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Unsuitable Exercises For Type 2 Diabetes

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Type 2 Diabetes

Type 2 diabetes mellitus (T2DM) currently affects approximately 20% of the population [1]. The Centers for Disease Control and Prevention estimate that by 2050, approximately 1 in every 3 adults will be diagnosed with the disease [1]. This disease is characterized by insulin resistance, or the inability to properly use insulin (hormone released from the pancreas) to control blood glucose levels. This is different than type 1 diabetes (an autoimmune disease) that targets pancreatic B-cells and compromises their ability to produce insulin [2]. Let’s take a look at the pathophysiology of T2DM and the impact of exercise, specifically resistance training in managing this disease. The following are key points in the clinical diagnosis of Type 2 diabetes mellitus: • A person’s fasting blood glucose (FBG) levels are greater than or equal to 126 mg/dL or blood glucose levels greater than or equal to 200 mg/dL after an oral glucose tolerance test (OGTT) [3]. • Diagnosis of “pre-diabetes” can be made when FBG are between 100 and 125 mg/dL or blood glucose levels are between140 and 199 mg/dL after an OGTT [3]. • Hemoglobin A1C (HbA1c) levels (referred to as the A1c test) used to Continue reading >>

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  1. antiquedave

    The progression of type 2 diabetes means your pancreas will produce less insulin as t

    The progression of type 2 diabetes means your pancreas will produce less insulin as time goes on. Nothing more, nothing less.
    This is a comment from another post that interested me and I'd like to know how others define the progression of Diabetes.
    I know I'm a newbie but in everything I've read in the past 3 months I've come away with the conclusion that in spite of your best efforts there are aspects of the disease that will progress. You can slow it down but you can't stop it entirely.
    That each of us is different as to what we can tolerate for food, how we benefit from exercize, how our meds impact our D and which systems in our bodies will be impacted more severely from our D.
    If it is simply that our pancreas produces less insulin as time goes on where does Insulin resistance fit into that theory?

  2. Jimmy Cowboy

    Hi Dave, I'm pretty new to this also, having been just diagnosed in March, 2009. My A1c was then 8.91, last week it's down to 5.7. Almost strictly through diet change.
    What has prompted my diet change is that I've read that if you can maintain near non-diabetic BG and A1c readings, you can significantly slow down, or ever stop the progression.
    I might also add, that I've read that even in a non-diabetic person, the pancreas starts to be less effective as you age. Same with all our other organs.
    Both of us being about the same age, mid-50s throws another angle into this equation. That being, how many of the complications that manifest due to poorly managed diabetes won't also manifest just do to aging. Almost all the diabetes complications are also age related complications.
    My Dad was also T2, starting about our age now, mid-50s. And he lived to be 82. He had some of symptoms of diabetes. High blood pressure, poor circulation etc. But still functioned rather well for another 30 years. Did the complications of diabetes get him? Or old age?
    If we live long enough, we'll die of something.
    I'm betting on the theory that by diet changes, life style changes, we can dramatically arrest the progress of diabetes to maybe even the point where it won't be an issue. Sure it will still be there, but if we treat it with the proper respect and stick to our diets and exercise, yes, we can slow the advancement, or even stop it.
    Or maybe it's wishful thinking, but I'm willing to give it my best shot!!

  3. Shanghaied Guy

    Originally Posted by antiquedave
    The progression of type 2 diabetes means your pancreas will produce less insulin as time goes on. Nothing more, nothing less.
    This is a comment from another post that interested me and I'd like to know how others define the progression of Diabetes.
    If it is simply that our pancreas produces less insulin as time goes on where does Insulin resistance fit into that theory? Dave,
    There is much that we do not know.
    We know that deteriation of pancreatic function progresses in most T2's over time, but we do not know exactly why this happens. The popular theory was that your beta cells in the pancreas are "exhausted" from producing so much insulin in the in insulin resistant T2 body, but science suggests it is much more complicated than this.
    There is a school of thought which is well reflected in the Blood Sugar 101 website that believes that strictly controlling your BGs may halt the progression or at least slow it down. I am one of the people who believe that strictly controlling BGs will help and hope that it will halt the progression of my BG. After 13 years, my BGs are better than ever and I do not require exogenous insulin. There's hope.
    There are other people less optimistic than me. Some people here in DD Land report that after a period of very good control they suffered a sudden deterioration of pancreatic function. The person who you quote had such an experience. Differences in experience suggest there is a strong genetic component. My father had the D for over 40 years and his pancreatic function did not further detiorate, but he is now dying of heart disease, the number one complication from T2.
    My advice is do everything you can to control your BGs. It will reduce your chances of diabetic progression and diabetic complications. If you have a family history of heart disease, I would advise you to also read about preventing coronary artery disease.
    Be well.

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