Therapeutic exercises in diabetes

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Exercise is especially important when you have diabetes. Exercise has a positive effect on all types of metabolism.
When regular physical activity is performed, the sensitivity of insulin receptors increases, which leads to a decrease in blood sugar levels and less intake of insulin or sugar-lowering drugs.
Regular exercise improves protein metabolism, increases the breakdown of fats, reduces body weight and normalizes the content of fat in the blood.
Conditions that arise for the development of vascular complications of diabetes are also eliminated due to exercise.
Exercise that can be used for illness is divided into short-term and long-term types. In turn, short-term exercise can be planned or unplanned.
If you do less unplanned exercise (such as lifting heavy weights, jogging, etc.), you should eat fast and easily digestible food in the appropriate NB (bread unit) to prevent hypoglycemia. you should consume it immediately.
During planned short-term exercise (physical education classes, swimming in the pool, disco, etc.), you should consume an additional slow-digesting NB (for example, a slice of bread and fresh fruit) every half hour.
During long-term exercise (for example, working in the field or traveling), the amount of insulin can be reduced by 25-50%, depending on its intensity and duration, as well as the characteristics of your body.
When hypoglycemia occurs, it is quickly replaced by the consumption of easily digestible carbohydrates (sweet drinks, juices).
Exercise should be performed when blood sugar levels are at a compensated level. Exercising during the non-compensatory period can increase blood sugar levels. Therefore, exercise is not recommended for patients with diabetes when their blood sugar is higher than 15 mmol / l.
It is a good idea to schedule your exercise throughout the day. For example, it is better to exercise in the morning. Basic exercises should be performed 1-2 hours after a meal, when the risk of developing hypoglycemia is low, ie when the food is digested and the body is energized.
It should be noted that patients taking insulin are more likely to develop hypoglycemia if they perform the exercise irresponsibly, which can lead to dangerous health consequences.
It is advisable to exercise regularly every day, which helps to better control diabetes.
In addition to daily exercise, a number of physical activities, such as cycling, skating, swimming, dancing, running, and gymnastics, are also preventative measures. It is important to remember that if a patient has a history of cardiovascular disease other than diabetes, he or she should seek professional advice to determine his or her physical activity.
When choosing and performing the exercises that need to be followed, it is important to pay attention to the following:
everyone chooses the type and intensity of exercise individually depending on their age and state of health;
insulin recipients should exercise regularly at the same time each day;
the duration and intensity of training will be gradually increased;
The patient should not get tired after exercise.
Yulduz AMINJONOVA,
Chilanzar Medical College teacher, specialist.

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