Exercising With Diabetes-2
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Transcript of Exercising With Diabetes-2
8/4/2019 Exercising With Diabetes-2
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Exercising with
Diabetes
Effects and Considerations
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“Sometimes, it may seem easier to
pop a pill or even take a shot than to put on your walking shoes and hit the trail. But the truth is that
exercise, in combination with a healthy diet, is one of the best
things you can do to take care of
yourself if you have diabetes.”
- American Diabetes Association -
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Health risks associated with
Diabetes Two to four times more likely to suffer a fatal heart attack
Risk of stroke is two to four times higher
An estimated 60 to 65 percent of people with diabeteshave high blood pressure
Diabetes is the leading cause of new cases of blindnessin adults 20 to 24 years old
Diabetes is the leading cause of end stage renal disease
More than half the limb amputations in the United Statesoccur among people with diabetes
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The leading cause of Type 2
Diabetes...
Being
overweight
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Exercise...
Improves blood sugar regulation
Both cardiovascular and resistance exercisehave been proven to improve receptorsensitivity to insulin
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Exercise...
Improves circulation
Especially in the arms and legs where people
with diabetes can have problems
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Exercise...
Reduces your risk of stroke
By helping manage cholesterol, triglycerides
and blood pressure
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Exercise...
Burns calories which can help decreaseexcess body fat
Obesity is by far the greatest risk factor forType 2 Diabetes
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Exercise...
Reduces stress, improves feeling of well-being making it easier to follow your
dietary guidelinesStress has been shown to raise glucose
levels
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Why exercise?
In some people, exercise combined with ameal plan can control Type 2 Diabetes
without the need of medication
-American Diabetes Association-
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Another good reason to
exercise... Adults who performed moderate exercise
for 2.5 hours per week were 58% lesslikely to develop Type 2 Diabetes
-American Diabetes Association-
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Exercise recommendations
According to the ACSM
“Exercise recommendations for people with
Diabetes is no different than those without Diabetes. ACSM recommends aerobic exercise three to five days per week and resistance and flexibility training two to three
days per week.”
- ACSM’s Certified News, Vol. 17, issue 3
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Cardiovascular exercise
guidelines Amount: >150 minutes per week at moderate
intensity (40 -60% HRR), or >90 minutes perweek at vigorous intensity (>60% HRR)
Types: Walking, jogging, biking, swimming,rowing, etc.
- American College of Sports Medicine -
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Resistance exercise guidelines
Amount: >3 days / week; up to 3 sets of8-10 repetitions of 8 different movements
Types: resistance machines, free weights,resistance bands or tubing, body weight
movements
- American College of Sports Medicine -
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ACSM
Precautions for Exercise Always consult your doctor before beginning an exercise program.
Be sure to inquire how any medications you are taking may affectyour capacity to exercise
Always use adequate warm-up and cool-down periods
If neuropathy is present, avoid high impact activities For weight bearing activities, wear footwear which is properly fitted,
supportive and well-cushioned Be sure to keep feet dry and clean Perform regular blood glucose monitoring Strenuous strength training or high-impact exercise is not
recommended for people with uncontrolled diabetes. Such exercisecan strain weakened blood vessels in the eyes of patients withretinopathy. High-impact exercise may also injure blood vessels inthe feet.
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Exercise and blood glucose
Signs of hypoglycemia Trembling, rapid heart rate, profuse sweating, pale skin,
confusion or disorientation, and jumbled, slow or slurred speech
To help prevent hypoglycemia during physical activitycheck your blood glucose before you exercise If it’s below 100 have a small snack
If it’s above 300 or your fasting blood glucose is above 250 andyou have ketones in your urine, do not exercise
Drink plenty of fluids during physical activity, since your bloodglucose can be affected by dehydration
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You should not exercise if...
Your blood sugar level is over 300 mg/dl
You are sick
You are short of breath
You have ketones in your urine
You are experiencing any tingling, pain ornumbness in your legs
Your medication is peaking
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Things to remember...
Unless you were previously sedentary, frequent, high-intensity (not high-impact)exercise will yield the fastest results for those cleared by their doctors
Wear good, protective, well-fitted footwear to help avoid injuries and wounds to thefeet
Avoid lifting excessively heavy weights
Try to exercise at the same time every day for the same duration to help control bloodsugar If you use insulin exercise after eating, not before Inject insulin in sites away from the muscles used during exercise: this can help avoid
hypoglycemia Check your blood sugar before and after activity to help in determining your response
to exercise
Drink plenty of fluids before, during and after exercise Always wear an ID tag indicating you have diabetes to insure proper treatment in
case there’s a problem
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Finally...
The health benefits for people withdiabetes are the same as for those
without. Although there are additionalprecautions that must be considered,regular, intense exercise will help
control many of the disease related conditions associated with Diabetes .- American Diabetes Association