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DIABETES AND EXERCISE THERAPY: EXERCISE AND TYPES-1,2 DIABETES EXERCISE AND TYPE-1 DIABETES

Posted on June 8, 2011, under Diabetes.

Special Instructions:
General guide lines for type-1 diabetes patients.
1. Metabolic control before exercise.
avoid exercise if FBS>250 + ketosis.
avoid exercise if FBS>300 without ketosis.
Ingested added carbohydrate if glucose levels are <100 mg/dl.
2. Blood glucose monitoring before and after exercise.
Identifying when changes in insulin or food intake are necessary.
Learn the blood sugar responses to different exercise conditions.
3. Food Intake
Consume added carbohydrate as needed to avoid hypoglycaemia (low sugar reactions).
Carbohydrate food should be readily available during and after exercise.
Extra food for extra exercise.
EXERCISE AND TYPE-2 DIABETICS (NON -INSULIN
DEPENDENT OR INSULIN REQUIRING DIABETICS)
In type 2 diabetes insulin resistance syndrome is one of the important risk factor for premature CAD, concomitant hypertension, hyperinsulinaemia, central obesity, hypertriglyceridaemia, Low HDLC, high LDL, elevated FFA.
Important: In many of these, risk factors are linked with improvement (decrease) in plasma insulin levels and it is likely that many of the beneficial effects of exercise on cardiovascular risk are related to improvement in insulin sensitivity.
HYPERLIPIDEMIA
VLDL   …. Regular exercise effective in reducing levels of Triglyceride (TG) richVLDL.
LDL     …. However, effects on LDL by regular exercise have not been
consistently documented. HDL    …. Most studies fail to document increase in HDL cholesterol with
type 2 diabetes.
HYPERTENSION
Effects of exercise on reducing blood pressure levels have been demonstrated most consistently in hyperinsulinemic subjects.
OBESITY
Data suggesting that exercise may enhance weight loss when used along with appropriate caloric controlled meal plan.
FIBRINOLYSIS
Many patients with type 2 diabetes have impaired fibrinolytic activity associated with elevated levels of plasminogen activator inhibitor-1 (PAI-1). There is no clear cut consensus whether physical training results in improved fibrinolytic activity in these patients.
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