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From The CriticsReviewer: Matthew H. Corcoran, MD (Lehigh Valley Hospital)
Description: This is a contemporary review of the clinical aspects of exercise therapy and management for those with type 1 and type 2 diabetes, as well as their healthcare providers. This second edition, an update of the 1999 publication, highlights the recently well-documented scientific evidence for the prevention and management of type 2 diabetes through lifestyle modification, while continuing the effort to explore the appropriate management of diabetes, exercise, and sport for those with type 1 diabetes.
Purpose: The editor sets out to compile a useful resource for both healthcare professionals and patients on the need for increased resources to help diabetes teams tackle the lifestyle problems of people with type 2 diabetes and to help provide people with type 1 or type 2 diabetes the detailed advice to help them exercise safely and with maximum enjoyment. The authors might also consider the challenge of providing a resource and detailed advice to allow the exerciser or athlete maximum performance as well, although there are many unanswered questions in this realm. The objective is worthy and the book is much needed, yet facing a challenge as it attempts to be a resource for healthcare providers and patients. This approach risks leaving the healthcare provider hungry for more information and the lay person feeling a bit overwhelmed. Having said this, the authors have done an admirable job reaching both audiences. The lay population is extremely hungry for more information; and in general, healthcare providers are undereducated regarding lifestyle therapy, nutrition, and physical activity/exercise. This permits the authors the luxury of addressing both audiences with this book, which serves as an excellent resource for the clinician, diabetes team, or person with diabetes who wants to begin to explore the world of diabetes and exercise.
Audience: It is written for both lay people and all healthcare providers on the diabetes team. The editor and contributors are credible authorities in providing diabetes teams with the necessary information to assist them in the development of their own diabetes and exercise resource centers.
Features: The book outlines the challenges of the management of type 1 diabetes during sport and exercise and explores the compelling arguments justified by recent research for more resources to tackle the lifestyle problems of people with type 2. The book provides a basic review of exercise physiology and its disturbances in those with diabetes, prior to exploring some of the basic nutritional and therapeutic strategies necessary to allow for safe and productive participation in sport and exercise for those with type 1 diabetes. This includes updates to the first edition with sections on nutritional management and insulin pump therapy. It also summarizes the recently confirmed beneficial role of physical activity and lifestyle change in preventing or delaying the onset of diabetes in those at risk for type 2 diabetes and outlines all of the potential cardiovascular benefits of an exercise program. Finally, the book offers some basic introductory insight into the role of, and techniques for, the diabetes team to assist persons with diabetes in achieving their goals in a safe and productive way. The authors do a nice job of illustrating their main points with easy to read graphics and illustrations, and an easy to use table of contents points the reader to the appropriate section with ease. The sequence is a bit disjointed, as many sections that primarily, although not entirely, relate to type1 diabetes are interrupted by the section on type 2 diabetes. Perhaps the authors might want to explore a separate book devoted to each.
Assessment: This is an extremely useful resource for any member of the diabetes care team who wishes to explore the intricacies of diabetes and exercise, as well as for those living active lives (or wanting to live active lives) with diabetes. Given the recent explosion of data relating to the health benefits of exercise for those with or at risk for diabetes, this second edition is a nice complement to the first. Given the amount of information forthcoming, it may be time to consider separate books devoted to type 1 diabetes and type 2 diabetes.