Do & Don'ts about Exercise Programme in Diabetes
The exercise program should be initiated only after approval from the physician. Screening and evaluation before starting the physical activity can significantly reduce the risks involved in exercise.
Appropriate activity pattern is prescribed according to age, presence or absence of diabetic complications and physical disability. One must exercise at one's own pace rather than trying to compete with others. Diabetics with certain complications should avoid physical activities:
- If there are eye problems (retinopathy) - exercise should not be allowed till retinopathy is corrected
- If there is nerve damage (neuropathy) in the foot - Avoid running, jogging, or cycling. Advised only to wear prescribed footwear
- If there is damage to the nerves that regulate internal body function (autonomic neuropathy) - physical activity should be avoided as there may be risk of developing dehydration or low blood pressure
- If the high blood pressure (hypertension) is high - avoid resistance exercises
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Some undesirable effects that may be related to physical activity include
- Increase in the amount of protein in the urine
- Increase or decrease in blood pressure during exercise
- Fluctuation of blood glucose levels
- Increase in ketones in uncontrolled diabetics
