Regular exercise is essential for staying healthy. That's why it is recommended that everyone do at least 150 minutes of moderate-intensity physical activity during the week. Paying attention to this advice is especially important for patients with type 1 diabetes. Because exercise and diabetes are closely linked, and physical activity can help control blood sugar and reduce the risk of complications from diabetes, such as heart disease and nerve damage.
In type 1 diabetes, the body's ability to Insulin is disrupted to produce the hormone, and blood sugar rises abnormally. people with the disease need to control their blood sugar by injecting insulin, modifying their diet and exercising. But exercise and diabetes present unique challenges. Sometimes, the effect of exercise on blood sugar is so great that it causes a drop in blood sugar in diabetics. Because of this, many patients are reluctant to exercise as much as experts recommend.
Fortunately, it is possible for diabetics to manage both their blood sugar levels and lead an active lifestyle. To be. If you have type 1 diabetes and want to know more about how to exercise properly, how to exercise, and how to control your blood sugar, read this article from BingMag to the end.
The link between exercise and diabetes
- Keeping weight in the right range
- Reducing stress and improving mood
- Increase energy levels
- Help joints and improve flexibility
- Control blood cholesterol
- Lower blood pressure
The Best Exercises for Patients with type 1 diabetes
Anyone with type 1 diabetes who has been out of regular exercise for some time or just wants to start exercising should talk to their doctor first. Get permission to do so. Talking to your doctor will help the patient design and choose an appropriate exercise program. Usually these patients can do moderate-intensity physical activity without worry. The following exercises and activities are suitable for most people, including people with type 1 diabetes:
- brisk walking
people who have not had any recent activity or have never exercised should be physically active Start slowly and gradually increase the intensity and duration of exercise. Anyone who has not exercised regularly for some time should dedicate some days of the week to rest, depending on the intensity and duration of physical activity.
exercise and diabetes guidelines recommend that patients pay attention to the following:
- Drink plenty of fluids to prevent Dehydration
- Checking blood sugar levels before exercising
- Wearing cotton socks and shoes suitable for exercising
- Measuring blood sugar levels after exercise Li>
- Examine the legs for blisters or sores and see if they take more than 2 days to heal
- Provide a snack or glucose tablet for when If your blood sugar is very low
If you are taking insulin or other medications that can cause hypoglycemia or hypoglycemia, measure your blood sugar 15 to 30 minutes before exercise and Depending on the amount, decide to start exercising:
- Less than 100 ml Grams per deciliter: Your blood sugar is too low for exercise. So before you start exercising, eat a small snack containing 15 to 30 grams of carbohydrates (such as juice, fruit, crackers or even glucose tablets).
- 100 to 250 mg/dl: For most people, this range is safe and they can start exercising.
- 250 mg/dL or higher: Your blood sugar is too high for exercise. Therefore, you should test your urine for ketones before exercising. You can buy ketone kits or test strips from pharmacies.
If your body does not have enough insulin, it begins to break down fat stores instead of using sugar as an energy source. Ketones are acids produced by this process and excreted in the urine. Excessive increase of ketones causes a state similar to poisoning and leads to ketoacidosis. Early signs of ketoacidosis include heartburn, dizziness and difficulty concentrating, dry or flushed skin, excessive thirst and dry mouth, inhaling the smell of rotten fruit on breathing, frequent urination, shortness of breath, nausea and vomiting.
The American diabetes Association (ADA) recommends that if you have ketones The patient should refrain from exercising, especially strenuous exercise. If the patient exercises when the ketone level is high, he or she is at risk for ketoacidosis, which is a dangerous complication and requires urgent treatment. If your blood sugar is high, take steps to lower it and do not exercise until a ketone test shows no ketones in your urine.
The effect of exercise on insulin
Depending on the type and duration of exercise, the patient may notice an increase or decrease in blood sugar levels. Studies examining the link between exercise and diabetes have shown that physical activity lowers blood sugar in two ways: 1) it increases insulin sensitivity, and 2) it allows glucose (sugar) to be absorbed without the need for insulin. Enters the cells of the body.
Hypertension after exercise
According to an old study published in 2009, intense exercise can increase the levels of hormones such as epinephrine. (epinephrine) and glucagon in the body and thus cause high blood sugar, which doctors call hyperglycemia.
To prevent this problem, the patient should first Check your blood sugar from the beginning of exercise and if your blood sugar is high, continue to measure it regularly during exercise. Getting enough fluids and preventing dehydration can help prevent high blood sugar.
If your blood sugar is high after exercise, you should have your ketone level measured and if it is high, See a doctor. To prevent ketoacidosis and its dangerous side effects, exercise should be avoided when the ketone is high.
Hypertension after exercise
Some patients may later exercise causes hypoglycemia or hypoglycemia. For this reason, every diabetic patient who exercises should always have a carbohydrate-based diet available to help treat hypoglycemia.
Blood sugar can last up to 24 hours after exercise. Physically reduced. Therefore, diabetics should monitor their blood sugar levels during this time. If the patient develops recurrent hypoglycemia after exercise, he should consult a physician. Because he may need to reset his insulin intake.
Treatment of hypoglycemia with carbohydrates
If a patient notices a drop in blood sugar during or after exercise, he or she should eat a carb-rich snack immediately. Experts consider blood sugar less than 70 mg/dl to be hypoglycemic. Patients with hypoglycemia should eat 15 g of carbohydrates and measure their blood sugar after 15 minutes. If your blood sugar is still low, you need to repeat these two steps again to get your blood sugar level back to normal. Suitable carbohydrates for the treatment of hypoglycemia are:
- a tablespoon of sugar or honey
- half a glass of soda or sweet juice
- Three to four glucose tablets
- One sachet of glucose gel
Diabetics should always read their food labels when treating hypoglycemia. What the patient has to offer to treat this problem should be adequate carbohydrates and not high in fiber, fat and protein. Because these substances can reduce the absorption of carbohydrates and reduce its effect on blood sugar levels.
To treat hypoglycemia, the patient should look for foods that contain carbohydrates in the form of simple sugars (such as sugar, honey or soft drinks). ) are. This recommendation only applies to the treatment of hypoglycemia, and normally diabetics should avoid these carbohydrates.
Treatment of severe hypoglycemia with glucagon
If hypoglycemia is not treated , A diabetic patient faces more serious problems. Severe hypoglycemia is not cured by repeated consumption of 15 grams of carbohydrates and requires injectable glucagon. Glucagon is a hormone that is naturally produced in the body and works in the opposite way to insulin, which means it raises blood sugar.
A diabetic should teach people how to use glucagon with them. Because when blood sugar drops sharply, the patient may lose consciousness and be unable to use glucagon.
Best foods and snacks before and after exercise
people with type 1 diabetes should always check their blood sugar levels before exercising. If your blood sugar is less than 100 milligrams per deciliter before exercise, the patient should eat a small, high-carb snack (containing about 15 grams of carbohydrates). The following snacks contain about 15 grams of carbohydrates per serving:
- a glass of melon
- a very small banana or half a large banana
- half a glass of sweet potatoes
- half a glass of oatmeal
- 6 salt crackers
- 13 potato chips
- a small apple
if If the patient exercises for a long time, his blood sugar level will probably decrease during exercise. For this reason, he should check his blood sugar regularly during exercise and rest if necessary for a snack. Experts recommend that diabetics get carbs every 30 to 60 minutes of exercise.
If you decide to exercise for a long time, check your blood sugar every 30 minutes, especially if you are doing a Are you new to the activity or have you increased the intensity and duration of your workout? This will make sure that continuing the exercise is safe. If your blood sugar is less than 70 milligrams per deciliter or you feel weak, shaky and confused, be sure to eat a high-carbohydrate food.
And have been tested for diabetes, indicating that physical activity is beneficial for diabetics. However, some people with type 1 diabetes are concerned about low blood sugar during or after exercise and therefore do not engage in physical activity. Fortunately, with some precautions, these patients can exercise without worry. And take advantage of its benefits to maintain health and prevent the complications of diabetes. exercise is good for your health, but if you have diabetes, you should know that measuring your blood sugar before, during and after exercise is just as important as exercise itself.This is for educational and informational purposes only. Be sure to consult a specialist before using the recommendations in this article. For more information, read the BingMag Meg Disclaimer .
Sources: medicalnewstoday, mayoclinic