Tamer CİVİL, Nevin GÜNDÜZ, Mitat KOZ, Hüseyin DEMİRBİLEK

Tip 1 Diyabetli Bireylerde Kombine Egzersizlerin Glisemik Kontrol Üzerine Etkisinin İncelenmesi

Bu çalışmada kombine egzersizlerden oluşan fiziksel aktivite protokolünün tip 1 diyabetli (T1D) bireylerin kan glukozu (KG) üzerine etkisinin incelenmesi amaçlanmaktadır. Çalışma, dört hafta boyunca kendinden kontrollü klinik araştırmalar yöntemiyle gerçekleştirildi. Çalışmanın ilk iki haftası kontrol dönemi son iki hafta deney dönemi olarak planlandı. Deney döneminde haftada 3 gün toplam 6 egzersiz programı tasarlandı. Egzersiz programı aerobik (yürüyüş, koşu) egzersizler, germe egzersizleri ve direnç egzersizlerinden oluşturuldu. Her egzersiz programı 40 dakika süresince uygulandı. Çalışmaya yaş ortalaması 13.3±SD 15 T1D'li birey dâhil edildi. Katılımcıların kan glukoz ve insulin dozu verileri her iki dönemde de sürekli glukoz ölçüm sistemi ve kayıt defteri aracılığı ile kaydedildi. Aerobik egzersizlerin kan glukozunda anlamlı düzeyde azalma sağladığı saptandı (p < ,05). Kontrol (KG: 211.7±37.3) ve deneysel (KG: 208.7±40.4) dönemlerdeki ortalama KG değerleri arasında istatistiksel olarak anlamlı bir fark yoktu (p >0.05). Fakat deney (31.6±20.8 Ünite) döneminde katılımcılar tarafından kullanılan toplam günlük insülin dozlarında istatistiksel olarak anlamlı bir düşüş bulundu (p < 0.001). Fiziksel egzersizlerin T1D'li çocuklarda kan şekeri üzerinde akut pozitif etkisi olduğu sonucuna ulaşılmıştır. Ancak T1D'de kronik glisemik kontrol için egzersizin etkisi tek başına yeterli değildir. Kronik glisemik kontrol için öncelikle enjekte edilen insülin dozları tüketilen karbonhidratlara ve yapılan egzersize göre dikkatli bir şekilde ayarlanmalıdır.

Anahtar Kelimeler:

Tip 1 Diyabet, Egzersiz, Glisemik kontrol

Investigation of The Effect of Combined Exercises on Glycemic Control in Individuals with Type 1 Diabetes

The aim of the present study was to investigate the effect of the combined physical exercise protocols on the blood glucose (BG) of children with T1D. The study was conducted over four weeks using self-controlled clinical trials. The first two weeks were control period and the last two weeks were the experimental period. A total of 6 exercise sessions were performed 3 days a week during the experimental period. The exercise program consisted of aerobic, stretching, and resistance exercises. Each exercise session was performed for 40 minutes. A total of 15 children with T1D, whose mean age was 13.3±SD, were included in the study. The blood glucose and insulin dose data of the participants were recorded in both periods through the continuous glucose measurement system and the registry. It was determined that aerobic exercises provided a significant decrease in blood glucose (p < .05). There was no statistically significant difference between the mean BG values in the control (211.7±37.3) and experimental (208.7±40.4) periods (p >0.05). On the other hand, a statistically significant decrease was found in the total daily insulin doses used by participants during the experimental (31.6±20.8 Unit) period (p < 0.001). Physical exercises had an acute positive effect on blood glucose in children with T1D. However, the effect of exercise alone is not sufficient for chronic glycemic control in T1D. For chronic glycemic control, first of all, the injected insulin doses should be carefully regulated according to carbohydrates and exercise.

Keywords:

Type 1 Diabetes, Exercise, Glycemic control,

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