exercise and type 1 diabetes Flashcards

1
Q

what is the main problem of T1D

A

lack of insulin

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2
Q

how can skeletal muscle be effected by T1D

A

may be some muscle damage and possible loss of insulin sensitivity

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3
Q

in T1D there are _____ maximal capacity for mitochondrial respiration

A

lower

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4
Q

in T1D there are ______ sensitivity to ____ concentrations of ADP

A

lower and low

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5
Q

in T1D there is ________ Ca2+ handling

A

poorer

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6
Q

ATP and PCr in individuals with T1D is generated…

A

normally

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7
Q

Impaired PCr recovery may occur if there is _________ impairment

A

mitochondrial

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8
Q

______________ may be low if poor glycemic control

A

hepatic [glycogen]

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9
Q

HGP is ____ if insulin is ____, or elevated if insulin is ____

A

impaired, high, low

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10
Q

_____ insulin levels will _____ lipolysis/fat oxidation

A

high, suppress

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11
Q

_____ insulin will promote promote protein catabolism

A

low

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12
Q

insulin normally ______ rapidly with exercise (due to ______)

A

decreases, catecholamines

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13
Q

why does insulin normally decrease

A

it facilitates fatty acid and glucose mobilization to maintain Bld glucose

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14
Q

during recovery from exercise, insulin will normally

A

increase due to removal of sympathoadrenal drive

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15
Q

why does insulin increase during recovery

A

prevents excessive hyperglycemia following intense exercise (lots of GNG precursors still present)

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16
Q

T or F: in a person with T1D they have a difficult time lowering insulin levels immediately, so maybe relatively hyperinsulinemic

A

T

17
Q

T or F: a person with T1D during exercise will be in a state or hypoglycemia

A

true

18
Q

moderate, prolonged exercise: ______ in bl glucose

A

decrease

19
Q

brief intense or intermittent exercise: _____ or ______ in blood glucose

A

stable or increase immediately following exercise

20
Q

how do you deal with hypoglycemia during aerobic exercise

A

-reduce insulin does prior to exercise
-administer small dose of glucagon
- increase carbohydrate feeding

21
Q

how do you deal with hyperglycemia after exercise

A
  • give bolus of insulin immediately after exercise esp in high intensity of resistance