Appropriate exercise can control sugar, but don’t step on these 3 big pits!

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Can exercise help people with diabetes control blood sugar?The answer is beyond doubt.Exercise can significantly improve metabolism-related indicators, such as exercise can improve the level of glycated hemoglobin (HbA1c) in diabetic patients. This improvement effect is comparable to that of diet therapy, drug therapy, and insulin therapy [1].Other studies have shown that aerobic exercise for only 12 weeks can significantly reduce patients’ HbA1c levels, increase skeletal muscle strength, and improve motor perception [2].However, in clinical practice, patients are often encountered to exercise according to their own ideas, but they have no effect. There are even cases of hypoglycemia caused by excessive exercise. Today, we will take a look at the “pits” that are most easily stepped on by sports sugar.”!01 Don’t have to do preparation activities before exercise?wrong!According to the “Guidelines for the Treatment of Diabetes in China”, each exercise should be prepared for 5 to 10 minutes before exercise and at least 5 minutes for relaxation after exercise.The human body needs to have an adaptive process from the quiet state to the intense exercise. Fully preparing activities can not only improve the excitability of the central nervous system, but also overcome the inertia of internal organs.At the same time, the nervous system’s ability to coordinate and command muscles is improved, so that the organs can cooperate with each other, improve the working ability of sports organs, and prevent injury accidents [3].02 The greater the intensity of exercise, the better?wrong!The design of exercise requires coordination of exercise time and exercise intensity.When the intensity of exercise is large, the duration of exercise is correspondingly shortened; when the intensity is small, the duration of exercise is appropriately extended.In addition, exercise intensity should not be too large. Excessive exercise or intense exercise for a short period of time will stimulate the body’s stress response, leading to increased secretion of hormones such as catecholamines against insulin, increased blood sugar, and even induced diabetic ketoacidosis.It is not good to control diabetes [4].In order to ensure that exercise is safe and effective, exercise intensity must be controlled within the established effective range. Exercises exceeding 80% VO2max (maximum oxygen uptake) are dangerous; exercise less than 50% VO2max is harmful to the elderly and patients with heart disease.Suitable [5].For middle-aged and elderly diabetic patients, it is more suitable to exercise at an intensity of 50% to 60% VO2max due to many complications [6].In order to exercise safely, in principle, diabetic patients who are older than 40 years of age, have a disease course of more than 10 years, and have symptoms and signs of cardiovascular disease should obtain target heart rate through exercise tests [7].03 Can the exercise plan be adjusted at will?wrong!Exercise therapy is part of lifestyle intervention for diabetic patients. If the doctor determines the exercise program, it is not recommended that the patient adjust it by himself. From the current research results on exercise and diabetes, aerobic exercise and resistance training are good ways of exercise for diabetic patients.Selection, suggesting that the best exercise program for patients with type 2 diabetes is a combination of aerobic exercise and resistance training [8].Due to the differences in individual disease status and athletic ability, the sports training plan should adopt the principle of gradual (from little to many, light to heavy, rare to complex, periodic, moderate recovery), and according to the disease at different periodsAnd changes in athletic ability while adjusting the plan [8].Therefore, adjustment of exercise programs for diabetic patients is complicated and should be carried out under the guidance of a professional physician.The above content is only authorized by for exclusive use, please do not reprint without authorization of the copyright party.


The author ouyangshaoxia