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April 05, 2013

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Type 2 diabetics have usually developed this condition over time. A combination of poor eating habits and not exercising regularly are two of the factors which may have precipitated the diabetes. Therefore, it is likely the patient has not worked out this muscles in a long time. It would be interesting in seeing a comparison of muscle strength in type 1 diabetics versus type 2 diabetics to differentiate between the lifestyle and the disease.

This is a very interesting article. It is also good to note that exercise would also greatly help individuals with type 2 diabetes with the condition itself (for maintaining blood glucose levels) in addition to building and retaining muscle mass.

Interesting study. Only able to read the abstract and did not have access to the full study. But my question would be how long these patients were diagnosed as diabetics. Question of the chicken or the egg. Which came first? Are diabetics more prone to have worse muscle strength OR for someone who tends to have poor exercise habits, also have other confounding risk factors that put them more at risk of getting diabetes or having poor glycemic control?

This article makes a lot of sense and underscores the challenges of the diabetic patient. Depending on which resource you quote, adding one pound of muscle mass will burn an additional 5 to 50 calories at rest over a 24 hour period. This is critical to the diabetic patient given the need to address the concerns with centralized obesity that many experience. The need at all stages of life to maintain or increase muscle mass is critical given the extensive complications from diabetes.

I think that exercise has always been and will always be important to include in a diabetic patient's treatment regimen. Losing weight and increasing muscle mass have incredibly beneficial effects on blood sugar, and can even reverse the diagnosis of diabetes in some diligent type 2 diabetic patients. I think a varied exercise regimen, including weight bearing and cardiovascular exercise, should be weighed against any potential risk to the patient and hopefully included in the overall treatment plan.

So if i'm getting this correctly it sounds like decline in muscle mass and strength is a risk factor for developing type 2 diabetes, and having type 2 diabetes can lead to a fast decline in muscle mass and strength. It goes both ways i guess. Either way maintaining muscle mass via exercising seems to be the way to go!

I agree with the previous posters in that type 2 diabetics are not in the best of shape, especially the elderly patients, and therefore are more likely to have lower muscle mass. I wonder if the same results would be found if the study was repeated in type 1 diabetic patients? They aren't necessairly as predisposed to higher weight/unhealthy exercise habits, I wonder if the results would be similar or if this is simply a case of diabetic patients being more likely to exercise less.

Interesting topic..who thinks of testing these connections? I wouldn't have thought to conduct a study to see if diabetics have less muscle mass than non-diabetics. Or maybe I would. It makes sense when taking into account that diabetics, as Deb said, are not in their best shape. I wasn't able to read the entire article, but I would want to see how the two groups were matched up. Were the diabetic vs non-diabetic groups similar other than the presence of diabetes? If the study population consisted of overweight diabetics, who didn't exercise at all, they would obviously have less muscle mass and I don't think those results could be attributed to the prevalence of diabetes.

So true Deb. Insulin is required for glucose to be absorbed into muscle, and many type 2 diabetics are nearly (some even completely) insulin deficient. If progressive loss of insulin is what facilitates the reduction of muscle quality, it sounds like a good idea to try to encourage those muscles to keep working hard. Not to mention, exercise is great for diabetics to help fight insulin-induced fat conservation, keep their blood pressure down, and drive their HDL ('good' cholesterol) up. Of course, exercise isn't just for diabetics. We all really need to get moving!

It makes sense that lower muscle strength is associated with Type 2 diabetes. My rational is most of type 2 DM patients are not in their best shape and tend to move less especially when suffering from diabetic neuropathy and wearing foot protective shoes. In addition, diatetic patients may not absorb nutrients properly and as a result, do not have fuel for muscle building blocks. Either way, diabetes can develop into a systemic condition, which re-enforce a vicious cycle from inside and outside your body.

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