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Exercise To Control
Diabetes
Having diabetes is never a picnic. But fortunately, for a very
large percentage of those who suffer from the disease, exercise
can play a large role in the management of the condition. Not
only does it improve overall health, helping to stave off
future complications and deal with dips in well-being, it
directly improves the diabetic condition. But, it needs to be
done properly.
Before embarking on any exercise regimen, a diabetic should
consult his or her physician and insist on clear answers and
feasible suggestions. The diabetic will need to find out which
exercises are safe and under what conditions. That will vary
from person to person, and often day to day.
The level of blood glucose rises, for example, in response to
exercise. But how much and how rapidly differs from person to
person and day to day. A high blood glucose level, say 300
mg/dL can rise even higher with vigorous exercise. Those with
Type 1 diabetes who have a fasting glucose level above 250
mg/dL will likely have ketones in the urine. Exercise can raise
that further, producing a dangerous condition called diabetic
ketoacidosis.
Alternatively, insulin treatments can produce hypoglycemia
(having too low a level of glucose in the blood). But consuming
carbohydrates to level it off may have undesirable side
effects, such as encouraging excess body fat. That excess in
turn may help push those with pre-diabetes into full blown
diabetes, over time.
Any exercise routines should be realistic and begun slowly.
Many diabetics need to reduce their level of activity below
what would be normal for another person. But they can still
benefit from the many positive health effects of a good
routine. Just as with the elderly or others who may need to
curtail some kinds of activity, the diabetic needs to monitor
their condition carefully and exercise appropriately.
Think long term. Even people without any medical condition can
become discouraged and give up on exercise too easily. Working
muscles that have been sedentary (a lifestyle that often raises
the risk of acquiring diabetes in the first place) can lead to
soreness and discomfort. That creates negative incentives to
continue the exercise program. Starting slowly and working up
to greater effort can solve that problem. Adopt exercise as a
part of an overall lifestyle, not as a targeted cure for any
specific problem.
Walking several times per week is a good start. For those who
have access to a pool, swimming is a good cardiovascular
exercise category that is easy on the joints.
At first, you may feel a bit too tired to even get started.
That may be the result of low blood sugar. If your physician
approves, eating a small snack can help get you up for the
effort. A small adjustment to medication may work for
others.
Monitoring is important, even during exercise, since it can
change blood glucose levels quickly. A special watch is
available that provides a timer for measuring routines, but
will also monitor glucose level. But whatever method you
choose, keep a close eye on things. Stop if you feel dizzy,
nauseous or experience symptoms generally.
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