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Glucose Uptake and Insulin Resistance in Rehabilitation



During physiotherapy and exercise sessions, our body demands for glucose are primarily met by the concentrations of glucose in the blood.

During high-intensity anaerobic exercise, demand for glucose is met our system, who identify and provide supplies to finds a need.

Fatigue, walking impairment, neuromotor difficulty, hyperglycemia, can appear, when difficulty in transporting blood glucose into the muscles start to be prominent, often associated with insulin resistance, or excess blood glucose levels, as indicated by numbers of research results.

Some reserch showed that insulin resistance related to a high fat intake can skyrocket blood glucose levels to twice that of a high-carbohydrate diet.

Insulin resistance was seen within 3 hours of an individual's eating a high-fat meal insulin resistance can interfere with intramuscular restocking of glycogen levels and glucose oxidation. This might reduce the availability of blood glucose for the muscles during exercise.

Research shows that insulin resistance is caused by the fat inside the muscles (called intramyocellular lipids), as well as the free fatty acids circulating in the bloodstream, which can impair insulin activity.

We understand that exercise can improve insulin sensitivity in our body, but this response reduced and less effective when the free fatty acids in the blood are high.

The increased blood flow that during physiotherapy exercise is essential to deliver nutrients to the muscles and remove metabolic waste products.

The delivery of oxygen during physiotherapy session, and the removal of metabolic waste products is essential for a patient performance. These processes may be impaired by the reduced blood flow that occurs after an individual consumes a high-fat meal.

A simple instruction from dietitian to refrain from eating e.g. high-fat foods during rehabilitation, or balance it well may significantly improve the body's use of glucose, synthesis of glycogen, and resistance to insulin.


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