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Diabetic Triathlete with recovery problems

Discussion in 'Biomechanics, Sports and Foot orthoses' started by barry hawes, May 4, 2010.

  1. barry hawes

    barry hawes Active Member

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    Hi all,

    I have a 56 yo insulin dependant type 2 diabetic patient who has recently taken up triathlon. Has had minor musculoskeletal injuries which have responded well to treatment, but now complains of severe muscle fatigue following events and longer training sessions which seem to correspond to elevated BSL's. Does anyone know of a sports endo or physiologist in the Brisbane region who could offer advice for this chap?

    Barry Hawes
  2. Craig Payne

    Craig Payne Moderator

    Diabetes can cause an aching muscle pain that is not unlike fibromyalgia. There is also diabetic myopathy, which is probably an end stage of the aching muscles. There is also a diabetes muscle infarct type problem which is mroe serious but it does not sound like that.

    OR it could simply be that he is unable to get enough glucose into the muscles due to the diabetes and in the longer sessions, is just accumulating more lactate ... maybe thats creating high than normal tissue damage.
  3. barry hawes

    barry hawes Active Member

    Thanks for that Craig. My impression is that it would be in the latter of your suggested diagnoses - low muscle glycogen levels or something. Here on the Sunshine Coast we have only one endo and no sports physicians. Thought more expert advice may be of benefit if referred to Brisbane.

    Barry Hawes
  4. Hi Barry,

    Heres an article about team type 1 Diabetic pro cyclists. Might be of interst to your patient, But maybe you can contact the team they will have some of the most upto date info on recovery, training etc for people with Diabetes. They are also trying to promote diabetic people increasing activity levels so maybe more open to share info.

    Cycling with diabetes:team type 1

    Here the teams website. Team Type 1 pro cycling team

    hope that helps
  5. Mark Egan

    Mark Egan Active Member

    Hi Barry I have contacted an endro I have worked with and she has replied

    "Hi Mark!

    I would be delighted to see this fellow - I have a few athletes on my books & am a reformed exercise junkie.
    My receptionists number for bookings / referrals is 38700102.

    take care,

  6. barry hawes

    barry hawes Active Member

    Thanks very much Mark - have passed details onto my patient.

    Thanks to you as well Michael - the articles were very interesting and again I have forwarded them on to the chap involved.

  7. NewsBot

    NewsBot The Admin that posts the news.

    Just published:

    Regulation of Skeletal Muscle Oxidative Capacity and Insulin Signaling by the Mitochondrial Rhomboid Protease PARL
    Cell Metabolism, Volume 11, Issue 5, 412-426, 5 May 2010
    Press Release:
    New Culprit In Muscle Defects, Insulin Resistance That Come With Age

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