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Toddler told to run off high blood sugar?

Missca87

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My 20 month old nephew was diagnosed with type 1 last week. His glucose isn't under control yet and is very regularly over 30. Apparently they have been told that he should run it off if it goes that high. I'm confused tho cos if he doesn't have the insulin to bring it into his cells then how will running around help?
 
[Mod edit: Some of the info in this post is an assessment of the effects of exercise based around scientific knowledge.

Levels over 30 mmol/l can be very dangerous in the short term. Please seek medical advice from a specialist, as a matter of urgency, if blood glucose levels rise this high.]


Running around will lower glucose levels but levels of 30 are high and most people would be checking for ketones before exercising at this level; high ketones would suggest too little insulin to suppress the glucose from the liver and that exercise isn't a good idea

Glucose can get actually get into the cell without insulin.The glucose transporter GLUT4 takes glucose into skeletal and muscle cells.This transporter has two different types of receptors that enable glucose to be taken into the cell. One comes to the surface of the cell when insulin is present, the other when the muscle is active. In practice in non diabetics both are used but either type of receptor will take the glucose into the cell.
Sorry I don't know an easy explanation but this paper explains it in detail:
http://bja.oxfordjournals.org/content/85/1/69.long
'

Edited to add emphasis to my last statement which I agree should have come first. Sorry
 
NO, I don't get it. Why then, is it that every Type One diabetic I know has to inject Insulin?

From the same article that an earlier poster cited I have pasted two quotes:

Ketoacidosis in diabetes is an uncontrolled process where serious lack of insulin ‘takes the brake off’ lipolysis and ketogenesis. The result is severe ketosis, which can readily become ketoacidosis and can easily be fatal once ketoacids reach concentrations above 20 mmol litre–1 and compensatory mechanisms become exhausted.

...no type 1 diabetic can tolerate prolonged periods without exogenous insulin...


Anyone who has suffered from Ketoacidosis knows how dangerous the condition is.
 
So now he's been admitted to hospital cos he's got ketones! Doesn't sound surprising based on what's been said. Surely it's really bad that a nurse would say to exercise while his sugar is so high! Frustrating!
 
Missca,

I am glad to hear that he is at last receiving the treatment that he needed when it was discovered that his blood glucose levels were regularly over 30 mmol/L.
 
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