Diabetes Mellitus Q 82 - Gyan Darpan : Learning Portal
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Thursday 7 April 2022

Diabetes Mellitus Q 82

Which of the following is accurate pertaining to physical exercise and type 2 diabetes mellitus?
    A. Physical exercise can slow the progression of type 2 diabetes mellitus.
    B. Strenuous exercise is beneficial when blood glucose is high.
    C. Patients who take insulin and engage in strenuous physical exercise might experience hyperglycemia.
    D. Adjusting insulin regimen allows for safe participation in all forms of exercise.

Correct Answer: A. Physical exercise can slow the progression of type 2 diabetes mellitus.

Physical exercise slows the progression of type 2 diabetes mellitus because exercise has beneficial effects on carbohydrate metabolism and insulin sensitivity. Exercise improves blood glucose control in type 2 diabetes, reduces cardiovascular risk factors, contributes to weight loss, and improves well-being.

Option B: Daily exercise, or at least not allowing more than 2 days to elapse between exercise sessions, is recommended to enhance insulin action. Adults with type 2 diabetes should ideally perform both aerobic and resistance exercise training for optimal glycemic and health outcomes.
Option C: Insulin action in muscle and liver can be modified by acute bouts of exercise and by regular physical activity. Acutely, aerobic exercise increases muscle glucose uptake up to fivefold through insulin-independent mechanisms.
Option D: Insulin and foods both must be adjusted to allow safe participation in exercise. Aerobic exercise clearly improves glycemic control in type 2 diabetes, particularly when at least 150 min/week are undertaken. Resistance exercise (free weights or weight machines) increases strength in adults with type 2 diabetes by about 50% and improves A1C by 0.57%.

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