Diabetes Mellitus And Exercise

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by CourtneyStanlaw
Last updated 6 years ago

Health & Fitness

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Diabetes Mellitus And Exercise

What is Diabetes Mellitus?

• Blood glucose should be monitored before, during, and after all bouts of exercise• If blood glucose is less than 70mg/dL or above 300 mg/dL, or above 250 mg/dL with keytones, physical activity should not be performed • Have a source of 15-20 grams of fast-acting carbs on hand • To avoid hypoglycemic incidents during sleep, exercise should not be performed late at night• Exercise should be performed at or around the same time each day

Different medications elicit various responses in reaction to exercise. It is necessary to be aware of these reactions when beginning physical activity. • Medication adjustments for physical activity are necessary for individuals using insulin and other insulin secretogogues • Oral medications or insulin dosing before exercise may need to be reduced to prevent hypoglycemia• Synthetic or rapid-acting insulin analogs may cause more rapid decreases in blood glucose than human insulin

American College of Sports Medicinewww.acsm.orgAmerican Diabetes Associationwww.diabetes.org/food-and-fitness/fitnessMayo Clinicwww.mayoclinic.orgWorks Cited:Ehrman, J. K., Gordon, P. M., Visich, P. S., ' Keteyian, S. J. (2013). Clinical exercise physiology. United States: Human Kinetics. Lumb, A. (2014). CME Diabetes. Diabetes and exercise. Clinical Medicine, 14(6), 673-676. The American College of Sports Medicine ' the American Diabetes Association. (2010). Exercise and type 2 diabetes: american college of sports medicine and the american diabetes association: joint position statement. Medicine ' Science in Sports ' Exercise. 42(12). pp. 2282-2303. doi: 10.1249/MSS.0b013e3181eeb61

Medical clearance should be granted prior to beginning an exercise program. If new to exercise, it is advised to progress slowly. Cardiovascular Training:Frequency: 3 or more days a weekIntensity: 50-80% VO2R or RPE of 12-16Time: 20-60 minutes of activity, totaling at least 150 minutes a weekType: Activities that use large muscle groups, such as walking, jogging, swimming, or bikingResistance Training:Frequency: 2-3 days a weekIntensity: 60-80% 1-RMTime: 2-3 sets of 8-12 reps for 8-10 multi joint exercisesType: Exercises, such as sit ups, pull ups, pushups, and use of resistance machines and bands. Program should be tailored to patients’ likes and needs accordingly

Diabetes is a group of metabolic diseases characterized by either the inefficiency to produce sufficient amounts of insulin or to use it properly.Type 1: An autoimmune disease which causes the destruction of insulin-producing cells of the pancreas. Type 2: Pancreatic cells fail to use the insulin produced, leading to insulin deficiency and/or resistance. Gestational: Intolerance of glucose that develops during pregnancy and typically resolves post-pregnancy. Other Types: Glucose intolerance can be caused by various other mechanisms, such as genetic defects, pancreatic diseases, infections, or as the side effect of medications.

Special Recommendations and Precautions for Exercise

Precautions with Medications

Exercise Prescription

Additional Resources

Diabetes Mellitus and Exercise

Benefits of Exercise

• Improved blood glucose levels and reduced insulin resistance• Lower fasting blood glucose levels up to 24 hours after exercise• Decreased blood pressure and reduced risk for hypertension and cardiovascular disease• Weight loss and maintenacne• Improved quality of life, psychological well being, and decreased rate of depression


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