Abstract
In a 34-year-old female patient with insulin dependent diabetes mellitus (IDDM), who was further diagnosed as brittle diabetes, the effect of therapeutic exercise at the exercise intensity of 40% V02max was examined. After 3-week exercise, blood glucose value at starvation and insulin uptake were significantly decreased (P<.05) and the range of daily fluctuation of blood glucose value became smaller due to a combination of the exercise and supplementary food intake after exercise (P<.05). It was further noted that blood glucose value at starvation before breakfast was decreased with the lapse of time. These results indicate that 1) those changes after the exercise resulted from an increase in insulin.sensitivity in periphral tissues, 2) these in the risk of her developing delayed hypoglycemia several weeks after the initiation of the exercise, and 3) continuing control system for hypoglycemia is vital tothe treatment for IDDM patients.
