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Cardio Diabetes Medicine 2017 571

Diabetes and Exercise

(Prevention In Special Population)

Dr.S.Rajan M.D

Retired Prof. and HOD of Medicine,TKMCH,
Tuticorin

Why people with diabetes need exercise? Types of physical activity recommended:
* Exercise improves general health * Aerobic exercises
* Exercise generally lowers blood glucose resulting * Anaerobic exercises
in decreased insulin/OHA requirements.
* Flexibility exercises
* It prevents/delays the progression of diabetes re- * Endurance exercises.
lated complications.
Aerobic exercise moves large muscle groups and
* Exercise lowers the blood pressure levels and low- causes you to breath more deeply & your heart to
ers blood cholesterol.
work harder to pump blood, improves health of heart
* Lowers risk of heart disease and stroke.
and lungs.
* Relives stress and improves mental health.
Anaerobic exercises helps build strong muscles,
lowers blood glucose levels and makes the action
How to prepare for doing exercise sessions: of insulin more sensitive and effective.
Proper warm up consisting of 5-10mins of aerobic
activity is mandatory. Low blood glucose can occur during/or long after
physical activity:
Benefits of warm up: It is more likely to occur if:
* It cause gradual increases circulation in legs and
reduces risk for injury. * If pt has taken insulin before exercise.
* Eat nothing within 30 minutes of exercise.
* Warm up can-include:
* Eat nothing 2 hour after workout.
* Light walking ,light cycling, balance exercise, move-
ment &light stretching for 5-10 minutes. * Exercise for a long time.
* Activity session for a period of atleast 15-30 min- * Exercise extra strenuously.
utes is preferred.
* Injecting insulin in exercising limb/so one should
* Cool down should be structured similarly to warm always avoid it, abdomen site is preferred.
up and should least for 5-10minutes.
Goal is to avoid hypoglycemia for people during I should stop my exercise when?
exercise. If your values are either high or low, it is * get symptoms of hypoglycemia.
recommended to check your blood glucose in the * Blurred vision
middle of doing exercise to avoid episodes of hypo/
hyperglycemia. * Weak/tired
* Hungry/Sweaty

* Shaky/Dizzy

Cardio Diabetes Medicine