Although exercise cannot replace medical therapy, especially
for people whose life depends on medicines, exercise is
useful for sufferers of both types of diabetes (insulin-
dependent and noninsulin-dependent) because of its positive
effects over glucose metabolism. Exercise can be practiced
stand-alone or combined with a diet and taking medicines.
Exercise helps diabetes sufferers in many ways. Weight is
easier controlled when exercising regularly. Blood sugar
level, which is a major concern for all diabetes sufferers,
is lowered, thanks to exercise. Additionally, exercise
lessens the probability of a heart disease, which is also
very wide-spread among diabetes sufferers.
Also, by improving one's general condition, exercise
contributes to minimizing the long-term complications from
diabetes. Regular exercise can not only improve the
condition of diabetes sufferers but possibly can even
prevent diabetes in people who are prone to develop this
disease.
Despite the numerous advantages of exercise, do not
underestimate the risks. Let your doctor decide if taking
exercise is recommendable for you and if yes ~ what kind of
exercise will be less risky. One of the dangers for diabetes
sufferers are that exercise might change your reaction to
insulin or might lead to an abrupt drop in blood sugar
level, which is another risk for you.
Although most of the general advice for exercising applies
to diabetes sufferers as well, there are some items that are
especially important for them to follow. It is generally
recommended to wear comfortable shoes and clothes, while
exercising, but in the case of a diabetes sufferer it is
even more important. Why? Because a single blister on your
foot can lead to a serious infection that will not heal
easy.
It is also very important to drink water and fluids of any
kind, while exercising. Your body sweats in order to cool
itself and you need to compensate for the sweat by in-taking
more fluids, otherwise you can get dehydrated. And
dehydration is dangerous because it impacts the blood sugar
level.
So, what kind of exercise is recommended? Exercise can be
any physical activity - from cleaning the house, to
regularly climbing the stairs, to strength training. It all
depends on the physical condition.
Generally, household chores that take 20-30 minutes a day and
do not require much effort reduce the daily insulin
requirement and are risk free. Also, many doctors usually
recommend aerobic exercise - walking, jogging, bicycling, or
aerobics.
If you have problems with the nerves in the legs or feet,
then chair exercises, bicycling, or swimming can be a wise
choice, because they do not strain the lower limbs. If you
do not have problems with the lower limbs, then you can
undertake walking or jogging.
For younger diabetes sufferers or for people who have no
diabetes-related complications, even strength training is a
safe choice. The advantage of strength training is that it
burns more calories, thus decreasing the lean mass and
reducing weight. Also, when muscles are active they demand
more glucose thus helping to regulate the glucose
metabolism. But strength training must be done only after a
doctor has approved it and preferably in the presence of a
personal trainer.

Body by Science: A Research Based Program to Get the Results You Want in 12 Minutes a Week by Doug McGuff and John Little
Denny Santi Denny Santi is the Staff Writer of
Diabetes SERV.
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