Abstract：
Double diabetes (DD) refers to patients with type 1 diabetes who have developed insulin resistance. The objective of this review is to update relevant information on the prescription of physical activity, pharmacological adjustments and consumption of carbohydrates in DD. A systematic search for scientific articles was carried out in the following databases: PubMed, Cochrane, EBSCO, WoS, ScienceDirect and Medline. The evidence analyzed shows that both physical activity (PA) and physical exercise (PE) are essential to achieve metabolic control in people with DD. Physiological considerations such as: insulin adjustments, insulin injection sites, time to perform PA and PE, absolute and relative contraindications are essential to avoid complications, especially hypoglycemia.
摘要：
双重糖尿病（DD）是指已出现胰岛素抵抗的1型糖尿病患者。这项审查的目的是更新有关体力活动处方的相关信息，DD中碳水化合物的药理调整和消耗。在以下数据库中对科学文章进行了系统的搜索：PubMed，科克伦,EBSCO,WOS,科学直接和Medline。分析的证据表明，身体活动（PA）和体育锻炼（PE）对于DD患者实现代谢控制至关重要。生理考虑因素，如：胰岛素调整，胰岛素注射部位，执行PA和PE的时间，绝对和相对禁忌症对于避免并发症至关重要，尤其是低血糖.
