Issue Exercise and Chronic Disease)
Background: We studied the association between leisure time physical activity (LTPA) and glycemic control, body mass index (BMI), and hypoglycemic incidents in type 1 (T1DM) and type 2 diabetes patients (T2DM). Methods: This is a cross-sectional study of 198 diabetic patients (60 with type 1 diabetes, 138 with type 2 diabetes). LTPA was assessed by a validated 12-month questionnaire. Patients were grouped as sedentary and moderately to vigorously active. Outcome measures were Hemoglobin A1c (HbA1c), BMI, and hypoglycemic episodes. Results: LTPA effect on the HbA1c reduction was present in diabetes type 1 patients. Patients who were involved in the moderate to vigorous-intensity physical activity had a greater decrease in the HbA1c (p = 0.048) than patients with low physical activity (p = 0.085). Level of LTPA was neither associated with increased number of hypoglycemic episodes, nor BMI. After an average of 4 years of diabetes, the number of patients requiring more than one antidiabetic agent increased, although the observed difference did not correlate with LTPA level. Conclusions: LTPA has an influence on the regulation of diabetes type 1, and intensification of medical treatment is compensating for the lack of lifestyle change—especially in type 2 diabetics. View Full-Text
Keywords: leisure time physical activity; diabetes mellitus; glycemic control; body mass index; hypoglycemia leisure time physical activity; diabetes mellitus; glycemic control; body mass index; hypoglycemia
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Maja Cigrovski Berkovic, M.C.; Bilic-Curcic, I.; Gradiser, M.; Herman-Mahecic, D.; Cigrovski, V.; Ivandic, M. Are We Compensating for the Lack of Physical Activity in Our Diabetic Patients with Treatment Intensification? Sports 2017, 5, 58.

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