MANAGEMENT OF PHYSICAL EXERCISE IN INTENSIVE INSULIN THERAPY FOR CHILDREN WITH TYPE 1 DIABETES MELLITUS CASE REPORT

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 %.

Keywords

• physical exercises
• type 1 diabetes mellitus
• heart rate