If a diabetic wants to gain control over their blood glucose/sugar level and not rely on the use of medication/insulin then they must exercise.  We’re talking specifically about type 2 diabetics in this post.  If you are unaware of the differences between type 1 and type 2 then you need a refresher!

 

If you don’t want to miss hearing what exercise will do for type 1 diabetics then you should just follow the conversation.

 

If you’ve been remotely plugged into hearing anything that might involve health/exercise news and diabetes than you already know that aerobic exercise has weight loss benefits and reduces the risk of cardiovascular disease among diabetics (1 as cited in 9).  Aerobic/cardiovascular exercise can be considered any activity that uses large muscle groups (almost the whole body such as running, biking, etc.), requires oxygen (you must breathe), rythmic movements (again running, biking, etc.) and continuous.

 

Aerobic exercise always for a direct calorie burn which when done consistently and correctly will lead to weight loss. The benefits of aerobic raining include lowered blood pressure and resting heart rate, improved function of the heart and the cardiovascular system’s ability to use oxygen, improved cholesterol profile and a reduction of weight and waist circumference (2,3,4,5,6,7 as cited in 9).  All of this heart healthy benefits are important because diabetics are at an increased risk for heart disease, peripheral artery disease and painful neuropathy.

 

However, aerobic exercise is only part of the weight loss equation.  The other part is participating in a progressive resistance training program.  Now, what I mean by that is an individualized program based upon a person’s strength.  Resistance training has been shown to reduce waist circumference (8 as cited in 9,9).  This is important as waist circumference is a risk factor for heart disease.  Resistance training increases muscle mass/fat free mass leading to increased use of deep abdominal fat enhancing insulin sensitivity (7 as cited in 9).  Type 2 diabetics usually have lower insulin sensitivity.

 

So, how much is enough?  The American Diabetes Association (ADA) recommends aerobic exercise three days a week.  The American College of Sports Medicine (ACSM) recommends 3 to 7 days per week, 20 to 60 minutes per day and 50 to 80% intensity.  Resistance training guidelines are recommended by ACSM as 1 set of 10 to 15 epetitions at 40 to 60% intensity for all major muscle groups.  This program is to be followed a minimum of 2 days a week with 48 hours between sessions.  As always, consult your physician or qualified health professional before beginning an exercise program.  For any questions regarding any of the information, feel free to comment below or ask directly.

 

References

 

1) Lee J, Heng D, Chia KS, Chew SK, Tan BY, Hughes K (2001).  Risk factors and incident coronary heart disease in Chinese, Malay and Asian Indian males: The Singapore Cardiovascular Cohort Study. International Journal of Epidemiology 30:983–988.
2) Albright A, Franz M, Hornsby G, Kriska A, Marrero D, Ullrich I, Verity LS (2000) American College of Sports Medicine Position Stand: Exercise and type 2 diabetes. Medicine and Science in Sports and Exercise 32: 1345–1360
3) Boule NG, Haddad E, Kenny GP, Wells GA, Sigal RJ (2001) Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus. A meta-analysis of controlled clinical trials. JAMA 286: 2941–2941.
4) Lim JG, Kang HJ, Stewart KJ (2004) Type 2 diabetes in Singapore: The role of exercise training for its prevention and management. Singapore Medical Journal 45: 62–68.
5) Sigal RJ, Kenny GP, Boule NG, Wells GA, Prud’homme D, Fortier M, et al (2007) Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes. Annals of Internal Medicine 147: 357–369.
6) Snowling NJ, Hopkins WG (2006) Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetes patients: A meta-analysis. Diabetes Care 29: 2518–2527.
7) Tresierras MA, Balady GJ (2009) Resistance training in the treatment of diabetes amd obesity–Mechanisms and outcomes. Journal of Cardiovascular Rehabilitation and Prevention 29: 67–75.
8- Ibanez J, Izquierdo M, Arquelles I, Forga L, Larrion JL, Garcia-Unciti M, et al (2005) Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes. Diabetes Care 28: 662–667
9) Ng, CL, Goh, S, Malhotra, R, Ostbye, T and Tai, ES. (2010).  Minimal difference between aerobic and progressive resistance exercise on metabolic profile and fitness in older adults with diabetes mellitus: a randomised trial.  Journal of Physiotherapy 56: 163-170.
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Brent

President, Personal Training Manager at Body By Brent LLC
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