Why is this important?

Only nearly 30% of type 1 diabetics reach 150 minutes per week of moderate to intense physical activity. Among one of the major brakes, the risk of hypoglycemia comes back regularly.

Maintaining glycemic control during and following exercise is an important issue for patients with type 1 diabetes. These data are interesting and will most likely enrich future recommendations.

Methodology

This study evaluated the impact in type 1 diabetics of exercise programs carried out at home. Adult participants were randomized to three groups (aerobic, sequential, and resistance exercise) to complete 6 exercise sessions over a 4-week period. Patients had to report exercises performed and not performed, their food intake and the doses of insulin administered using a personalized application. They also had to transmit data relating to their insulin pump for those who had one, their heart rate and their glycemic control data.

Principle results

Overall, 497 adults with T1D were included (mean age 37 ± 14 years; mean HbA1c 6.6 ± 0.8%; mean disease duration 18 ± 13 years) and randomized between a group of structured exercises of aerobic (n=162), sequenced exercise (n=165) and resistance exercise (n=170). The median time between exercise sessions was 4.0 days and the median duration of sessions was 30 minutes. Subjects were physically active for 4.3 hours (median) per week.

The mean change in blood glucose was -18 mg/dL, -14 mg/dL and -9mg/dL respectively for the structured aerobic exercise, sequenced exercise and resistance exercise group (p<0.001).

No significant difference was found between those with a standard insulin pump, a closed-loop system, and multiple daily dose users.

The average time spent in the target glycemic range (70-180 mg/dL or 3.9-10.0 mmol/L) was greater during the 24 hours immediately following exercise than on non-exercise days physical: 76% versus 70%, p<0,001).

Several factors influencing the variation in glucose levels have been highlighted, in particular gender (sessions performed by men were associated with a greater decrease in glucose levels). On the other hand, following adjustments, gender was no longer a factor influencing the variation in glucose levels. Other factors modifying the variation in the blood glucose level were observed: HbA1c on inclusion, blood glucose level on inclusion, age, heart rate, time of day during which the exercise was performed.

Compared to non-exercise days, patients had a greater drop in blood sugar and stayed within the target range longer on days when they exercised.

07:25 PM

Monday, March 27, 2023

I wrote – Nada Sami:

It is known that the menstrual cycle occurs every 28 days, but there are women who menstruate twice a month, without knowing the reason behind this.

In the next report, The Consulto reviews the reasons for the occurrence of the cycle twice a month, according to the “Very wellhealth” website.

Reasons for the occurrence of the cycle twice a month

1- The period before menopause

Before menopause, estrogen levels drop in the body, which may lead to menstrual irregularities, especially twice a month.

If menstrual disorders are caused by the approaching menopause, women can regulate it by taking birth control pills.

Also read: For women.. Here are the reasons for irregular menstruation and ways to control it

2- Life style

The daily lifestyle has effects on the menstrual cycle, as some habits and situations cause it to occur twice within 30 days, most notably:

– Stress.

Frequent travel.

Excessive exercise.

3- Lack of sleep

Women should get enough sleep, because lack of it leads to the secretion of high levels of cortisol, which negatively affects the balance of hormones in the body, which leads to irregular menstruation.

You may be interested in: Beware.. The length of your period threatens you with these diseases

4- Weight gain and obesity

Weight gain affects the part of the brain responsible for regulating hormones, causing hormonal disorders that result in irregular menstrual periods.

There is a relationship between obesity and menstrual disorders, because the excess accumulated fat in the body causes an increase in estrogen levels.

5- Endometriosis

The occurrence of the cycle twice a month may be a symptom of endometriosis, a disease that leads to the growth of endometrial-like tissues in other parts of the body.

6- Thyroid disorder

One of the diseases that lead to the occurrence of the cycle twice a month, because the hormones produced by the thyroid gland are responsible for regulating menstrual periods.

You may also be interested in: Reasons for Short Periods – Learn regarding them

7- Pelvic inflammation

An infectious disease caused by the transmission of bacteria through the vagina into the urinary tract or infection with a sexually transmitted disease, such as chlamydia and gonorrhea.

The occurrence of the cycle twice a month is one of the signs that reveal the infection of the pelvic infection.

8- Cancer

The occurrence of the cycle twice a month may warn of some cancers, such as uterine cancer, cervical cancer, and ovarian cancer.

If vaginal bleeding occurs twice a month following menopause, a woman should see a doctor immediately, as she may have endometrial cancer.

Also read: Premature menopause- its symptoms and causes