Revista médica de Chile
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Revista médica de Chile · Apr 2019
[Effects of physical training in patients with type 2 diabetes mellitus: a systematic review].
Physical training is recommended in several studies and guidelines for the control of type 2 diabetes mellitus (DM2) and its complications. We performed a systematic review about the effects of aerobic training (AT), resistance (RT) or the combination of both (AT/ RT), on glycated hemoglobin (HbA1c) in patients with DM2. Therefore, we included 15 clinical trials with at least 12 weeks duration about training program or recommendations of physical exercise, that evaluated the reduction in HbA1c levels in patients with DM2. ⋯ The results showed increases in peak or maximal oxygen uptake, exercise tolerance time and muscle strength, depending on the type of training, and a reduction in HbA1c levels. We conclude that exercise training is associated with reductions of HbA1c in patients with DM2. Thus, it can be a complementary tool in the management of these patients.
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Revista médica de Chile · Apr 2019
[Clinical features and management of 205 adults with type 1 diabetes mellitus].
Few studies have evaluated the details of insulin therapy for type 1 diabetes mellitus (T1D) in Chile. ⋯ The use of formulas considering carbohydrates for dosing rapid insulin, use of infusion pumps and physiological doses of basal insulin are significantly associated with a better metabolic control in adults with T1d.