8684524 | EFFECTS OF MAXIMUM RESISTANCE TRAINING ON GLUCOSE VARIABILITY IN INDIVIDUALS WITH TYPE 1 DIABETES: ARTIFICIAL PANCREAS DEVELOPMENT | Autores: Annanda Fernandes de Moura B Batista|abatis5@uic.edu|nursing|nurse|research Assistant And Phd Student At The Department Of Biobehavioral Health Science|university Of Illinois At Chicago – College Of Nursing ; Minsun Park|mpark61@uic.edu|nursing|phd In Nursing|post-doc At The Department Of Biobehavioral Health Science|universidade Federal da Paraíba ; Laurie T Quinn|lquinn1@uic.edu|nursing|phd In Nursing|clinical Associate Professor In The Department Of Biobehavioral Science|university Of Illinois At Chicago – College Of Nursing |
Resumo: **Objective:** To determine differences in glucose variability responses by A1C and before, during, and after Maximum Resistance Training (MRT) in individuals with type 1 diabetes (T1D) for the artificial pancreas development. **Methods:** Participants completed a 5-minute warm-up on treadmill. Muscular strength was assessed by a standardized 1 repetition maximum (1RM) protocol for six exercises: dumbbell chest press, lat pull down, seated row, dumbbell shoulder press; leg extension, and leg curl. A rest period of 3 minutes was be allowed between each set. All participants wore a continuous glucose monitor (CGM) during the muscle strength tests. Glucose variability data was generated before, during, and after MRT. The test was performed in the Integrative Physiology Laboratory. **Results:** Participants had significantly lower High Blood Glucose Index (HBGI) and Glycemic Risk Assessment in Diabetes Equation (GRADE) after Maximal Resistance Training (MRT) compared to during and before MRT. Participants who had good control (HbA1c < 7.4) had significantly low levels of HBGI during and after MRT as well as low levels of GRADE after MRT compared with who had poor control (HbA1c > 7.5). **Conclusion:** The findings suggest that mean blood glucose variability and resistance-exercise were significantly associated with HbA1c levels. This means that individuals with T1D who have good glycemic control and perform anaerobic activity may have a low number of hyperglycemic episodes as well as lower glucose variability in long-term control. **Nursing Implications:** The relationship between glucose and physical activity in people with T1D is essential for nursing in clinical and research. It is important to know the reaction to different exercises, knowing adjustments in the care plan, and to the development of artificial pancreas in order to provide a better control of glucose concentration.
Referências: TURKSOY at al. Use of Wearable Sensors and Biometric Variables in an Artificial Pancreas System. Sensors. 2017; 17. DOI:10.3390/s17030532 |