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Type 1 Diabetes Exercise

Type 1 Diabetes And Exercise

Type 1 Diabetes And Exercise

During activity, injected or pumped insulin cannot be 'shut off' like the body's own insulin, so too much glucose is taken up by both muscle contractions and the high levels of insulin, says Sheri R. Colberg, Ph.D., professor of exercise science at Old Dominion University in Norfolk, Virginia. To avoid hypoglycemia when doing physical activity, monitor your blood sugar before and after exercise. Here are some other guidelines from Colberg and the American Diabetes Association: Eat a small carbohydrate-containing snack before exercising if your blood glucose is 100 mg/dl or lower. Wait about 10 to 15 minutes before starting your activity. Eat a snack if you plan to exercise for more than 60 minutes, plan to do a more intense workout than usual, or if the weather is warmer or cooler than usual. Always carry a small snack that's high in sugar or carbohydrate. The average 150-pound adult needs 20 grams of carbohydrate for every half-hour of moderate exercise. Some snack choices include sports drinks and gels and easily absorbed carbohydrate sources, such as jelly beans and energy bars. Watch for symptoms of hypoglycemia during exercise. If you feel weak, lightheaded, cold, or clammy, stop and check your blood glucose. If it's low, treat it with a pure source of glucose, such as glucose tablets or gel. Become familiar with the ways different activities affect your blood sugar levels. Measure blood sugar before and after exercise. Keep a written record of what the activity was, how long you did the activity, what you ate, and blood glucose levels before and after. Over time, you'll better understand how activity affects your blood sugar levels and insulin doses. For insulin pump users, lower basal insulin if you're planning more than 90 minutes of activity. Shorter bouts of e Continue reading >>

Guidelines On Safe Exercise For People With Type 1 Diabetes

Guidelines On Safe Exercise For People With Type 1 Diabetes

Exercising safely with type 1 diabetes can be quite a challenge. A paper from JDRF funded experts has acknowledged these challenges and published useful exercise guidelines for type 1 diabetes patients and providers. These JDRF experts are part of an international team of 21 researchers and clinicians led by York University Professor Michael Riddell. The paper, called “Exercise management in type 1 diabetes: a consensus statement” which has been published in The Lancet Diabetes & Endocrinology provides guidelines on how to exercise safely and effectively with type 1 diabetes. Aaron Kowalski, Ph.D., JDRF Chief Mission Officer and report contributor said in a press release, “Exercise has tremendous benefits for people with T1D, but it can be hard to predict how it will affect their blood glucose and how they feel during and following physical activity,” and that “The lack of reliable information on how to exercise safely has created obstacles for people with T1D who want to maintain a healthy lifestyle. These consensus guidelines, as well as JDRF’s new PEAK program, are breaking down those barriers.” The T1D PEAK program (Performance in Exercise and Knowledge) is an initiative by JDRF to help educate people with type 1 as well as their caregivers and healthcare providers on how to exercise safely. Riddell, the lead author speaks to some of these benefits and barriers of exercise, “Regular exercise can help individuals with diabetes to achieve their blood lipid, body composition, fitness and blood sugar goals, but for people living with type 1 diabetes, the fear of hypoglycemia, loss of glycemic control, and inadequate knowledge around exercise management are major barriers,” In order to create the guidelines, Riddell and team reviewed observational studi Continue reading >>

Exercise

Exercise

Everybody benefits from regular exercise. If you have diabetes, or are at risk of diabetes it plays an important role in keeping you healthy. For a person with diabetes exercise helps: Insulin to work better, which will improve your diabetes management Maintain a healthy weight Lower your blood pressure Reduce your risk of heart disease Reduce stress. Warning- Don’t take part in strenuous physical activity if you are feeling unwell or have ketones present in your blood or urine. Before commencing a regular exercise program see your doctor for a full medical examination. Initially take it slow - you don’t want to start off too hard, if you are not used to the exercise you will be sore the next day and this will not make exercising a fun experience! Over time, you can slowly increase the intensity of the exercise. If you have any diabetes complications like retinopathy, nephropathy, you should talk to your doctor or an accredited exercise physiologist before you start increasing the intensity of your exercise. Anything that gets you moving. Here are some suggestions for you to discuss with your doctor: Walking Swimming Cycling/ exercise bike Dancing Gardening Golfing Weight training Tai Chi Water aerobics Increasing your general physical activity is also helpful, e.g. taking the stairs instead of the lift, getting up to change the TV station instead of using the remote control, housework, and gardening. Avoid watching too much TV or sitting at the computer for a long time. For good health, you should be doing about 30 minutes of exercise every day. If this is not possible, then this time can be divided in 3 x 10 minutes sessions. You can break up exercise throughout the day. If you need to lose weight, 45-60 minutes everyday. You do not need to puff to gain the benefi Continue reading >>

Exercising Safely With Type 1 Diabetes

Exercising Safely With Type 1 Diabetes

Physical activity is associated with many health benefits and is an important part of any healthy lifestyle. For individuals with type 1 diabetes, exercise provides additional benefitsand its own set of risks. In this article, we'll explore the health benefits, potential risks, and general guidelines that people with type 1 diabetes should keep in mind when starting and maintaining an exercise program. *Please note that the information in this article is intended to enhance discussion with your physician. It is NOT a substitute for talking to your health care provider before you begin an exercise program, or if you experience any problems in connection with exercising. How Exercise Benefits People with Type 1 Diabetes In addition to all of the usual health benefits of exercise , such as weight control, stress reduction, improved muscular strength and flexibility, and reduced bone loss, a sound exercise program can also help people with type 1 diabetes better use insulin and reduce their risk of heart disease. Exercising on a regular basis can improve the sensitivity and number of insulin receptors in the body, according to the American Council on Exercise; this in turn helps train your muscles to use insulin better. These improvements in insulin utilization may lead to a decrease in insulin requirements for some individuals, but because people with type 1 diabetes are unable to make any insulin, no amount of exercise will ever eliminate the need for insulin injections. People with type 1 diabetes are at an increased risk for heart attack, stroke, and other cardiovascular diseases, but regular exercise can help reduce these risks. Consistent physical activity has been proven to raise HDL (good) cholesterol, lower LDL (bad) cholesterol, and reduce triglycerides in the bl Continue reading >>

Morning Exercise And Type 1 Diabetes

Morning Exercise And Type 1 Diabetes

When you’ve got Type 1 diabetes, figuring out when and how to exercise takes a lot more effort than simply carving out time from a busy day. You need to ask yourself how long it’ll have been since you’ve eaten, or how long it will be before your next meal. You need to keep track of what your basal insulin is, whether and when you want to drop it, and what and when your last bolus was. You need to be sure to test your blood sugar before, during and after exercise. You need to carry some fast-acting carbs. And you need to know what effect different types of exercise will have on your blood sugar — for me, a half-hour walk will drop it, whereas a workout with weights will either keep it steady or make it go up. Like many other people with Type 1, I’ve dealt with these questions and decisions nearly every day for the past 11 years — I’m not going to let diabetes stop me from staying in good shape. But here is my question to my diabetes on this otherwise lovely Wednesday afternoon: exercise is definitively good for my body. So couldn’t you cut me some slack? I’m particularly frustrated at the moment by the difference time of day makes in how my blood sugar responds. I’ve been exercising mostly at 6:30 in the evening for the past couple months, in the form of an intense spin class. Crazy cardio + early evening timing = drop in my blood sugar. This is annoying in itself, because I often find that the insulin I take for lunch just hangs out in my body doing basically nothing until I hop on the bike. Then my glucose plummets and I have to stuff my face with glucose tablets just to stay in a safe range. The result? Early afternoon highs, and post-exercise lows — and the annoying feeling that comes when your disease forces you to re-consume the calories you Continue reading >>

Nutrition And Insulin Management Guidelines For Exercise In Type 1 Diabetes

Nutrition And Insulin Management Guidelines For Exercise In Type 1 Diabetes

Nutrition and Insulin Management Guidelines for Exercise in Type 1 Diabetes Nutrition and Insulin Management Guidelines for Exercise in Type 1 Diabetes Patients with type 1 diabetes and their providers should recognize how the form and intensity of exercise affects glucose control, according to a recent consensus statement published in the Lancet Diabetes & Endocrinology. "Regular exercise has long been known to be beneficial from a cardiometabolic perspective for people living with type 1 diabetes. It has also been known to make glucose control more difficult," Michael C. Riddell, PhD, professor and graduate program director at the School of Kinesiology and Health Science at the Muscle Health Research Centre at York University in Toronto, Ontario, Canada, told Endocrinology Advisor in an interview. "This recent consensus document highlights the known beneficial effects of regular exercise in type 1 diabetes and how different forms and intensities of exercise impact immediate glucose homeostasis." Dr Riddell and colleagues performed a PubMed search of nutrition and glycemic-based terms for studies involving patients with type 1 diabetes or insulin-dependent diabetes between January 1990 and July 2016 in which physical activity or exercise was involved. The review of the literature was divided into sections involving management of glycemia, exercise, and nutrition, as well as goals for exercise, contraindications of exercise, and tools for exercise management in patients with type 1 diabetes. "Acute aerobic exercise [typically causes] increases in glucose disposal that cannot be matched by increased hepatic glucose production in type 1 diabetes because circulating insulin levels do not drop rapidly enough at the time of exercise," Dr Riddell told Endocrinology Advisor . Continue reading >>

Exercise

Exercise

Exercise is an important part of your general health, but it also helps you to maintain good type 1 diabetes management Adjusting food and insulin around exercise can be tricky, as different types of exercise can have a different effect on you. You’ll need to find the right plan that works for you before, during and after exercise. It’s best to speak to your healthcare team about this. Before you exercise Having too much active insulin before you exercise can cause a hypo, as it reduces the amount of glucose the liver can add to blood. Exercising with too little insulin stimulates glucose production from the liver, which can cause a hyper. So you may need to reduce your insulin before you exercise, depending on what you’re doing and how long you’re doing it for. Speak to your healthcare team to get help to create the right plan for you. Carbohydrate intake before exercise Whether you need to eat carbohydrate immediately before exercise will depend on your blood glucose level, the type of exercise you plan to do, its duration and its intensity. Everyone’s carbohydrate requirements for exercise are different so checking your blood glucose before, during and after exercise will help you develop your own plan. During exercise In general, sustained and moderate exercise (like hiking) will result in a slow drop in blood glucose levels. Intense, sprint-like exercise that really gets your heart pumping (like a game of football or netball) might cause your blood glucose level to rise. This is because your body releases high levels of adrenalin that trigger your liver to break down stored glucose and release it into your bloodstream. It will be exaggerated if your insulin levels are too low at the time of exercise. Carbohydrate intake during exercise If you are exercisi Continue reading >>

Type 1 Diabetes And Exercise

Type 1 Diabetes And Exercise

Exercise is an absolutely vital part of type 1 diabetes treatment. Staying fit and active throughout your life has many benefits, but the biggest one for people with diabetes is this: it helps you control diabetes and prevent long-term complications. Exercise makes it easier to control your blood glucose (blood sugar) level. Exercise benefits people with type 1 because it increases your insulin sensitivity. In other words, after exercise, your body doesn't need as much insulin to process carbohydrates. If your child has type 1 diabetes, making sure he or she gets enough exercise is not only a great way to help manage his or her diabetes but also instill healthy habits from an early age. To learn more about how to safely incorporate exercise into your child's routine, read our article about physical activity for children with type 1 diabetes. Exercise can also help people with type 1 diabetes avoid long-term complications, especially heart problems. As you can read about this in our article on type 1 diabetes complications, people with diabetes are susceptible to developing blocked arteries (arteriosclerosis), which can lead to a heart attack. Exercise helps keep your heart healthy and strong. Plus, exercise helps you maintain good cholesterol—and that helps you avoid arteriosclerosis. Additionally, there are all the traditional benefits of exercise: Lower blood pressure Better control of weight Leaner, stronger muscles Stronger bones More energy One person who certainly understands the benefits of exercise in managing type 1 diabetes is Jay Cutler, quarterback for the Chicago Bears. He was diagnosed with type 1 diabetes in 2008, but the disease hasn't interfered with his football career. To learn more, read our article about Jay Cutler's experience with type 1 diabete Continue reading >>

5 Tips For Exercise With Type 1

5 Tips For Exercise With Type 1

A diabetes life coach shares her secrets for good blood glucose control while working out. Throughout July, we’re featuring excerpts from Ginger Vieira’s new book, Dealing with Diabetes Burnout. In this final edited excerpt from the book, the longtime life coach and diabetes advocate shares the lessons she’s learned from years of exercise with Type 1 diabetes. There is no doubt that exercising with diabetes is about one million times more challenging than exercising without diabetes, particularly if you take insulin. Low blood sugars and high blood sugars are major party-poopers in the middle of a walk, yoga, spinning class, tai chi, or strength-training. I’m here to tell you that it can be done and you can enjoy exercise, but it takes a little work, a little more effort, and a bunch of self-study. sponsor When I personally started to become really active and committed to exercising regularly, I was working really hard to balance my blood sugar during things like Ashtanga yoga, strength-training, and various forms of cardio like power-walking and the stairmaster. And it wasn’t easy, but at the very same time I was learning with the help of my trainer, Andrew, about what was literally going on in my body during different types of exercise. Learning about this basic science, taking a deep breath, and viewing my body as a science experiment is the only reason I am able to exercise happily and confidently today. Read “25 Facts to Know About Exercise and Type 1 Diabetes.” Here are five lessons I’ve learned on balancing blood sugars during exercise: 1. Understand What Type of Exercise You’re Doing Jogging and strength-training will both have very different impacts on your blood sugar, even though your heart rate may rise during both. Cardiovascular or aerobi Continue reading >>

Exercise Guidelines

Exercise Guidelines

Find exercise guidelines for your type: In this section, you will find: Self-assessment Quiz Self assessment quizzes are available for topics covered in this website. To find out how much you have learned about Diabetes and Exercise, take our self assessment quiz when you have completed this section. The quiz is multiple choice. Please choose the single best answer to each question. At the end of the quiz, your score will display. If your score is over 70% correct, you are doing very well. If your score is less than 70%, you can return to this section and review the information. Continue reading >>

Start Working Out With T1d

Start Working Out With T1d

WRITTEN BY: Christel Oerum Editor’s Note: Christel is a blogger, personal trainer, diabetes advocate, fitness bikini champion and fitness personality. She has been living with Type 1 diabetes since 1997. Most of us like the idea of exercising and being active. We know that it’s good for us and that we probably should turn it up a notch, but there is so much information out there on what to do, when to do it, fancy new diets, etc., that it’s hard to know what to believe. When you then throw in Type 1 diabetes, it may feel like information overload and I unfortunately do see people just give up sometimes. It’s simply too much and there’s too little guidance on what to do and how to successfully exercise with diabetes. In this post, I’ll try to give you the tools you need to get started on a safe and effective workout routine. Set realistic goals Goal setting is one of the most overlooked, but in my opinion most important, factors in successfully starting a workout regime, whether you have Type 1 diabetes or not. Just wanting to be healthy and fit is a noble goal, but it’s not specific enough to keep you motivated and give you a clear path to success. I always ask my clients to spend the time necessary to think about what you really want and write down very specific short and long-term goals. The key word here is to be realistic. A long-term goal might be to run a marathon while a short-term goal might be a 5K. It could be improving your strength by X%, do 10 pushups, be able to walk around the block without being winded, lose X pounds, or whatever is important and motivating for you. There are no bad health goals, only too vague ones. When you have a clear goal, you can start working towards it, measure your progress, and make changes to your plan if you hav Continue reading >>

Type 1 Diabetes: First-ever Exercise Guidelines

Type 1 Diabetes: First-ever Exercise Guidelines

Type 1 Diabetes: First-Ever Exercise Guidelines A new set of guidelines compiled by JDRF will help people with type 1 diabetes mellitus (T1DM) exercise safely to avoid fluctuations in blood sugar, according to a team of international researchers and clinicians. Regular exercise can help individuals with diabetes to achieve their blood lipid, body composition, fitness and blood sugar goals, but for people living with type 1 diabetes, the fear of hypoglycemia, loss of glycemic control, and inadequate knowledge around exercise management are major barriers, said lead author Michael C Riddell, PhD, of the Muscle Health Research Centre, York University, Toronto, Ontario. This is a big struggle for both type 1 diabetes patients and their healthcare providers. This first-ever set of consensus guidelines from leading experts will help them. The new guidelines were published online in Lancet Diabetes & Endocrinology. The review of observational studies and clinical trials on exercise management conducted by 21 international experts provides an up-to-date consensus on exercise management for individuals with T1DM who exercise regularly, including glucose targets for safe and effective exercise, and nutritional and insulin dose adjustments to protect against exercise-related glucose excursions. The experts note that about 60% of people with T1DM are overweight or obese, about 40% have hypertension, about 60% have dyslipidemia, and most do not engage in enough regular physical activity. They recommend that adults with T1DM garner at least 150 minutes of accumulated physical activity per week, with no more than two consecutive days without activity. Resistance exercise is also recommended two to three times a week. For children and young people with diabetes, the guidelines call fo Continue reading >>

Why Should People With Type 1 Diabetes Exercise Regularly?

Why Should People With Type 1 Diabetes Exercise Regularly?

1. Acta Diabetol. 2017 Jul;54(7):615-630. doi: 10.1007/s00592-017-0978-x. Epub 2017 Mar 14. Why should people with type 1 diabetes exercise regularly? Codella R(1), Terruzzi I(2), Luzi L(3)(4). (1)Department of Biomedical Sciences for Health, University of Milan, Via F.lli Cervi 93, Segrate, 20090, Milan, Italy. [email protected] (2)Diabetes Research Institute, Metabolism, Nutrigenomics and Cellular Differentiation Unit, San Raffaele Scientific Institute, Milan, Italy. (3)Department of Biomedical Sciences for Health, University of Milan, Via F.lli Cervi 93, Segrate, 20090, Milan, Italy. (4)Metabolism Research Center, IRCCS Policlinico San Donato, San Donato Milanese, Italy. Plethoric evidence reminds of the protective effects of exercise against a numberof health risks, across all ages, in the general population. The benefits ofexercise for individuals with type 2 diabetes are indisputable. An in-depthunderstanding of energy metabolism has reasonably entailed exercise as acornerstone in the lifestyle of almost all subjects with type 1 diabetes.Nevertheless, individuals with type 1 diabetes often fail in accomplishingexercise guidelines and they are less active than their peer without diabetes.Two major obstacles are feared by people with type 1 diabetes who wish toexercise regularly: management of blood glucose control and hypoglycemia.Nowadays, strategies, including glucose monitoring technology and insulin pumptherapy, have significantly contributed to the participation in regular physical activity, and even in competitive sports, for people with type 1 diabetes. Novel modalities of training, like different intensity, interspersed exercise, are aswell promising. The beneficial potential of exercise in type 1 diabetes ismulti-faceted, and it has to be fully ex Continue reading >>

Type 1 Diabetes: Exercise Often Raises Blood Glucose In Type 1 Diabetes

Type 1 Diabetes: Exercise Often Raises Blood Glucose In Type 1 Diabetes

Regular physical activity and exercise are recommended for the general population for overall improved health. However, exercise of moderate intensity increases the risk of hypoglycemia during and following exertion in those with type 1 diabetes mellitus (T1DM). Accordingly, exercise guidelines for T1DM focus on prevention of exercise-induced hypoglycemia. The risk of hypoglycemia may discourage some with T1DM from exercising. Children and youth may be embarrassed by the temporary reduction in coordination and physical performance associated with hypoglycemia and by the fear of letting teammates down while playing. Some parents may discourage their children from normal participation in physical activity and from playing competitive sports because of concern about severe hypoglycemia. However, this fear may reduce a child’s physical activity, which may lead to reduced overall health, reduced enjoyment from exercise, and restricted confidence in meeting the demands imposed by living with a chronic health condition like diabetes. As a result, long-term exercise habits as well as personal growth and psycho-social development may be blunted. Concern with hypoglycemia from exercise is probably even more heightened in those with hypoglycemia unawareness, or the absence of symptoms during hypoglycemia. However, some of these concerns might be allayed by the realization that vigorous exercise tends to raise blood sugars rather than lower it. The fact that vigorous exercise tends to raise blood sugar appears to be relatively unknown to many with T1DM. However, the effect has been confirmed in a number of studies. These studies have identified an exercise threshold that elicits this response. The threshold exercise intensity occurs at or above 80% of a person’s maximum exercis Continue reading >>

Don’t Sweat It! Exercise And Type 1 Diabetes

Don’t Sweat It! Exercise And Type 1 Diabetes

The benefits of exercise are wide ranging. Regular physical activity can help people manage their weight, sleep better, reduce the risk of some diseases, including type 2 diabetes (T2D) and heart disease, and improve overall quality of life—among other proven benefits. People with type 1 diabetes (T1D) can gain the same benefits from exercise as anyone else. Yet studies show that many people with T1D do not engage in regular physical activity owing to a fear of hypoglycemia, or dangerously low blood-glucose levels. Exercise scientists and athletes with T1D alike say that people with T1D can exercise safely and effectively. It’s a matter of observing how your body responds to exercise, learning to balance insulin, food, and physical activity, and using research-supported strategies to minimize the risk of hypoglycemia during and after exercise. Managing hypoglycemia associated with exercise Sheri Colberg-Ochs, Ph.D., professor of exercise science at Old Dominion University in Norfolk, VA, has both professional and personal interests in understanding the risks and benefits of exercise for people with T1D. As an exercise physiologist, Dr. Colberg-Ochs studies the relationship of exercise to diabetes and lifestyle management. She has also lived with T1D for 44 years, while staying fit and active. Dr. Colberg-Ochs notes that the risk of hypoglycemia during and after exercise can be managed. “There’s not a tried and true method that works for everyone. It’s very individual, based on the type of activity and your normal diabetes regimen,” she says, “but you can certainly reduce the frequency of hypoglycemia that’s associated with being physically active.” The risk of hypoglycemia is affected by the type, duration, and intensity of physical activity. Aerobic a Continue reading >>

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