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Exercise for People with Diabetes

Anna Delany

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Getting started

Finding the motivation to get started at exercise is a challenge for most of us, but once you get into it you’ll find it’s worth it. Try to make exercise a habit, something you just do every day without even thinking – just like brushing your teeth. And remember, there is no need to run a marathon right away! Get started with small goals that you gradually build upon. If you're looking for motivation, new ideas, support, or challenges, try the CalorieKing exercise forum.

The state of your general health and any complications you have as a result of diabetes may warrant certain precautions when exercising. For example, if you have loss of sensation in the feet, you should avoid any weight-bearing exercises, such as jogging, that might cause skin ulcerations or small fractures that you might not notice. Lifting heavy weights may pose a health threat for an older adult or someone with long-standing diabetes because it can dramatically increase blood pressure. Ask your doctor to help you work out a suitable program.


Ten tips for exercising with diabetes

Keep fluid levels up while exercising
  1. Get proper medical advice before embarking on a new exercise-training program.
  2. Monitor blood glucose levels before, during and after exercise, especially in the early stages of exercise training. Check twice prior to exercising; 30 minutes before and immediately before. If your blood glucose level is 300mg/dL or higher, do not exercise.
  3. Don't exercise when you're sick. Exercising when you are sick can make your blood glucose levels fluctuate dramatically and it may take longer to get well.
  4. Keep fluid levels well up before, during, and after exercise, especially when hot. Dehydration can affect blood glucose levels and heart function.
  5. Have a carbohydrate-based snack or drink handy in case your blood glucose levels drop.
  6. Avoid injecting insulin into a muscle that is about to be used for exercise
  7. Wear correct footwear. Peripheral vascular disease is relatively common in people with diabetes and often affects the feet.
  8. Exercise at the same time each day. Exercising at a similar time, intensity, and duration each day helps you to get to know your own blood glucose response to exercise training.
  9. In case of emergency, wear an identification bracelet or shoe tag while exercising.
  10. Be aware of signs of hypoglycemia (low blood sugar) during and after exercise. Signs include feeling shaky, having an unusually rapid heartbeat or experiencing vision changes.

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References :

This article was compiled in consultation with CalorieKing.com experts and in reference to the following sources:

American Diabetes Association, Diabetes A-Z: What you need to know about diabetes – simply put, 2000; USA.

‘Diet and Exercise Delay Diabetes and Normalize Blood Glucose’, Diabetes Dateline, Spring 2002, www.diabetes.niddk.nih.gov

‘Exercise and diabetes: Manage your condition with physical activity,’ www.mayoclinic.com

Last updated: November 2nd, 2007

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