Penn Rodebaugh Diabetes Center
 

Your Exercise Rx

Exercise has great health benefits. You probably know that exercise burns calories, which helps lose weight. You may also know that exercise improves your cholesterol level and lowers your blood pressure. Together, this helps maintain the health of your heart and blood vessels.

Exercise also makes your muscle cells more sensitive to insulin, meaning that sugar from your blood is able to enter muscle cells. If you have type 2 diabetes, this accomplishes two important goals:

  • Helps to control your blood sugar levels
  • Provides energy your muscles need to work throughout the day

If exercise if new for you or you've been inactive for a while, check with you doctor to be sure that it is safe for you to start. A stress test, eye exam, and complete neurologic exam may be performed to assess your risk for complications related to diabetes. Once you are given the go-ahead, follow these general guidelines.

  • Choose activities that you enjoy, so that you will stick with them. Vary the activity when it feels like time for something new.
  • Include five minute warm-up and cool-down periods.
  • Start slowly and listen to your body.
  • Be aware that exercise can cause your blood sugar to plummet if you are taking certain medications or insulin.
  • Check your blood sugar before and after exercise to learn how exercise affects your body.
  • As a general rule, you should not exercise if your blood sugar is over 300 or below 100mg/dl.
  • Wear proper footwear.
  • Drink plenty of water.
  • Wear a visible I.D. bracelet or other diabetes identifier.
  • Have sugar-containing foods readily available during and after exercise in case your blood sugar drops.
  • Avoid injecting insulin (if you use it) near muscles that you use while working out.
  • Avoid strength training and high-impact exercises if you have a diabetic eye disorder called retinopathy.
  • Exercise at the same time each day, preferably after a meal or snack.
  • Exercise at a time that is convenient to you.

What type of exercise should I do?

  • Low-impact exercises such as swimming, biking, walking, dancing or weight training
  • Add "recreational" activities throughout the day (shopping, yard work and gardening)

For often and how long?

  • 150 minutes per week
  • 30 minutes, five days per week
  • 50 minutes, three days per week

How intense should it be?

  • "Fairly light" to "somewhat hard"
  • Approximately 70 percent of maximal heart rate (if known)
  • You should be able to talk (but not sing) while exercising.

 


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