Topic of the Week
May 22nd, 2017
Diabetes and Exercise--Part Two
I wrote last week about the relationship between exercise and diabetes with respect to the control of the condition and the possible alleviation of the symptoms--particularly with Type II diabetes. By promoting exercise as a preventative or ameliorating measure, however, it would be prudent to discuss some information regarding warning signs and "safety tips" for those who follow the advice of "Exercise is Medicine". Of course, no cessation of current medication should be attempted by anyone with the condition without consultation with a physician or health care provider. Indeed, it would be a good idea to get a complete physical examination (which may or may not include a stress test) before beginning any fitness program aimed at diabetes control. The examination will not only determine if an individual is ready for regular activity but should also be able to determine what activities might be recommended from the stand point of safety. Additionally, exercise intensity, frequency and duration can also be more accurately estimated or assessed with this information.
Of course, there is no more important piece information than knowing your blood glucose level ("blood sugar") before during and after exercise. Knowing your own "pattern" of glucose use during exercise as a consequence of these measures can help to create an activity level and/or profile that will make the activities more pleasant--not to mention more easily tolerated. Remember also that blook glucose levels are more likely to be low if you take insulin or pill, exercise for a long period of time (this will vary depending on the individual's current fitness level) or exercise too strenuously. Exercise after skipping a meal is also not a good idea.
Appropriate hydration before, during and after exercise is a must as is being aware of glucose levels long after exercise has been completed. And ALWAYS carry an ID card and/or braclet identifying the fact (is applicable) that you have diabetes. When measuring glucose levels, be aware that readings below 80 mg/dl or higher than 250 mg/dl may require immediate action in terms of medical attention. With a few simple steps and precautions, exercise is not only possible for individuals with diabetes, it is a possible key to its control and, in the case of Type II diabetes, a possible path to its elimination. As always, exercise IS medicine--and it's free! Don't let diabetes control your life. Any exercise--regardless of amount--is better than no exercise when diabetes is part of the picture. Use it!
I'm Dr. Paul Kennedy and thats the "Be Fit, Stay Fit" Topic of the Week. Good luck with YOUR program. I KNOW you can do it!
