Up and Coming Weekly is a weekly publication in Fayetteville, NC and Fort Bragg, NC area offering local news, views, arts, entertainment and community event and business information.
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TO YOUR HEALTH Diabetes and Excercise by TRACY LAURELES The benefits of exercise in patients with diabetes and those at to 12 weeks to reach a desired training level. At a minimum, high-risk for developing Type 2 diabetes are numerous. They include three to four 20 to 30 minute sessions are needed to see a reduction in heart disease, prevention of diabetes in those persons at benefit. It is also important to remember to add a warm up and high risk, improved muscle sensitivity to insulin, better blood sugar cool down period to your workout to help prevent injury. control and blood cholesterol profiles, improved blood pressure In addition to the above information, the American Diabetes control, weight loss and improved overall well being. Association has made the following recommendations for Exercise sounds like an important part of managing diabetes, and exercising: carry an ID card and wear a bracelet that identifies in general, it is. Like everything else, it's not totally black and white. you as having diabetes; be alert for signs of hypoglycemia In certain situations, patients with diabetes should approach any during and after exercise; drink plenty of fluids before, during exercise regimen with a little bit of caution. Additionally, exercise and after exercise; measure blood sugar levels and act if the may need to be avoided, at least temporarily, for some patients. Talk reading is less than 80mg/dL or greater than 240mg/dl to your physical therapist to see what course of action is best for you. General exercise recommendations: 20-30 minutes of From a recent Consensus Development Conference on the diagnosis moderate exercise 5 to 7 days a week, preferably daily. Types of coronary heart disease in people with diabetes, the American Diabetes of exercise include walking, stationary bicycling, walking on a Association has published recommendations for exercise stress testing in treadmill, stair climbing and swimming; exercise can be broken There are many benefits to exerdiabetic patients. Stress testing should be done for certain persons before up into smaller 10-minute sessions and still give you great cise, including weight loss and embarking on an exercise program. benefit; start slowly and progress gradually to avoid injury, The recommendations of the American Diabetes Association for Stress overall well-being. excessive soreness, or fatigue; over time, build up to 30 to 60 testing are: any patient with cardiac symptoms; abnormal resting EKG; minutes of moderate to vigorous exercise every day; people are peripheral or carotid artery disease; sedentary lifestyle, age > 35 years, never too old to start exercising. Even frail, elderly individuals and plans to begin a vigorous exercise program. Anyone with two or more of the following (ages 70-90 years) can improve their strength and balance. Why not start now risk factors in addition to diabetes are also stress test candidates: total cholesterol > and age in better health. 240mg/dL, LDL>160mg/dL, or HDL <35mg/dL; blood pressure > 140/90; smoking; Discuss any question or concerns you may have with your physical family history of premature heart disease; kidney involvement from diabetes. therapist before starting any activity program. When done What does this mean for you? safely, there is no doubt that the benefits of exercise in Before starting on any exercise program, a thorough examination and medical patients with diabetes far history should be performed by your physical therapist. Patients who have diabetes outweigh the risks, and TRACEY LAURELES, PT, DPT at CCRC, should pay particular attention to blood vessel complications. Another important area can get you on the road to Contributing Writer. www.ccrcnc.com to discuss with your PT is the estimated calorie expenditure and strategies to lessen the a better life. COMMENTS? Editor@upancomingweekly. risk of hypoglycemia. Food intake both before and after exercise should be reviewed. com. Regarding aerobic activity, training sessions should begin slowly. Allow eight Source: Medicinenet.com WWW.UPANDCOMINGWEEKLY.COM NOVEMBER 20-26, 2013 UCW 17