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Poor Metabolic Control

Poor Metabolic Control

When the diabetic child performs exercises under conditions of poor metabolic control with insulin deficiency and hyperglycemia, the metabolic response to exercise and the risks are completely different (Horton, 1988) (Table 1). Low insulin levels allow further breakdown of liver glycogen to glucose and fatty acid mobilization, but peripheral consumption of glucose by the muscle is impaired. Worsens hyperglycemia and ketoacidosis occurs: that is, exercise can raise the poor metabolic control. Now, the line input is working fine, but the energy substrate can not enter the muscle cell exercise. In this state, intense exercise is contraindicated, and when blood glucose levels exceed 250 to 300 mg / dl, diabetic control needs to be improved with additional insulin before sports participation. Therefore, the diabetic patient, needs to be aware of their metabolic control before intense physical activity