Enrique José Roche Collado , José Miguel Sempere , Sandra Pascual-garcía , Natalia Alonso Arco , Pascual Martínez Peinado

Introduction: Physical activity in type 1 diabetic patients allows a better control of glycaemia and glycosylated haemoglobin, helps to maintain a residual endocrine pancreatic mass and optimizes subsequent insulin requirements. These improvements might be due in part to increases in anti-inflammatory cytokines that could help to minimize β-cell destruction. However, type, intensity and frequency of exercise for type 1 diabetic patients remain to be established.Case report: 48 year old man diagnosed with type 1 diabetes at the age of 23. He is a professional alpinist and recently was recruited in a program of the National Aeronautics and Space Administration (NASA) in collaboration with Virgin Galactic to be the first diabetic astronaut. Metabolic and inflammatory responses were assessed after performing 2 extreme activities.Discussion: Well programmed extreme activities accompanied by a correct dietetic intervention can reduce the adverse metabolic and inflammatory processes that appear due to exercise and diabetes. 

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