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Nutrición Hospitalaria
On-line version ISSN 1699-5198Print version ISSN 0212-1611
Abstract
ALONSO, N. et al. Changes in metabolic and inflammatory parameters in a type 1 diabetic patient performing extreme activities. Nutr. Hosp. [online]. 2019, vol.36, n.2, pp.487-491. Epub Jan 27, 2020. ISSN 1699-5198. https://dx.doi.org/10.20960/nh.2334.
Background:
physical activity in type 1 diabetic patients allows a better control of glycaemia and glycosylated hemoglobin, helps to maintain a residual endocrine pancreatic mass and optimizes subsequent insulin requirements. These improvements might be due in part to increases in anti-inflammatory cytokines that could help to minimize β-cell destruction. However, type, intensity and frequency of exercise for type 1 diabetic patients remain to be established.
Case report:
we present the case of a 48-year-old man diagnosed with type 1 diabetes at the age of 23. He is a professional alpinist and recently was recruited in a program of the Yuri Gagarin Cosmonaut Training Center (Russia) to be the first diabetic astronaut. Metabolic and inflammatory responses were assessed after performing two extreme activities.
Discussion:
well programmed extreme activities accompanied by a correct dietetic intervention can reduce the adverse metabolic and inflammatory processes that appear due to exercise and diabetes.
Keywords : Cytokines; Diabetic alpinist; Diabetic astronaut; Extreme situation; Stress.