Diabetes Exercise Therapy

  Exercise therapy: Physical activity plays an important role in the treatment of type 2 diabetes. Exercise can increase insulin sensitivity, improve glycemic control, and help reduce body weight.  Form of exercise: The choice of form, content, duration and frequency of exercise depends on the patient’s age, disease and physical condition, current glycemic control status and lifestyle.  Precautions: If strenuous and prolonged exercise is performed, blood glucose should be monitored before, during and after exercise; If blood glucose is low before exercise, add a meal first; Start exercise after 1~3 hours after meal; Do not exercise if blood glucose is higher than 14mmol/L; Wear wide clothes and shoes during exercise; Check after exercise: skin, feet, joints; Avoid high intensity exercise; Hypertension – No lifting and breath holding; Peripheral vascular disease -walk-rest-walk; retinopathy-no weight lifting, no diving, head not below waist, blood pressure <24 Kpa; peripheral neuropathy DD avoid hyperextension, no weight bearing.  Practical guidelines for exercise: exercise daily or 5 times a week; do moderate intensity exercise for 30 minutes; choose exercise that is appropriate for you; discuss with your health care provider whether the chosen form of exercise is reasonable and whether diet and/or medications should be adjusted.