Diabetes and
exercise
EXERCISE AND YOUR DIABETES
Exercise helps improve both your general health and your
diabetes control.
Exercise
can
-
Make you feel good
-
Help you to control your weight
-
Improve your circulation
-
Lower your blood sugar
Improving health
may help you
-
manage the stresses and strains of life
-
control your risk of heart disease
-
prevent brittle bones (osteoporosis) in later
life
-
reduce the risk of some cancers e.g. cancer of the colon
(according to the Health Education
Authority)
-
keep you mobile and independent in later
life
You can get all of these benefits from gentle, moderate or
strenuous exercise.
HOW MUCH EXERCISE SHOULD I DO?
-
30 minutes of moderate physical activity on five or more
days of the week can improve health.
-
If you are new to exercise then think of this as a target
level and build up to it gradually.
-
Moderate
means enough to raise your heartbeat and make you
feel warm and slightly - not uncomfortably - out of
breath.
-
Physical
activity
can include gardening, brisk walking, cycling,
swimming and dancing as well as playing
sports.
HOW TO GET STARTED? : QUESTIONS TO ASK
YOURSELF
-
Can I include more activity regularly in my everyday
life?
-
Can I use stairs rather than lifts, walk a couple of bus
stops or park further away from work or the
shops?
-
How can I vary my activity so that I don't get
bored?
-
What time of day is best? Pick a time when your energy
levels are highest.
-
How long will my activity last and how energetic will I
be?
You may need
to be examined by a doctor before taking up strenuous
exercise.
EXERCISE, GLUCOSE and
INSULIN
Depending on the type of exercise you do, you may need to lower
your insulin dose and/or increase the food you eat to avoid low
blood sugars (hypos).
-
Gentle activity may not affect your blood sugar
levels.
-
For short strenuous exercise (e.g. squash), you may need
more food. beforehand and extra food afterwards at your
next snack or main meal
-
For prolonged exercise (e.g. a long cycle ride, football or
rugby match), you may need to take extra food before,
during and after your activity.
-
After exercise: your muscles will take at least 1-2 hours
to refuel. During this time your blood sugar may still drop
so it is important to check your blood sugar levels some
hours after exercise to prevent delayed hypos, which may
occur in the night.
Remember
that everyone is different and there will be some trial and
error involved in working out how to balance your diabetes with
your exercise. Your diabetes nurse can help you work out a
system that suits you. Don't stop
your insulin.
THINGS TO REMEMBER IF YOU TAKE
INSULIN
-
You must do regular blood sugar tests to check the balance
between your activity, insulin and
snacks
-
Ask your diabetes nurse for advice about reducing your
insulin dose before planned exercise
-
Make sure that you have some sugar, glucose tablets,
chocolate or a sugary drink handy while you exercise
(perhaps in your pocket)
-
You may need to eat extra food before and after
exercise
-
You may also need to reduce insulin doses later in the day
if you have been doing very strenuous exercise e.g.
hill-walking for several hours
-
The absorption rate of your insulin may be different with
exercise; this will depend on the form of exercise &
where you usually inject your insulin.
-
The national controlling bodies of some sports (e.g. solo
sailing, hang gliding, some forms of motor sport) do not
allow people taking insulin to participate. These
restrictions do vary so ask Diabetes UK for up to date
advice (Diabetes UK Careline is 020 7424
1030).
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