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匿名使用者
匿名使用者 發問時間: 社會與文化語言 · 6 年前

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Sports Health. 2010 Jan;2(1):29-38.

Diabetes in sports.

Shugart C, Jackson J, Fields KB.

Abstract

CONTEXT:

Exercise is recommended for individuals with diabetes mellitus, and several facets of the disease must be considered when managing the diabetic athlete. The purpose of this article is to review diabetes care in the context of sports participation.

EVIDENCE ACQUISITION:

Relevant studies were identified through a literature search of MEDLINE and the Cochrane database, as well as manual review of reference lists of identified sources.

RESULTS:

Diabetics should be evaluated for complications of long-standing disease before beginning an exercise program, and exercise should be modified appropriately if complications are present. Athletes who use insulin or oral insulin secretogogues are at risk for exercise-induced immediate or delayed hypoglycemia. Diabetics are advised to engage in a combination of regular aerobic and resistance exercise. Insulin-dependent diabetics should supplement carbohydrate before and after exercise, as well as during exercise for events lasting longer than 1 hour. Adjustment of insulin dosing based on planned exercise intensity is another strategy to prevent hypoglycemia. Insulin-dependent athletes should monitor blood sugar closely before, during, and after exercise. Significant hyperglycemia before exercise should preclude exercise because the stress of exercise can paradoxically exacerbate hyperglycemia and lead to ketoacidosis. Athletes should be aware of hypoglycemia symptoms and have rapidly absorbable glucose available in case of hypoglycemia.

CONCLUSION:

Exercise is an important component of diabetes treatment, and most people with diabetes can safely participate in sports at recreational and elite levels with attention to appropriate precautions.

KEYWORDS:

benefits and risks of sport, diabetic athlete, insulin pump, medication adjustment

2 個解答

評分
  • 6 年前
    最佳解答

    體育健康。 2010年1月; 2 ( 1 ) :29- 38 。

    糖尿病患者與運動。

    舒加特C,傑克遜Ĵ ,菲爾茲KB 。

    摘要

    背景:

    糖尿病的患者被建議要運動,糖尿病的運動員有幾個疾病的層面必須予以考慮。本文的目的是為了在參與體育的背景下審查糖尿病的護理注意。

    證據採集:

    相關的研究,通過文獻MEDLINE和Cochrane數據庫的搜尋,以及人工審核確定已識別來源的參考文獻目錄。

    結果:

    糖尿病患者在開始一個運動鍛煉計劃之前應進行長期疾病並發症之評估,如果並發症出現時,運動鍛煉計劃應適當修改。使用胰島素或口服胰島素促分泌的運動員,在運動時有引起立即或延遲低血糖的風險。糖尿病患者被建議要從事規律的有氧和阻力運動的組合。胰島素依賴型糖尿病患者,在運動前後,以及運動活動期間持續為超過1小時時,要補充碳水化合物。胰島素劑量的規劃原則是依運動強度而調整,以此種策略,以防止低血糖。胰島素依賴型運動員運動前,期間和運動後都應密切監測血糖。運動前顯著高血糖,應避免運動,因為運動的壓力矛盾加劇高血糖,導致酮症酸中毒。運動員應注意低血糖的症狀,並隨身帶有可迅速吸收的葡萄糖,以防低血糖發生時可緊急備用。

    結論:

    運動是糖尿病治療的重要組成部分,而大多數糖尿病人,在有注重適當的預防措施下,可以放心地參加娛樂運動員和精英運動員層面的運動。

    關鍵詞:

    福利和體育的風險,運動員,糖尿病患者,胰島素泵,藥物調整

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  • 匿名使用者
    6 年前

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