Diabetes – lmportance of exercises: AIl human bodies need physical activity. It keeps them fit. Lethargy leads to sickness. Physical exercises are all the more important for those who suffer from diabetes. They play a key role in the management of diabetes and help in utilisation of sugar by the body without additional requirement of insulin, thus reducing the dose of the insulin to be taken. Patients are reported to have been successful in maintaining glucose level when they resort to consistent and planned exercise. But doing exercises in an irregular manner can cost the patient dearly.
Those who have crossed the age of thirty-five or forty and have been physically dormant need extra care and need not do any exercise of their own will. Physician’s advice is very necessary in their cases. It is for him to decide what exercises they should undertake and for how long. Aerobic exercises are said to be most beneficial for a diabetic. Walking, cycling, swimming, etc. lead to increased intake of oxygen thus improving the health of those who undertake them.
The physician has to take into account the patient’s nature of work, his interest and the time available to him before he recommends the nature of exercises he has to undertake. Today yogic exercises are very much in vogue. are becon-üng popular and have attracted the attention of the tnasses. More and more people have59 started joining centres which impart them. They make the body flexible, give it strength and relaxation.
(Dhanur asana activates pancreas and thus helps in controlling diabetes)
But exercise should be undertaken on a basis if it has to produce results. It should not started all of a sudden and be increased graduall Slow warm-ups are essential to enable the body adjust to the increased energy requirements. The en should not also be sudden.
Exercise should end gradually with a mild jogging walk. Gradual cooling down is advisable. The patient could experience dizziness, chest pain or even nausea exercise is stopped suddenly. Exercise should be avoided in extrerne heat or cold conditions and/or when there is serious metabolic disorder.
Apart from undertaking regular exercise, one can use stairs to go up instead of a lift, park his car at a distance and then walk to his office or home, join household activities and participate in outdoor games. Regular exercise decreases the blood sugar level and is a boon for an obese diabetic, since energy ex. penditure during exercises helps in weight reduction.
A proper exercise programme will prove as good as a diet control plan or drug therapy to improve glycaemic control, reduce certain cardiovascular risk factors and increase psychological well being in individuals with NIDDM. Patients who are more likely to respond favourably to exercises are those with mildly-to-moderately impaired glucose tolerance and hyperinsulinemia.
Insulin—dependent diabetics should monitor glycaemia before. during and after exercise and see that the sugar level in blood does not go too low. That can be avoided by starting exercise 1-2 hours after meal, by taking 20-40 gms extra carbohydrate before and during exercise, by avoiding heavy exercise during peak insulin action, by using non-exercising sites for insulin action, by reducing pre-exercise insulin dosage by 40-50 per cent and by monitoring glycaemia and taking carbohydrates to avoid delayed hypoglycaemia.
(This asana activates liver and pancreas)
Exercise is beneficial generally for all and rnore so for a diabetic, but certain precautions are essary before undertaking it by the diabetics. They are :
- l. Exercise should be properly timed. It is link with the meal taken, insulin and oral drug Cake of the IDDM patient. It should not be tak before meal or when insulin effect is at peak. 0then erMse there will be wild fluctuations in blood sugar level and lead to hypoglycemia. Such pa. tients who undertake exercise for a long period must keep with them toffee, sugar cubes or candy. Blood sugar control is a must. Uncontrolled betes may give rise to complications during cise and affect the general health of the patient.
- Those who suffer from heart disease or high cholesterol level should always consult a physician and ask him to frame out an exercise schedule. Such people should avoid certain exercises.
- Eye examination to detect retinopathy is a must for IDDM patient before they undertake any exercise. Retinopathy, though it remains undetected for long, is a result of long-term diabetes. Jerky exercise may result in bleeding of blood vessels on the retine leading to further complications.
- Foot problem: A diabetic foot is particularly ata greater risk of complication. Meticulous care should. therefore, be taken. Any cut or injury, however minor or painless, should never be neglected. Exercise programmes should be postponed till the wound is completely healed.
- Absence of neuropathy: A diabetic suffering from nerve complications should not undergo any exercise until the problem is controlled. In such patients blood circulation of the affected part is disturbed.