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PHYSICAL ACTIVITY AND DIABETES

PHYSICAL ACTIVITY AND DIABETES. 2003 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. PHYSICAL ACTIVITY BASICS. Patients should be told that regular exercise is a key part of their treatment plan.

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PHYSICAL ACTIVITY AND DIABETES

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  1. PHYSICAL ACTIVITYAND DIABETES 2003 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada

  2. PHYSICAL ACTIVITY BASICS • Patients should be told that regular exercise is a key part of their treatment plan. • Physical activity can help people with diabetes achieve a variety of goals, including cardiorespiratory fitness, increased vigour, improved glycemic control, decreased insulin resistance, improved lipid profile and maintenance of weight loss. • Studies have demonstrated that both aerobic and resistance exercises are suitable for people with diabetes.

  3. AEROBIC EXERCISE • Definition: Rhythmic, repeated and continuous movements of the same large muscle groups for at least 10 minutes at a time. • Moderate intensity effort is at 50 - 70% of a person’s maximum heart rate. Examples: brisk walking, biking, continuous swimming, dancing, water aerobics. • Vigorous effort is at > 70% of a person’s maximum heart rate. Examples: brisk walking up an incline, jogging, aerobics, basketball, fast swimming. • Goal: Minimum 150 minutes/week spread over at least 3 days of the week. If willing, individuals should be encouraged to accumulate 4 or more hours of exercise/week.

  4. RESISTANCE EXERCISE • Definition: Activities that use muscular strength to move a weight or work against a resistant load. Examples: weight lifting, exercise with weight machines. • Start with 1 set of 10 - 15 repetitions, progress through 2 sets of 10 - 15 repetitions to 3 sets of 8 repetitions, 3 times per week. • Individuals wishing to begin resistance exercise should receive initial instruction and periodic supervision by a qualified exercise specialist. • Goal: 3 days/week.

  5. PHYSICAL ACTIVITY AND DIABETES- RECOMMENDATIONS • An exercise ECG stress test should be considered for previously sedentary individuals with diabetes at high risk for CVD who wish to undertake exercise more vigorous than brisk walking [Grade D, Consensus]. • People with type 2 diabetes should accumulate at least 150 minutes of moderate-intensity aerobic exercise each week, spread over at least 3 nonconsecutive days of the week [Grade B, Level 2] or, if willing, should be encouraged to accumulate 4 hours of exercise per week [Grade C, Level 3].

  6. PHYSICAL ACTIVITY AND DIABETES- RECOMMENDATIONS • People with diabetes (including elderly people) should also be encouraged to perform resistance exercise 3 times per week [Grade B, Level 2].

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