Letter from the Editor
Lately I have been hearing a lot of commercials for a weight loss program called Noom. According to their sponsor ad on our local NPR station, they offer success through small consistent goals, high touch and constant motivation. They accomplish this with the use of texts, videos and audios that are fashioned to the individual they are helping.
This high touch method can also work for reducing the risk of MI, stroke or unstable angina, as seen by the results of a study that Nour Salhab, Pharm.D. Candidate, USF College of Pharmacy, prepared for us.
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We can make a difference!
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Dave Joffe
Editor-in-chief
TOP STORIES -- Diabetes News and Research
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Counseling patients about lifestyle modification is an important aspect of therapy.
Did You Know: What is the Best Time for Patients with Type 1 to Exercise?
We often advise people with diabetes to engage in physical activity, but what is the best time to exercise? This study reports the difference in the morning (in fasting condition) vs. afternoon resistance training. The study was a randomized, open-label, cross-over design where 12 participants with type 1 diabetes, without obesity or complications present, and recreationally active individuals were enrolled. Hyperglycemia was found to be more common after the morning exercise session in a fasting condition and was higher in the first 6 hours post-exercise compared to the afternoon session. In addition to that, there was no significant difference in the overall changes in blood glucose for those 2 sessions. Glucose levels should be monitored closely for individuals with diabetes, especially at the start or change of a new exercise routine, and It might be a good idea for those who suffer from hyperglycemia during and after resistance exercise to consider resistance exercising later in the day as it seems to cause less hyperglycemia.
Eshghi SRT, Yardley JE. Morning (fasting) Vs. Afternoon Resistance Exercise in Individuals with Type 1 Diabetes: A Randomized Cross-Over Study. J Clin Endocrinol Metab. 2019 June 18. doi: 10.1210/jc.2018-02384.
Yardley JE, Kenny GP, Perkins BA, Riddell MC, Balaa N, Malcolm J, Boulay P, Khandwala F, Sigal RJ. Resistance versus aerobic exercise: acute effects on glycemia in type 1d
Turner D, Gray BJ, Luzio S, Dunseath G, Bain SC, Hanley S, Richards A, RhydderchDC, Ayles M, Kilduff LP, Campbell MD, West DJ, Bracken RM. A similar magnitude of postexercise hyperglycemia despite manipulating resistance exercise intensity in type 1 diabetes individuals. Scand J Med Sci Sports. 2016;26(4):404-412.
Marian Ayad, BSPharm, PharmD candidate, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences
Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletters:
Marian Ayad, BPharm, PharmD candidate, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences
Nadeen Ayad, BCPS, PharmD Candidate, Skaggs School of Pharmacy, University of Colorado
Usif Darwish, PharmD Candidate, Florida A&M University, College of Pharmacy & Pharmaceutical Sciences
Keri Hames, PharmD Candidate, Florida A&M University, College of Pharmacy & Pharmaceutical Sciences
Kassey James, Pharm.D. Candidate, LECOM School of Pharmacy
Nour Salhab, Pharm.D. Candidate, USF College of Pharmacy
Your Friends in Diabetes Care
Steve and Dave
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