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Unsuitable Exercises For Type 2 Diabetes

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Exercise And Diabetes - A Patient's Guide

Dr Michael Crooke | - Biochemistry Pathologist | Wellington New Zealand Abstract Controlling diabetes and exercising can be a balancing act. This article gives helpful advice on how people with diabetes can exercise safely. EXERCISE AND TYPE 1 DIABETES The choice to exercise or to play sport can be difficult for those with type 1 diabetes. A common disincentive is that control may become erratic, ranging from hyper to hypoglycaemia over short time periods. However, the benefits of exercise usually outweigh the risks and knowledge of the interactions of insulin and exercise will minimise any uncertainties. Important benefits of exercise are improved general fitness, better blood lipids, maintenance of ideal weight, lower blood pressure and requirement for overall lower doses of insulin. Especially for children with diabetes, there is better self esteem/peer acceptance. Within wide limits, having to take insulin should not restrict participation in exercise or sports even those of a vigorous or competitive nature. Those who have established complications of diabetes should check with their medical advisers, as some activities may be more risky and similarly those who are about to new Continue reading >>

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  1. mycatlikespotatoes

    I've recently finished reading "Dr Bernstein's Diabetes Solutions". It has CHANGED MY LIFE and I want to thank this community for getting me onto it. FYI it's written for both T1 and T2 diabetics. Here are some highlights from the learning journey...

    First up, discovering the underlying and most important fact - that diabetics CAN, and therefore are ENTITLED to, achieve normal blood glucose levels. And that normalising BGLs means we then have a chance of a normal life - a longer life with minimal chance of preventing related complications. Even more wonderfully startling, that normalising BGLs can also lead to one's recover from many diabetic ailments. Dr Bernstein himself and so many of his patients tell there personal stories of how this management recovered ailments and extended their lives. Dr B has been a T1 for decades, is now 83 and couldn't be healthier. Hope restored and motivation up tenfold!

    Low carb is number one. I've learnt this on reddit and from the book. I'm aiming for a limit of around 25g per day. What Bernstein says about macros sticks with me - There are essential amino acids and there are essential fatty acids. There is no such thing as an essential carbohydrate. This understanding goes against what I've been told since diagnosis by educators, endos and dieticians. I believed for many years that "diabetics can eat anything, they just need count carbs accurately and bolus correctly". For me at least, this approach left me hypo-ing regularly and running high constantly.

    Gluconeogenesis. Actually I first heard of this on r/diabetes thanks to a fellow diabetic /doctor on reddit. Then read more about it online and in Dr B's book. It's the process of protein being converted to glucose. Many people therefore bolus for protein as well. Most tend to start by bolusing for half the total grams of protein with the same ratio used for CHO. This is what I'm doing and generally gets me close to target. Still working on refining. As protein goes through conversion process, CHO from protein to blood is slower and so I usually delay the protein bolus for a couple of hours (depending on the protein source). This blog post also helped me with this (and other insulin tricks).

    Hypo treatment. Only use pure glucose (I'm using dex4 tablets) for low BGL . Juice, other soft drinks and sweet foods contain sucrose and fructose which are processed by the liver, are slowly absorbed and therefore lead to highs. This simple explanation made me realise why I was also running high post hypo! Now I use only 1-3 dex4 tabs (depending on the severity of hypo) and my level returns to 90-100, no more . Thus greatly helping with BGL normalisation.

    Corrections. Wait 5 hours after a dose of rapid acting insulin before correcting an elevated blood sugar. This is especially dangerous at bedtime. I've started eating dinner earlier in order to be able to do this. Being on only two meals per day with keto style eating makes this easier.

    Insulin needs. I learnt how to do tests to better monitor my levels, to calculate my correction rate, what my BASAL should be and what my insulin to carb ratio should be . Still continuing to work on these but am slowly getting there! And everything else makes so much sense and is working for me that I'm actually getting into being own guinea pig. Coming for a more "creative, messy type".... I've never been one for numbers and consistent data collection!
    So, these are just 6 of the life-changing lessons from reddit / my reading of Dr Bernstein's Diabetes Solutions. I just wanted to thank this community and share how much the book is helping me get on top of my diabetes after more than 9 years of poor management, despite every effort to control my BGLs. I've also been tuning into the "Ask Dr Bernstein" monthly teleseminars and these have also been really helpful. Normalised blood glucose levels huh? I never before imagined this could be possible.

  2. vijeno

    Beans? BEANS?
    Huh. I'll have to test them once more. AFAIK, they didn't spike anthing for me.

  3. vijeno

    Well, the idea that it is possible to get down into the 80s is... challenging, and invigorating. On to another round of stricter measuring and dietary adjustment! Yipppppeeeeeeeeeee.... ;-)

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