The Winner of the Functional Fitness DVD is: susan smoaks
Congratulations!

In week two of our journey we are joined by Suzanne Andrews. She is going to discuss the importance as well as the precautions of exercise in Diabetics.

If you have diabetes, it is essential to begin and maintain an exercise routine. A health care professional must first evaluate you for symptoms that could be aggravated by particular activities. You might also undergo a cardiac stress test.

Exercise is part of a well-established health regimen for people with diabetes. Dr. Ronald J. Sigal, who studies the long-term trends of the illness, reports in a 2004 Diabetes Care article that increased activity is associated with prolonged lifespan, enhanced lung function, and decreased accumulation of dangerous fat coating the abdomen. Sigal defines “increased activity” as exertion equivalent to walking briskly approximately two hours and fifteen minutes per week.

Increased activity also lowers bad cholesterol, raises good cholesterol, stabilizes blood pressure, enhances the effectiveness of insulin, improves mood, and boosts self-confidence.

Managing your blood sugar is crucial to a safe exercise plan. You should check it before, during, and after your session. A test thirty minutes before you plan to begin will indicate whether exercise is safe. If your glucose level falls below 100mg/dL, try a piece of fresh fruit or whole grain crackers, but do not exercise until it reaches the 100 to 250mg/dL range. Blood sugar elevated beyond 300mg/dL is too high for exercise. Symptoms of high blood sugar (hyperglycemia) include: excessive thirst, frequent urination, blurred vision, and dry skin. You must not exercise in this instance, because your sugar levels could continue to escalate. You might be able to lower your sugar using prescribed medications. Consistent adherence to your exercise plan will contribute to lower blood sugar over time.

During exercise, watch for symptoms of hypoglycemia, a blood glucose level of 70mg/dL or lower. If you feel shaky, nervous, irritable or confused, if you develop a hand tremor, or if your skin becomes cold and damp, stop exercising. Take glucose tablets, drink four ounces of fruit juice or sugared soda, or eat several pieces of hard candy. Recheck your glucose in 15 minutes. Have another snack if necessary. Repeat the process until your blood sugar level is above 70mg/dL. You can resume exercise when your sugar level is stable. Continue to monitor it closely several hours after you finish.

You must also take special care of your feet when you exercise. If you have diminished sensation in your toes and feet, and/or poor circulation, you are especially vulnerable to injury and infection. It is therefore important to choose proper footwear. A protective exercise shoe features ample toe room, a removable, flexible insole, a sole that cushions the ball of the foot, and a stabilizing, firm heel. Since exercise places extra stress on your feet, you must be vigilant for signs of injury. Do daily checks for cuts, sores, swelling, and infected nails, both before and following exercise. Wiggle your toes for five minute sessions, once before and once after exercise. If your feet are severely affected by neuropathy, try seated activity. Chair-based stretching and strengthening enhances everyday functioning, and in some cases seated exercise leads to an increased activity level.

Knowing which activities to avoid is as important as identifying the beneficial ones. Isometric Exercises for example, could put you at risk if you have high blood pressure, eye problems or damaged blood vessels. Isometric movement also potentially aggravates vascular conditions. Avoid activities requiring heavy strain but minimal movement.

Just as diabetes compels you to modify your diet, it also requires you to approach exercise differently. Be mindful of these guidelines for your safety and comfort. Do not allow your symptoms to discourage you from staying active!

For more than 25 years, Suzanne Andrews has been teaching therapeutic exercise including, strength training for weight loss, water aerobics, low impact aerobics, yoga and FUNctional fitness. As the host of FUNctional Fitness on Public Television, the most trusted source on TV, she offers you a safe, effective and FUN workout to lose weight, increase your ability to function, get strong, boost your energy and increase your health. As an Occupational Therapy Practitioner, she is committed to helping you live a more functional life with medically designed fitness DVD’s that are engineered from years of therapeutic exercise education experience and Dr. approved.

Enter to Win

Suzanne Andrews, Occupational Therapy Practitioner/L and Host of PBS TV’s Functional Fitness has produced a doctor recommended Functional Fitness Diabetes DVD medically engineered to inhibit diabetes symptoms. Movements in the DVD are identical to what is used in therapy for diabetics.  Free preview of Functional Fitness Diabetes DVD here.

Suzanne has agreed to send One lucky winner their own copy of Suzanne Andrews’ Functional Fitness Diabetes DVD.  This giveaway is open to the U.S. and will end on May 26, 2010

Comment on this post to be entered to win.

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2. Living with Diabetes: Meet Gina
3. Raising a Child with Diabetes
4. The Difference Between Type I & Type II Diabetes
5. Managing Gestational Diabetes