{Reference Type}: English Abstract
{Title}: [Double diabetes mellitus. Double challenge for the exercise prescription. Systematic review].
{Author}: Trujillo LM;von Oetinger A;
{Journal}: Rehabilitacion (Madr)
{Volume}: 58
{Issue}: 4
{Year}: 2024 Aug 13
暂无{DOI}: 10.1016/j.rh.2024.100866
{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.