Regular exercise is encouraged in patients with diabetes and, indeed, the American Diabetes Association states that people with diabetes should be able to partake "in all forms of physical activity consistent with an individual’s desires and goals" In keeping with this philosophy, increasing numbers of people with diabetes now participate in extreme forms of physical activity, including high-altitude trekking and mountain climbing. However, exercise at altitude imposes a number of unique challenges for people with diabetes, including impairment in glycemic control, and it may have negative consequences in patients with complications. This review will consider what is known about the impact of altitude on individuals with diabetes, and it will propose strategies for dealing with these challenges.
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· 1 decade ago