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Mind & Body Fitness: The Psychological & Physical Benefits of Exercise

Part II of II:   Getting started - what you need to do

Relax - you don't have to join a health club, pump heavy metal or hire a  personal trainer to reap the benefits of physical activity. You merely need  to DO SOMETHING! 

Think about activities you enjoy and set aside time to do  them. The list of activities is only as limited as you allow it to be. 

If you enjoy the great outdoors, look at your surroundings. Mountains  and lakes are great places for hiking, biking or kayaking. Sandy beaches are  ideal for walking, volleyball and water sports. If team sports are more your  style, join a recreational ball team --- better yet, recruit some colleagues  and start your own. The key to your success is making it fun. Remember -  the  point is to reduce stress - not create it! 

** Do something you enjoy! **

Before you begin, ask your health care provider if your physical  condition limits your choice of activities in any way. Also ask about your  medications and supplements. 

There are prescription and over-the-counter  drugs which can negatively effect your heart's response to exercise. This is  important for you to know. It is just as important to understand the  mechanisms behind, as well as the timing of, your diabetes medications and/or  insulin. Knowing this will provide a better foundation for understanding  your body's unique response to physical activity.  

Regular physical activity is not without its risks. Because of it's  ability to increase insulin sensitivity and improve blood glucose levels,  individuals with diabetes do run the risk of hypoglycemia, both during and  after an exercise session. This is especially true for individuals just  becoming more active, who are unsure of how their body will respond to  exercise. 

If a reaction does occur, stop what you're doing and test your  blood glucose. Follow by treating the reaction with the equivalent of 15  grams of carbohydrates. (See box below for 15gm suggestions) Wait 15  minutes and test again. Repeat treatment if necessary. At this point, it  may be wise to take a few minutes, grab a small meal or snack and relax for  awhile. There's nothing worse than the wiped out feeling after a reaction!

15 gram CHO equivalents

  • 4 ounces of fruit juice or apple sauce
  • 4 to 6 ounces of regular soda (NOT sugar free soda!!!)
  • 3 to 6 glucose tablets (Check label for actual CHO content) 
  • 3 to 4 pieces of hard sugar sweetened candy small handful of jelly beans, gummy candies or fruit jellies (again - NOT sugar free!!!) 
  • 1 cup of skim milk (2% & whole milk will not work as quickly because of  the higher fat content) 
  • 2 Tbls of honey, syrup or table sugar 

(Note: Chocolate & other candies with a higher fat content will not work as  quickly!)

Beware - it is equally as important for you to know that if your blood  glucose level is over 250mg/dl, you should NOT participate in any physical  activity. A blood glucose this high signifies there is not enough insulin in  your system to push the glucose into the cells for energy. Exercise at this  level will cause an increase in your blood glucose - not a decrease.  

The solution: Test your blood glucose level before you exercise and  then periodically throughout the sessions. This is the only way to judge  whether or not you should exercise, alter your medications or take a snack.  

It is also advisable to test every 30 to 60 minutes after exercise for at least four hours. Exercise has a potential carry-over effect, which causes  some individuals to use glucose more efficiently even hours after they've  finished.  

** Know your blood glucose levels **

Unfortunately, there are no straightforward guidelines to follow in regards to altering your medication to accommodate for exercise. Your health care provider may be able to offer some suggestions but in actuality, there  are too many other factors involved to be sure.  

The way a person's body responds to exercise is unique to that person.  Many factors are involved, which include the individual's::

  • fitness level 

  • body composition

  • age

  • gender

  • overall health status

  • recent blood glucose control and so on. 

A body's response during each session will also vary,  depending on the blood glucose level before the session, the type of exercise(s) being performed and the length and intensity of the workout.  

So you see, it's really not difficult to begin your personal journey to  fitness. All you need is a little motivation and an inner desire to live a  life of good health and you'll be on your way!  

PS: The first three weeks will be the most difficult, when it comes to  developing exercise as a habit, but hang in there.  Once you get past this  initial hump, your routine will be second nature!  Good luck! 

Part      II   

Why exercise - what's in it for me?
Getting started - what you need to do

 

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