MANAGEMENT OF PHYSICAL EXERCISE IN INTENSIVE INSULIN THERAPY FOR CHILDREN WITH TYPE 1 DIABETES MELLITUS CASE REPORT
Authors Niewiadomska Monika
monikaniewiadomska@wp.pl
University of Szczecin, Department of Physical training and Improving Advancement
Szczecin, Poland

Radziyevska Mariya
monikaniewiadomska@wp.pl
University of Szczecin, Department of Physical training and Improving Advancement
Szczecin, Poland

Horodnicka-Jozwa Anita
monikaniewiadomska@wp.pl
Medical University Pomorska, pediatrics Clinic, endocrilogy, diabetology, Illnesses of a metabolism and cardiology of children
Pomorsk, Poland

Petriczko Elzbieta
monikaniewiadomska@wp.pl
Medical University Pomorska, pediatrics Clinic, endocrilogy, diabetology, Illnesses of a metabolism and cardiology of children
Pomorsk, Poland

Abstract Physical activity as a very active method of type I diabetes mellitus (DM) complex therapy must be systematic and load-graduated. For patients with diabetes mellitus (DM) they are strictly graded to each patient. This work presents our study data about effects of three-month physical training in 8-year old girl with type 1 DM. In her case with well compensated type 1 DM, the physical training brought about improvement of her health status and insulin dose reduction. Control over exercising is essential. Heart rate (HR) measuring was done not only before and after training. A continuous HR monitoring was conducted during whole workout in order to make, if necessary, a correction of load volume and intensity. The control testing conducted after 3- month use of physical exercises against a background of insulin therapy and balanced diet in the 8-year old patient showed that there took place a definite organism's adaptation to physical training. The length of distance in 6-min walking test increased from 700 to 780 m. The heart rate during test performance reduced from 165 to148 beats/min. The glycolyzed haemoglobin level reduced from 6.891% to 6.570 %.
Key words physical exercises; type 1 diabetes mellitus; heart rate;
References Bangstad, H-J, T. Danne, L.C. Deeb et all. (2009) Insulin treatment in children and adolescents with diabetes. Pediatric Diabetes. 10 (suppl.12):82-99, 2009.

Biankin, S., A.B. Jenkins, L.V. Campbell et al. (2003) Target-seeking behavior of plasma with exercise in Type 1 Diabetes. Diabetes Care. 26:297-301.

romnatsky, N.I. (2002) Diabetology. Moscow: Scientific-Methodological Center of Health Ministry of the Russian Federation. [in Russian]

Hurtel, P. (1992) Book about the type 1 diabetes mellitus for the children, youngsters, parents and others. Frankfurt: Gerchards. [in German]

Karpova, I.A., E.Yu. Klubkova (2003) Physical exercises and diabetes mellitus. St. Petersburg: The Committee of Public Health Administration of St. Petersburg. [in Russian]

Kasatkina, E.P. (1996) Diabetes mellitus in the children and youngsters. Moscow: Meditsina. [in Russian]

McAuley, K.A., S.M. Williams, J.I. Mann, et al. (2002) Intensive lifestyle changes are necessary to improve insulin sensitivity: a randomized controlled trial. Diabetes Care. 25:445.

Position statement. Diabetes Mellitus and Exercise. American Diabetes Association. Diabetes Care. (2006) 25(1):68-72.

Recommendations of the Polish Diabetology Society for those who work with the children with type 1 diabetes mellitus. (2009) Journal of the polish diabetes association. 10(A). [in Polish]

Sieradny, J. (2007) Diabetes Mellitus. Warszawa: Via Media. [in Polish].

Zheleznyak, Yu.D., and A.V. Ivoilov. (1991) Volleyball. Moscow: Fizkultura i Sport. [In Russian].

First page 121
Last page 125
Volume 8
Year 2011
Title of Journal Pedagogika, psihologia ta mediko-biologicni problemi fizicnogo vihovanna i sportu=PEDAGOGICS, PSYCHOLOGY, MEDICAL-BIOLOGICAL PROBLEMS OF PHYSICAL TRAINING AND SPORTS
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