Exercising Tactically for Taming Postmeal Glucose Surges

This review seeks to synthesize data on the timing, intensity, and duration of exercise found scattered over some 39 studies spanning 3+ decades into optimal exercise conditions for controlling postmeal glucose surges. The results show that a light aerobic exercise for 60 min or moderate activity fo...

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Main Author: Elsamma Chacko
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2016/4045717
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author Elsamma Chacko
author_facet Elsamma Chacko
author_sort Elsamma Chacko
collection DOAJ
description This review seeks to synthesize data on the timing, intensity, and duration of exercise found scattered over some 39 studies spanning 3+ decades into optimal exercise conditions for controlling postmeal glucose surges. The results show that a light aerobic exercise for 60 min or moderate activity for 20–30 min starting 30 min after meal can efficiently blunt the glucose surge, with minimal risk of hypoglycemia. Exercising at other times could lead to glucose elevation caused by counterregulation. Adding a short bout of resistance exercise of moderate intensity (60%–80%  VO2max) to the aerobic activity, 2 or 3 times a week as recommended by the current guidelines, may also help with the lowering of glucose surges. On the other hand, high-intensity exercise (>80%  VO2max) causes wide glucose fluctuations and its feasibility and efficacy for glucose regulation remain to be ascertained. Promoting the kind of physical activity that best counters postmeal hyperglycemia is crucial because hundreds of millions of diabetes patients living in developing countries and in the pockets of poverty in the West must do without medicines, supplies, and special diets. Physical activity is the one tool they may readily utilize to tame postmeal glucose surges. Exercising in this manner does not violate any of the current guidelines, which encourage exercise any time.
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spelling doaj-art-89fe91606bf34f6e9b15c50d7acb5ff12025-02-03T01:03:05ZengWileyScientifica2090-908X2016-01-01201610.1155/2016/40457174045717Exercising Tactically for Taming Postmeal Glucose SurgesElsamma Chacko0Connecticut Valley Hospital, 100 Silver Street, Middletown, CT 06457, USAThis review seeks to synthesize data on the timing, intensity, and duration of exercise found scattered over some 39 studies spanning 3+ decades into optimal exercise conditions for controlling postmeal glucose surges. The results show that a light aerobic exercise for 60 min or moderate activity for 20–30 min starting 30 min after meal can efficiently blunt the glucose surge, with minimal risk of hypoglycemia. Exercising at other times could lead to glucose elevation caused by counterregulation. Adding a short bout of resistance exercise of moderate intensity (60%–80%  VO2max) to the aerobic activity, 2 or 3 times a week as recommended by the current guidelines, may also help with the lowering of glucose surges. On the other hand, high-intensity exercise (>80%  VO2max) causes wide glucose fluctuations and its feasibility and efficacy for glucose regulation remain to be ascertained. Promoting the kind of physical activity that best counters postmeal hyperglycemia is crucial because hundreds of millions of diabetes patients living in developing countries and in the pockets of poverty in the West must do without medicines, supplies, and special diets. Physical activity is the one tool they may readily utilize to tame postmeal glucose surges. Exercising in this manner does not violate any of the current guidelines, which encourage exercise any time.http://dx.doi.org/10.1155/2016/4045717
spellingShingle Elsamma Chacko
Exercising Tactically for Taming Postmeal Glucose Surges
Scientifica
title Exercising Tactically for Taming Postmeal Glucose Surges
title_full Exercising Tactically for Taming Postmeal Glucose Surges
title_fullStr Exercising Tactically for Taming Postmeal Glucose Surges
title_full_unstemmed Exercising Tactically for Taming Postmeal Glucose Surges
title_short Exercising Tactically for Taming Postmeal Glucose Surges
title_sort exercising tactically for taming postmeal glucose surges
url http://dx.doi.org/10.1155/2016/4045717
work_keys_str_mv AT elsammachacko exercisingtacticallyfortamingpostmealglucosesurges