A structured exercise program helped people with diabetes type 2 lower their levels of sugar in the blood more efficiently that just to receive advice on doing more physical activity, according to a new review of the data.
Having analysed the results of 47 randomized clinical trials, researchers also found that exercise for long periods of time was better spilled blood glucose that exercising more intensely.
"People with diabetes type 2 must engage in training regular physics, exercise preferentially supervised," says senior study author, Dr. Beatriz Schaan, a Professor of school of medicine at the Clinicas de Porto Alegre at the Brazil hospital. "If these patients can perform training for more than 150 minutes per week, that would be more advantageous regarding their glycemic control." However, if they cannot reach this amount weekly exercise, plus small amounts of exercise are also beneficial. ?
Results of the study are published in the issue of the Journal of the American Medical Association on May 4.
The clinical trials included in the current analysis included more than 8,500 participants. The studies used a measure called Hemoglobin A1C (HbA1C) to assess the effectiveness of a particular treatment. A1C rates, sometimes simply called A1C, is a measure of long-term glycemic control. It provides an average levels of sugar in the blood more a month two to three - period of time. The results of this test are expressed in percentage terms. In General, less than 6% is considered normal. Diabetics usually have more levels than that. The American Diabetes Association recommends that people with diabetes trying to reduce their rate of A1C less than 7%.
Currently, exercise guidelines recommend that people with type 2 diabetes make at least 150 minutes per week of resistance and moderate intensity aerobic training such as weight lifting, three times a week, according to the study.
"We always tell patients, even those without diabetes, it is important to exercise, but we tell them how." "We do not provide a good structure on what to do," said Dr. Joel Zonszein, Director of the Centre of clinical diabetes Montefiore Medical Center in New York. "It would be good if we are able to prescribe a program of exercises for our patients to follow."
The current analysis from a group of people with type 2 diabetes, who participated in exercise structured with a control group received advice on exercise. A structured exercise program was that persons have planned, individualized. All structured programmes were monitored.
People in the exercise of the advice groups only have been informed that they need to exercise and gave advice on how to do so, but they were not engaged in a supervised program, or they have participated in a partially supervised program, according to the study of.
People in classes of structured training which included both aerobic and weight reduced their HbA1c levels of 0.67% more than control participants. And programs of structured exercises that lasted more than 150 minutes per week resulted in an average decrease of 0.89 per cent more participants for review.
Activity programs physics boards, however, had an average A1c reduction of 0.43% compared to controls. When combined with nutritional advice, advice of lowered physical activity of HbA1c of 0.58% on controls.
"Exercise improves insulin sensitivity". "Making insulin work better,", explained the Zonszein.
In an accompanying editorial, Dr. Marco Pahor of the University of Florida, Gainesville, suggested that insurance companies should consider the cost of structured exercise programs or fitness center memberships. He noted that in one study, when older adults went to a gym twice or more a week for two years, they incurred $1,252 less fresh health care than their less active counterparts.
"Given the benefits of physical exercise on the prevention of diabetes, management of type 2 diabetes patients and to improve the health of the adult population and more general, it is perhaps time to consider refunds for insurance for structured physical exercise programs" written Pahor.
Zonszein agreed that the refund of insurance for structured physical activity is a good idea. "It is important, but it is not something that our current system gives much attention to the." "We pay for dialysis related to diabetes and surgeries heart, but not for exercise to prevent complications", he said.
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